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Contents
Chapter 1: Pediatric History Taking and Physical Examination 1 � Profile of the Child 1 � Immunization History 2 � Physical Examination 3
Chapter 2: Newborn Assessment 8
Chapter 3: Anthropometry Measurements 12 � Definitions 12 � Anthropometric Measurements 13
Chapter 4: Developmental Assessment 23 � Development 23 � Assessment of Development 23 � Development of Newborn 24 � Reflexes of Newborn 24 � Important Milestones at Glance 26 � Language Development 27 � Developmental Screening Test 28 � Laboratory Based 30
Chapter 5: Kangaroo Mother Care 31 � Definition 31 � Components of KMC 32
Chapter 6: Methods of Feeding 38 � Principles of Feeding Children 39 � Breastfeeding 39 � Bottle Feeding 40 � Spoon/Paladi/Katori (Cup) Feeding 41 � Gavage Feeding 42 � Gastrostomy Feeding 44 � Gastrojejunal Feeding 46
Chapter 7: Drug Administration 47 � Oral Administration of Medications to Children 47 � Intramuscular Drug Administration 53
Pediatric Nursing Procedure Manualxvi
� Fluid Calculation for IV Infusion 58 � Exchange Transfusion 62 � Total Parenteral Nutrition 70
Chapter 8: Urine Collection 76 � Definition 76 � General Principles 77 � In Elder Children 79 � In an Infant 80 � Nursing Responsibility 81
Chapter 9: Restraints 82 � Definition 82 � Types of Restraints 83 � Hazards of Restraints 87
Chapter 10: Play Needs for Different Age Groups 88 � Functions of Play 89 � Development Role of Play 90 � Types of Play According to Socialization 92 � Toy Safety 95 � Selection of Play Materials for Different Age Groups 96 � Therapeutic Play During Bedside Care 100
Chapter 11: Care of Child with Phototherapy 101
Chapter 12: Care of the Child in Incubator 105 � Thermoregulation 106 � The Neutral Thermal Environment (NTE) 108
Chapter 13: Care of the Child in Radiant Warmer 112
Chapter 14: Ostomy Care 115 � Colostomy Care and Irrigation 115 � Urostomy Care 122 � Gastrostomy Care 123
Chapter 15: Care of Surgical Wounds, Dressing and Suture Removal 128 � Definition 128 � Purposes of Dressings 128 � Types of Dressings Used 129
Chapter 16: Catheterization in Children 133 � Procedure for Pediatric Urinary Catheterization General Guidelines 136
Contents xvii
Chapter 17: Oxygen Administration in Children 139 � Oxygen Therapy 139 � Indications 140 � Methods of Oxygen Therapy 142
Chapter 18: Cardiopulmonary Resuscitation 149 � Objectives 150 � Purposes 150 � Indications 150 � Preparation for Resuscitation 151 � Equipment Required 151 � The TABC of Resuscitation 151 � Signs to Evaluate for Resuscitation 152 � Initial Steps of Resuscitation 152 � Positive Pressure Ventilation Bag and Mask 154 � Technique of Positive Pressure Ventilation 154 � Chest Compression 155 � Technique of Chest Compression 155
Chapter 19: Endotracheal Intubation 157 � Indication 157 � Technique of Intubation 157 � Procedure of Endotracheal Intubation 158 � Orotracheal Intubation 158 � Medications 160
Chapter 20: Care of Child on Ventilator 161 � Indications 161 � Definitions 162 � Types of Ventilatory Support 163 � Care of Infants on Ventilator 164 � Ventilator Sighs 166 � Endotracheal Tube Suction 166 � Complications During Ventilation 167 � Bradycardia During Ventilation 168 � Extubation 168
Chapter 21: Intravenous Therapy 170 � Indications for IV Therapy 170 � Common IV Solutions 170 � Common IV Additives 171 � Equipments 171 � Preparations 171 � Hints for Prolonged IV Infusions 172
Pediatric Nursing Procedure Manualxviii
Chapter 22: Blood-Drawing Techniques in the Neonate 174 � Heel Puncture 174 � Blood-Drawing Techniques in the Neonate 175 � Complications 177 � Arterial Puncture 179
Chapter 23: Central Venous Catheters (CVC) and Long Lines 181 � Definitions 181 � Procedure if Intralipid is Used 183
Chapter 24: Umbilical Arterial Catheterization 185 � Indications 185 � Complications 188
Chapter 25: Umbilical Vein Catheterization 189 � Arterial/Venous Catheter Insertion: Umbilical 190 � Documentation 193
Chapter 26: Umbilical Cord Blood Collection or Analysis 194 � At Birth 194 � Background Information 194 � Post-Birth Specimen Collection/Examination 195 � Normal Cord Blood Gas and pH (During and Post-Labor) 197
Chapter 27: Thoracic Drainage for Tension Pneumothorax 198 � Indications 199 � The Nurse’s Role in Managing Unplanned Chest Drain Events 203
Bibliography 205Index 207