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Neonatology: Management, Procedures, On-Call Problems, Diseases, and Drugs

by: Gomella, Tricia Lacy; Cunningham, M. Douglas; Eyal, Fabien G.; Zenk, Karin E.

Neonatology: Management, Procedures, On-Call Problems, Diseases, and Drugs

by: Gomella, Tricia Lacy; Cunningham, M. Douglas; Eyal, Fabien G.; Zenk, Karin E.

ISBN 13:
9780838566879
ISBN 10:
0838566871
Edition: 4th
Format: Paperback
Copyright: 02/22/1999
Publisher: Appleton
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Summary

Extensively revised and updated, this practical manual on the basic and advanced management of the neonate covers procedures, diseases, disorders and drugs. The popular On-Call Problems, present over 25 common and serious patient management problems.

Contributors

xiii

Preface

xix

Section I. Basic Management

Prenatal Testing

(6)

Prenatal Diagnosis

(1)

Tests of Fetal Well-Being

(4)

Tests of Fetal Lung Maturity

(1)

Delivery Room Management

(14)

Obstetric Anesthesia and the Neonate

(4)

Resuscitation of the Newborn

(10)

Assessment of Gestational Age

(8)

Classification

(1)

Methods of Determining Postnatal Gestational Age

(8)

Newborn Physical Examination

(9)

Temperature Regulation

(5)

Hypothermia and Excessive Heat Loss

(4)

Hyperthermia

(1)

Respiratory Management

(25)

General Physiologic Support

(1)

Monitoring

(7)

Ventilatory Support

(4)

Pharmacologic Respiratory Support and Surfactant

(5)

Strategies for Respiratory Management of Certain Newborn Diseases

(1)

Overview of High-Frequency Ventilation

(1)

High-Frequency Ventilators, Techniques, and Equipment

(4)

Liquid Ventilation

(1)

Glossary of Terms Used in Respiratory Support

(2)

Fluids and Electrolytes

(7)

Fluid and Electrolyte Balance

(1)

Fluid Therapy

(4)

Fluid Calculations

(1)

Modifiers of Fluid and Electrolyte Requirements

(1)

Nutritional Management

(21)

Growth Assessment of the Neonate

(1)

Nutritional Requirements in the Neonate

(1)

Principles of Infant Feeding

(9)

Breast-feeding

(3)

Total Parenteral Nutrition

(5)

Caloric Calculations

(3)

Neonatal Radiology

(17)

Common Radiologic Techniques

(5)

Radiographic Examples

101

(3)

Radiographic Pearls

104

(9)

Management of the Extremely Low Birth Weight Infant During the First Week of Life

113

(12)

Extracorporeal Membrane Oxygenation

125

(4)

Infant Transport

129

(2)

Transport Team

129

(1)

Equipment

129

(1)

Protocol for Stabilization and Transfer

129

(1)

Evaluation of Transport

130

(1)

Special Considerations in Air Transport

130

(1)

Follow-up of High-Risk Infants

131

(5)

Goals of the Neonatal Follow-up Clinic

131

(1)

Staff of the Neonatal Follow-up Clinic

131

(1)

Risk Factors for Developmental Disability

131

(1)

Parameters Requiring Follow-up

132

(2)

Correction for Prematurity

134

(1)

Multidisciplinary Evaluation

134

(2)

Studies for Neurologic Evaluation

136

(6)

Neuroimaging

136

(2)

Electrographic Studies

138

(4)

Neonatal Bioethics

142

(6)

Section II. Procedures

Arterial Access

148

(8)

Arterial Puncture (Radial Artery Puncture)

148

(1)

Percutaneous Arterial Catheterization

149

(2)

Umbilical Artery Catheterization

151

(5)

Bladder Aspiration (Suprapubic Urine Collection)

156

(2)

Bladder Catheterization

158

(2)

Chest Tube Placement

160

(3)

Endotracheal Intubation

163

(2)

Exchange Transfusion

165

(5)

Gastric Intubation

170

(1)

Heelstick (Capillary Blood Sampling)

171

(2)

Lumbar Puncture (Spinal Tap)

173

(2)

Paracentesis (Abdominal)

175

(2)

Pericardiocentesis

177

(2)

Venous Access

179

(12)

Percutaneous Venous Catheterization

179

(2)

Percutaneous Central Venous Catheterization

181

(5)

Venipuncture (Phlebotomy)

186

(1)

Umbilical Vein Catheterization

186

(3)

