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Comprehensive Perinatal and Pediatric Respiratory Care

by
Edition:
3rd
ISBN13:

9780766813731

ISBN10:
0766813738
Format:
Paperback
Pub. Date:
2/14/2001
Publisher(s):
Cengage Learning
List Price: $198.33

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This is the 3rd edition with a publication date of 2/14/2001.
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Summary

Respiratory students and therapists can learn the latest in respiratory care for newborns and children from this updated book. Readers will study fetal development of the cardiopulmonary system, then learn respiratory care of neonatal and pediatric patients, as well as causes and care of respiratory illnesses. A section devoted to ventilation and oxygenation includes information on both conventional and special techniques. Even topics such as care of parents and home care are discussed in detail. Ten clinical case studies supplement the main text. Key features: ? Corresponds with the new NBRC content outline for the perinatal/pediatric specialty exam ? New section on specialty medical gases ? Practice questions, laboratory exercises, and checklists now located in the book to improve understanding ? Information on conventional and non-conventional ventilators ? Ten clinical case studies support application of content from the main text. (KEYWORDS: respiratory care, respiratory therapy, respiratory therapists, pediatric, perinatal, child respiratory care)

Table of Contents

Preface xi
Contributing Authors xiii
UNIT ONE: DEVELOPMENT AND CARE OF THE FETUS: CONCEPTION TO BIRTH 1(74)
Embryological Development of the Cardiopulmonary System
3(27)
Embryologic Development of the Fetus
4(1)
Development of the Pulmonary System
5(5)
Surface Forces and the Role of Surfactant
10(5)
Fetal Lung Fluid
15(1)
Development of the Cardiovascular System
16(2)
Fetal Circulation
18(3)
The Development of Baroreceptors and Chemoreceptors
21(1)
Development and Function of Intrauterine Structures
21(4)
Summary
25(5)
Assessment of Fetal Growth and Development
30(23)
Modalities to Assess Fetal Status
31(9)
Estimating the delivery Date
40(1)
Biophysical Tests of Fetal Well-Being
41(5)
Factors Identifying a High-Risk Pregnancy
46(1)
Summary
46(7)
Labor, Delivery, and Physiological Changes After Birth
53(22)
Parturition
54(1)
Stages of Normal Labor and delivery
54(3)
Abnormal Labor and Delivery
57(10)
Adaptation to Extrauterine Life
67(4)
Summary
71(4)
UNIT TWO: CARE OF THE NEONATAL AND PEDIATRIC PATIENT 75(216)
Techniques of Resuscitation and Stabilization
77(34)
Overview
78(1)
When to Resuscitate
78(6)
Standard Precautions
84(1)
Steps in Resuscitation
84(17)
Management of Serum Glucose
101(3)
Obtaining Umbilical Vessel Blood Samples During Resuscitation
104(2)
Summary
106(5)
Assessment of the Neonatal and Pediatric Patient
111(36)
Anatomic and Physiologic Considerations
112(1)
Physical Assessment of the Neonate
113(17)
Physical Assessment of the Pediatric Patient
130(5)
Neonatal and Pediatric Pulmonary Function Testing (PFT)
135(6)
Summary
141(6)
Respiratory Care Procedures
147(41)
Airway Clearance
148(8)
Aerosolized Drug Therapy
156(9)
Suctioning
165(5)
Oxygen Therapy
170(13)
Summary
183(5)
General Considerations of Continuing Care
188(34)
Thermoregulation
189(7)
Developmental Needs of the High-Risk Neonate
196(3)
Skin Care of the Premature Neonate
199(2)
Fluid and Electrolyte Balance
201(9)
Neonatal Jaundice
210(4)
Necrotizing Enterocolitis (NEC)
214(2)
Summary
216(6)
Pharmacology in Neonatal and Pediatric Respiratory Care
222(37)
Introduction
223(1)
Placental Drug Transfer
223(2)
Neonatal and Pediatric Pharmokinetics
225(3)
Medications
228(7)
Cardiovascular Medications
235(20)
Effects of Maternal Drug Abuse on the Fetus
255(1)
Summary
255(4)
Assessment of Oxygenation and Ventilation
