
Pediatric Acute Care
A Guide to Interprofessional Practice
- 2nd Edition - June 20, 2020
- Imprint: Elsevier
- Editors: Beth Nachtsheim Bolick, Karin Reuter-Rice, Maureen A. Madden, Paul N. Severin
- Language: English
- Paperback ISBN:9 7 8 - 0 - 3 2 3 - 6 7 3 3 2 - 7
**Selected for Doody’s Core Titles® 2024 in Critical Care**Stay up-to-date on the latest evidence and clinical practice in pediatric acute care with the definitive textbook… Read more

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Stay up-to-date on the latest evidence and clinical practice in pediatric acute care with the definitive textbook in the field. Now in its second edition, Pediatric Acute Care: A Guide for Interprofessional Practice takes an evidence-based, interprofessional approach to pediatric acute care as it exemplifies the depth and diversity that’s needed for the dynamic healthcare environments in which acutely ill children receive care. Coverage includes how to work with the pediatric patient and family, major acute care disorders and their management, emergency preparedness, common acute care procedures, and much more. With contributions from more than 200 practicing clinicians and academic experts, it represents a wide variety of disciplines including medicine, nursing, pharmacy, child life, nutrition, law, integrative medicine, education, public health, and psychology, among others. The second edition also features the addition of new physician and nurse practitioner co-editors as well as extensive content updates including updated evidence-based content throughout the text, the integration of the 2016 IPEC Core Competencies for Interprofessional Collaborative Practice, a new full-color design, and new vivid illustrations throughout.
- UNIQUE! Interprofessional collaborative approach includes contributions from more than 200 practicing clinicians and academic experts from the U.S. and Canada, including nursing, medicine, pharmacy, child life, nutrition, law, integrative medicine, education, public health, and psychology.
- Consistent organization within disorder chapters begins with a section on Physiology and continues with sections on Pathophysiology, Epidemiology and Etiology, Presentation, Differential Diagnosis, Diagnostic Studies, and a Plan of Care that include Therapeutic Management, Consultation, Patient and Family Education and Disposition and Discharge Planning.
- Comprehensive content spanning five units divides coverage into introductory information, the approach to the pediatric patient and family, major acute care disorders and their management, emergency preparedness, and common acute care procedures.
- Cover image
- Title page
- Table of Contents
- Copyright
- Contributors
- Reviewers
- Part I. Interprofessional Patient Care
- 1. The Interprofessional Team
- Overview of the Interprofessional Healthcare Team
- Roles Common to Interprofessional Teams in Pediatric Acute Care
- Interprofessional Healthcare Teams
- 2. Research and Evidence-Based Practice
- Research as a Basis for Clinical Practice
- Evidence-Based Practice Process
- 3. Certification, Licensure, and Credentialing/Privileging for the Healthcare Professional
- Certification
- Licensure
- Credentialing and Privileging
- 4. Documentation and Coding
- Reimbursement for Professional Services
- Documentation Guidelines and Rules
- Basic Evaluation and Management Documentation
- Basic Diagnosis Coding
- 5. Team Communication and Handoffs
- Communication
- Committees and Task Forces
- Shared Governance
- 6. Patient Safety
- Theoretical Foundation for Patient Safety
- Part II. Approach to the Pediatric Patient and Family
- 7. Child Life: Developmental Considerations
- Certified Child Life Specialists
- 8. Patient- and Family-Centered Care
- Definition of Family
- Definition of Patient- and Family–Centered Care
- Core Principles of Patient- andFamily-Centered Care
- Assessing Families
- Examples of Patient- and Family-Centered Care
- Empowering the Family in Care Goals
- 9. Communicating Bad News
- 10. Ethical Considerations
- Ethical Approach to Consent
- Advance Directives
- Refusal of Care
- Inappropriate Care/Futile Care
- Issues in Death and Dying
- Confidentiality
- Research
- 11. Care of the Minor and Legal Implications
- Who Is a Minor and What Significance Is There to Being a Minor
- Parental Rights
- Emancipated Minor and Mature Minor
- Recent Court Cases on the Decisional Authority of a Mature Minor
- Consent and Assent