Intraosseous Infusion

189

(2)

Section III. On-Call Problems

Abnormal Blood Gas

191

(5)

Apnea and Bradycardia (``A's and B's'')

196

(4)

Arrhythmia

200

(6)

Bloody Stool

206

(3)

Counseling Parents Before High-Risk Delivery

209

(4)

Cyanosis

213

(3)

Death of an Infant

216

(3)

Eye Discharge (Conjunctivitis)

219

(4)

Gastric Aspirate (Residuals)

223

(4)

Gastrointestinal Bleeding From the Upper Tract

227

(3)

Hyperbilirubinemia, Direct (Conjugated Hyperbilirubinemia)

230

(3)

Hyperbilirubinemia, Indirect (Unconjugated Hyperbilirubinemia)

233

(4)

Hyperglycemia

237

(3)

Hyperkalemia

240

(3)

Hypertension

243

(4)

Hypoglycemia

247

(5)

Hypokalemia

252

(2)

Hyponatremia

254

(3)

Hypotension and Shock

257

(4)

Is the Baby Ready for Discharge?

261

(5)

No Stool in 48 Hours

266

(4)

No Urine Output in 48 Hours

270

(2)

Pneumoperitoneum

272

(2)

Pneumothorax

274

(3)

Polycythemia

277

(3)

Poor Perfusion

280

(2)

Postdelivery Antibiotics

282

(5)

Pulmonary Hemorrhage

287

(2)

Sedation and Analgesia in a Neonate

289

(4)

Seizure Activity

293

(4)

Traumatic Delivery

297

(7)

Vasospasms

304

(2)

Section IV. Diseases and Disorders

Ambiguous Genitalia

306

(8)

Blood Abnormalities

314

(21)

ABO Incompatibility

314

(2)

Anemia

316

(6)

Polycythemia and Hyperviscosity

322

(4)

Rh Incompatibility

326

(4)

Thrombocytopenia and Platelet Dysfunction

330

(5)

Cardiac Abnormalities

335

(18)

Congenital Heart Disease

335

(1)

Cyanotic Heart Disease

335

(1)

D-Transposition of the Great Arteries

335

(2)

Tetralogy of Fallot

337

(1)

Acyanotic Heart Disease

337

(1)

Ventricular Septal Defect

337

(1)

Atrial Septal Defect

337

(1)

Endocardial Cushion Defects

337

(2)

Hypoplastic Left Heart Syndrome

339

(1)

Associated Anomalies and Syndromes

339

(1)

Teratogens and Heart Disease

339

(1)

Abnormal Situs Syndromes

339

(1)

General Principles of Management

340

(1)

Patent Ductus Arteriosus

341

(4)

Persistent Pulmonary Hypertension of the Newborn

345

(8)

Common Multiple Congenital Anomaly Syndromes

353

(8)

Hyperbilirubinemia

361

(12)

Unconjugated (Indirect) Hyperbilirubinemia

361

(6)

Conjugated (Direct) Hyperbilirubinemia

367

(6)

Inborn Errors of Metabolism With Acute Neonatal Onset

373

(20)

Infant of a Diabetic Mother

393

(6)

Infant of a Drug-Abusing Mother

399

(9)

Infectious Diseases

408

(33)

Neonatal Sepsis

408

(6)

Meningitis

414

(2)

TORCH Infections

416

(1)

Toxoplasmosis

416

(2)

Rubella

418

(2)

Cytomegalovirus

420

(1)

Herpes Simplex Virus

421

(3)

Viral Hepatitis

424

(1)

Hepatitis A

424

(1)

Hepatitis B

425

(2)

Hepatitis C

427

(1)

Hepatitis D

427

(1)

Hepatitis E

427

(1)

Varicella-Zoster Infections

428

(1)

Teratogenic Varicella-Zoster Infection

428

(1)

Congenital Varicella-Zoster Infection

428

(1)

Postnatal Varicella-Zoster Infection

429

(1)

Syphilis

430

(2)

Gonorrhea

432

(1)

Chlamydial Infection

433

(1)

Human Immunodeficiency Virus

434

(4)

Respiratory Syncytial Virus

438

(1)

Lyme Disease

439

(2)

Intrauterine Growth Retardation (Small for Gestational Age Infant)

441

(6)

Multiple Gestation

447

(5)

Necrotizing Enterocolitis

452

(5)

Neurologic Diseases

457

(23)

Hydrocephalus

457

(3)

Intraventricular Hemorrhage

460

(5)