259(32)
The Basics
260(1)
Arterial Blood Gas Analysis
260(6)
Arterial Blood Gas Assessment
266(7)
Transcutaneous Monitoring
273(5)
Pulse Oximetry
278(2)
Capnography/Capnometry
280(5)
Summary
285(6)
UNIT THREE: CAUSES AND CARE OF ILLNESS IN PERINATAL AND PEDIATRIC PATIENTS 291(154)
Perinatal Lung Disease and Other Problems of Prematurity
293(42)
Consequences of Premature Birth
294(16)
Processes of Intrauterine Origin
310(6)
Barotraumatic Diseases: Air Leak Syndromes
316(3)
Other Respiratory Diseases of the Neonate
319(8)
Summary
327(8)
Causes of Persistent Perinatal Illness
335(27)
Infections
336(7)
Fetal Immunities
343(2)
Congenital Anomalies
345(11)
Respiratory Care of the Patient with Cardiac Defects
356(1)
Summary
357(5)
Pediatric Diseases Requiring Respiratory Care
362(46)
Ventilatory Diseases
363(15)
Neuromuscular Disorders
378(8)
Infectious Lung Diseases
386(3)
Diseases of the Upper Airways
389(6)
Inhalation of Noxious Gases
395(2)
Sudden Infant Death Syndrome (SIDS)
397(1)
Summary
397(11)
Interpretation of Chest X-Rays
408(37)
Basic Concepts
409(2)
Method of Interpretation
411(10)
Radiographic Findings in Neonatal Lung Pathology
421(16)
Radiographic Findings in Pediatric Lung Pathology
437(3)
Summary
440(5)
UNIT FOUR: MANAGEMENT OF VENTILATION AND OXYGENATION 445(132)
Concepts of Mechanical Ventilation
447(27)
Goals of Mechanical Ventilation
448(1)
Definitions
448(10)
Clinical Applications
458(2)
Pressure-Volume Relationships (Compliance)
460(5)
Pressure-Flow Relationships (Resistance)
465(2)
Time Constants (Kt)
467(7)
Management of the Patient-Ventilator System
474(38)
Indications for Ventilatory Support of the Neonate and Child
474(2)
Modes of Mechanical Ventilation
476(1)
Partial Ventilatory Support (PVS)
476(8)
Full Ventilatory Support
484(2)
Setting Initial Ventilator Parameters
486(7)
Volume Versus Pressure-Controlled Ventilation
493(3)
Changing Ventilator Parameters in Volume and Pressure Ventilation
496(3)
Hazards of Mechanical Ventilation and How to Avoid Them
499(2)
Weaning and Extubation
501(1)
Neonatal Patient
502(2)
Pediatric Patient
504(2)
Summary
506(6)
Common Ventilators and Monitors
512(45)
Common Neonatal Ventilators
513(34)
Ventilator Monitors
547(5)
Summary
552(5)
Special Procedures and Ventilatory Techniques
557(20)
Introduction
558(1)
Surfactant Replacement Therapy
558(2)
High-Frequency Ventilation (HFV)
560(4)
Specialty Medical Gases
564(2)
Extracorporeal Life Support (ECLS)
566(3)
Partial Liquid Ventilation (PLV)
569(1)
Negative Pressure Ventilation (NPV)
570(1)
Summary
571(6)
UNIT FIVE: TRANSPORT, HOME CARE, AND CARE OF THE PARENTS 577(80)
Perinatal Transport
579(19)
History
580(1)
Types of Transport
581(5)
Personnel
586(1)
Equipment
586(4)
Infant Preparation and Transportation
590(1)
Special Needs
591(3)
Summary
594(4)
Home Care
598(24)
Overview
599(2)
Patient Selection
601(1)
Home Care of the Ventilator-Dependent Child
602(3)
Home Aerosol Therapy
605(1)
Chest Physiotherapy and Suctioning
606(1)
Apnea Monitoring
607(1)
Oxygen Therapy
608(5)
Discharge Planning
613(3)
Discharge
616(1)
The Effects of Home Care on the Family
616(1)
Failure of Home Care
617(1)
Summary
618(4)
Care of the Parents
622(13)
Overview
622(1)
Bonding
623(1)
Causes of Parental Stress
624(3)
Understanding Grief
627(3)
Summary
630(5)
Clinical Case Studies
635(22)
Clinical Case Study 1
635(3)
Clinical Case Study 2
638(2)
Clinical Case Study 3
640(2)
Clinical Case Study 4
642(2)
Clinical Case Study 5
644(3)
Clinical Case Study 6
647(2)
Clinical Case Study 7
649(2)
Clinical Case Study 8
651(2)
Clinical Case Study 9
653(2)
Clinical Case Study 10
655(2)
Appendix A 657(84)
Appendix B 741(43)
Appendix C 784(1)
Appendix D 785(1)
Appendix E 786(1)
Appendix F 787(1)
Appendix G 788(1)
Appendix H 789


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