- Confidentiality
- Research and Clinical Practice Definitions
- Emergency Procedures
- Organ Donation
- Reproductive Decision-Making
- Sperm Banking, Ovarian Tissue Preservation, and Other Protective Reproductive Strategies
- Genetic Testing
- Summation
- 12. Transition to Adulthood
- Preparing for and Timing of Transition and Transfer
- Interprofessional Team Approach to Transition
- Pediatric to Adult Transition: Key Points
- 13. Care of Children With Medical Complexity
- Terms and Classifications
- Epidemiology
- High Dependency Care Needs
- Models of Care
- Impact on Families
- The Child With Medical Complexity and the Healthcare Team
- 14. Management in the Emergency Setting
- Levels of Care
- Emergency Assessment
- Differential Diagnosis
- Plan of Care
- Disposition and Discharge Planning
- 15. Management in the Inpatient Setting
- Levels of Care
- Scoring Systems
- Inpatient Assessment
- Physical Examination
- Problem Lists
- Differential Diagnosis
- Plan of Care
- Communication Among Healthcare Professionals
- Presenting During Hospital Rounds
- Professionalism
- Pediatric Intensive Care Transfer/Discharge Criteria and Follow-up
- 16. The Premature Infant in the Pediatric Acute Care Setting
- The Premature Infant
- History and Physical Examination Findings Specific to the Newborn
- Environment of Care
- Selected Problems in the Newborn or Premature Infant
- Planning for Home
- 17. Management of the Chronically Critically Ill Child
- Pediatric Chronic Critical Illness
- Clinical Care Demands
- Intensive Care Unit System and Impact on Children With Chronic Critical Illness
- Strategies to Improve Care of Children With Chronic Critical Illness
- 18. Transport of the Ill or Injured Pediatric Patient
- Transport Team Crew Composition
- Communication
- Vehicle Selection
- Safety
- Physiologic Stressors of Transport
- Equipment
- Preparation for Transport
- Families
- Outreach Education and Follow-up
- 19. Rehabilitation
- Prolonged Immobility
- Oromotor Dysfunction
- Stimulation Therapy
- Circadian Rhythm Aids
- Seizures
- Spasticity
- 20. Palliative Care and Integrative Medicine
- Palliative Care
- Integrative Medicine
- Part III. Selected Disorders and Their Management
- Chapter 21. Analgesia, Paralytics, Sedation, Withdrawal, and Opioid Disorders
- Classification of Pain
- Anxiety and Agitation
- Physiology of Pain
- Physiologic Effects of Untreated Pain
- Developmental Considerations
- Pain and Sedation Assessment
- Sedation Agents
- Analgesic Agents
- Other Agents
- Local Anesthetics
- Neuromuscular Blocking Agents
- Monitoring
- Reversal Agents
- Procedural Sedation Strategies
- Acute Pain Management Strategies
- Patient and Caregiver or Nurse-Controlled Analgesia
- Sedation Strategies for Mechanically Ventilated Children
- Weaning Narcotics and Sedatives
- Opioid Disorders
- Summary
- 22. Cardiac Disorders
- Physiology, Diagnostics, and Equations
- Advanced Life Support Education
- Arrhythmias (Dysrhythmias) and Cardiac Devices
- Cardiac Transplantation
- Cardiomyopathy
- Cardiogenic Shock
- Cardiovascular Agents
- Carditis
- Chylothorax
- Congenital Heart Lesions
- Extracorporeal Life Support
- Heart Failure
- Postpericardiotomy Syndrome
- Pulmonary Hypertension
- Rheumatic Fever
- Syncope
- 23. Dermatologic Disorders
- Physiology and Diagnostics
- Bites
- Erythema Multiforme
- Stings
- Wounds and Wound Care
- 24. Endocrine Disorders
- Physiology and Diagnostics
- Adrenal Disorders
- Diabetes Insipidus, Syndrome of Inappropriate Antidiuretic Hormone, and Cerebral Salt Wasting
- Diabetic Ketoacidosis
- Thyroid and Parathyroid Disorders
- Care of Transgender Children, Adolescents, and Young Adults
- 25. Fluid, Electrolytes, and Nutrition
- Physiology and Diagnostics
- Assessment of Nutrition
- Dehydration and Fluid Management
- Eating Disorders
- Electrolyte Imbalances
- Enteral Nutrition
- Failure to Thrive and Malnutrition
- Parenteral Nutrition
- Chapter 26. Gastrointestinal Disorders
- Physiology and Diagnostics
- Appendicitis
- Abdominal Mass
- Abdominal Pain
- Cholecystitis
- Cholestasis
- Constipation
- Esophageal Atresia, Tracheoesophageal Fistula, and Duodenal Atresia
- Fecal Microbiota Transplantation
- Epidemiology and Etiology
- Foreign Body Ingestion
- Gastroenteritis
- Gastroesophageal Reflux Disease
- Gastrointestinal Bleeding
- Gastrointestinal Transplantation
- Hepatitis
- Hyperbilirubinemia
- Inflammatory Bowel Disease
- Intestinal Failure
- Intestinal Obstructions