Neonatal Seizures

465

(5)

Neural Tube Defects

470

(10)

Perinatal Asphyxia

480

(10)

Pulmonary Diseases

490

(25)

Air Leak Syndromes

490

(4)

Apnea and Periodic Breathing

494

(4)

Bronchopulmonary Dysplasia

498

(5)

Hyaline Membrane Disease (Respiratory Distress Syndrome)

503

(3)

Meconium Aspiration

506

(4)

Transient Tachypnea of the Newborn

510

(5)

Renal Diseases

515

(5)

Acute Renal Failure

515

(2)

Hematuria

517

(1)

Urinary Tract Infection

518

(2)

Retinopathy of Prematurity

520

(4)

Rickets and Disorders of Calcium and Magnesium Metabolism

524

(9)

Rickets

524

(2)

Hypocalcemia

526

(3)

Hypercalcemia

529

(1)

Hypomagnesemia

530

(1)

Hypermagnesemia

531

(2)

Surgical Diseases of the Newborn

533

(13)

Alimentary Tract Obstruction

533

(1)

Vascular Ring

533

(1)

Esophageal Atresia

533

(1)

Duodenal Obstruction

534

(1)

Proximal Intestinal Obstruction

535

(1)

Distal Intestinal Obstruction

535

(1)

Imperforate Anus

536

(1)

Causes of Respiratory Distress

536

(1)

Choanal Atresia

536

(1)

Pierre Robin Syndrome

536

(1)

Vascular Ring

537

(1)

Laryngotracheal Cleft

537

(1)

H-Type Tracheoesophageal Fistula

537

(1)

Intrinsic Abnormalities of the Airway

537

(1)

Congenital Lobar Emphysema

537

(1)

Cystic Adenomatoid Malformation

538

(1)

Congenital Diaphragmatic Hernia

538

(1)

Abdominal Masses

539

(1)

Renal Masses

539

(1)

Ovarian Masses

540

(1)

Hepatic Masses

540

(1)

Gastrointestinal Masses

540

(1)

Retroperitoneal Tumors

540

(1)

Neuroblastoma

540

(1)

Wilms' Tumor (Nephroblastoma)

541

(1)

Teratoma

541

(1)

Abdominal Wall Defects

541

(1)

Gastroschisis

541

(1)

Omphalocele

542

(1)

Exstrophy of the Bladder

543

(1)

Cloacal Exstrophy

543

(1)

Miscellaneous Surgical Conditions

543

(1)

Necrotizing Enterocolitis

543

(1)

Hypospadias

544

(1)

Inguinal Hernia and Hydrocele

544

(1)

Umbilical Hernia

544

(1)

Undescended Testicles (Cryptorchidism)

544

(1)

Posterior Urethral Valves

545

(1)

Thyroid Disorders

546

(4)

General Considerations

546

(1)

Congenital Hypothyroidism

547

(1)

Neonatal Thyrotoxicosis

548

(1)

Transient Disorders of Thyroid Function in the Newborn

548

(2)

Section V. Neonatal Pharmacology

Commonly Used Medications

550

(49)

Effects of Drugs and Substances on Lactation and Breast-feeding

599

(6)

Effects of Drugs and Substances Taken During Pregnancy

605

(38)

Appendices

A. Abbreviations Used in Neonatology

622

(2)

B. Apgar Scoring

624

(1)

C. Blood Pressure Determinations

624

(1)

D. Cerebrospinal Fluid Normal Values

624

(1)

E. Chartwork

624

(5)

Admission History

624

(2)

Progress Notes

626

(1)

Admission Orders

627

(1)

Discharge Summary

628

(1)

F. Growth Charts

629

(5)

G. Isolation Guidelines

634

(7)

H. Temperature Conversion Table

641

(1)

I. Weight Conversion Table

641

(2)

Index

643

Amazon no longer offers textbook rentals. We do!

Neonatology: Management, Procedures, On-Call Problems, Diseases, and Drugs

Neonatology: Management, Procedures, On-Call Problems, Diseases, and Drugs

9780838566879

0838566871

Summary

Table of Contents

Supplemental Materials

Write a Review

Amazon no longer offers textbook rentals. We do!

Neonatology: Management, Procedures, On-Call Problems, Diseases, and Drugs

Neonatology: Management, Procedures, On-Call Problems, Diseases, and Drugs

9780838566879

0838566871

Summary

Table of Contents

Supplemental Materials

Write a Review

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