- Liver Failure
- Pancreatitis
- Superior Mesenteric Artery Syndrome
- Typhlitis
- 27. Genetic and Metabolic Disorders
- Physiology and Diagnostics
- Inborn Errors of Metabolism
- Selected Genetic Syndromes
- Chapter 28. Hematologic and Oncologic Disorders
- Physiology, Diagnostics, and Equations
- Anemia
- Blood Products
- Coagulation Disorders
- Oncologic Disorders
- 29. Immunologic/Autoimmune and Rheumatologic Disorders
- Physiology and Diagnostics
- Anaphylaxis
- Immunodeficiencies
- Juvenile Idiopathic Arthritis
- Systemic Lupus Erythematosus
- Vasculitis
- Chapter 30. Infectious Disorders
- Antimicrobial Stewardship
- Fever
- Fungal Infections
- Healthcare-Associated Infections
- Opportunistic Infections
- Resistant Organisms
- Sepsis and Septic Shock
- Sexually Transmitted Infections
- Travel-Related Infections
- Vector-Borne Infections
- Viral Infections
- Selected Infections
- 31. Kidney and Genitourinary Disorders
- Physiology, Diagnostics, and Equations
- Acute Disorders of the Male Genitalia
- Dialysis and Renal Replacement Therapy
- Hematuria
- Hypertension
- Kidney Insufficiency
- Kidney Transplant
- Nephrolithiasis
- Nephrotic Syndrome
- Pelvic Pain
- Pyelonephritis and Nephritis
- Renal Tubular Acidosis
- Urinary Tract Infection
- Chapter 32. Musculoskeletal Disorders
- Physiology and Diagnostics
- Compartment Syndrome
- Gait Disturbances
- Osteomyelitis
- Rhabdomyolysis
- Septic Arthritis
- Spinal Fusion
- 33. Neurologic Disorders
- Physiology and Diagnostics
- Altered Mental Status
- Arteriovenous Malformations
- Cerebral Palsy
- Cerebral Vascular Accidents
- Death by Neurologic Criteria and Pediatric Organ Donation
- Encephalopathy
- Hydrocephalus and Intracranial Shunt Disorders
- Meningitis and Encephalitis
- Muscular Dystrophies
- Neurocutaneous Disorders
- Neuromuscular Disorders
- Psychiatric Disorders
- Delirium
- Seizures
- Submersion Injuries
- 34. Orofacial Disorders
- Anatomy
- Dental Abscess and Trauma
- Mastoiditis
- Orbital and Preseptal Cellulitis
- Orofacial Devices and Surgical Repairs
- 35. Pulmonary Disorders
- Physiology, Diagnostics, and Equations
- Air Leak Syndromes
- Asthma
- Botulism and Guillain-Barré Syndrome
- Brief Resolved Unexplained Event
- Bronchiolitis
- Central Hypoventilation Syndromes
- Chronic Lung Disease
- Foreign Body Aspiration
- Lung Transplantation
- Obstructive Sleep Apnea Syndrome
- Pertussis
- Pneumonia and Parapneumonic Effusions
- Pulmonary Edema
- Pulmonary Embolism
- Smoke Inhalation
- Ventilation Support
- Ventilator-Induced Lung Injury
- 36. Child Maltreatment
- Epidemiology
- Approach to the Maltreated Pediatric Patient
- Emotional or Psychological Maltreatment
- Factitious Disorder
- Neglect
- Physical Abuse
- Sexual Abuse
- 37. Toxicologic Exposures
- Poison Control Centers
- General Principles
- Gastrointestinal Decontamination
- Selected Pediatric Poisoning Management
- 38. Traumatic Injuries
- Epidemiology
- Approach to the Pediatric Trauma Patient
- Abdominal Trauma
- Cardiothoracic Trauma
- Extremity Fractures
- Facial Trauma
- Ophthalmic Trauma
- Penetrating Trauma
- Spinal Cord Injury
- Thermal Injuries
- Traumatic Brain Injury
- Posttraumatic Stress Disorder, Postintensive Care Syndrome, and Adverse Childhood Experiences
- Part IV. Emergency Preparedness
- 39. Principles of Disaster Management and Clinical Practice
- Disaster Management
- Biological Terrorism
- Blast Injuries
- Chemical Disasters
- Radiation Injuries
- Part V. Procedures
- Chapter 40. Arterial Catheter Insertion
- Indications
- Contraindications
- Complications
- Equipment
- Procedure
- Catheter-Over-Needle Technique
- Catheter-Over-Wire Technique
- Postprocedure Care
- Procedure Note
- 41. Central Venous Catheter Insertion and Removal
- Central Venous Catheter Insertion
- Removal of Percutaneous Central Venous Catheter
- 42. Chest Tube Insertion and Removal
- Insertion of Chest Tube
- Removal of Chest Tube
- 43. Intracardiac Line Removal
- Indications
- Contraindications
- Complications
- Equipment
- Procedure
- Postprocedural Care
- Procedure Note
- 44. Intraventricular Catheter Insertion and Shunt Access
- Indications
- Contraindications
- Complications
- Equipment
- Procedure
- Postprocedure Care
- Procedure Note
- 45. Lumbar Puncture
- Indications
- Contraindications
- Complications
- Equipment
- Procedure
- Postprocedure Care
- Procedure Note
- 46. Postpyloric Feeding Tube Insertion
- Indications
- Contraindications
- Complications
- Equipment
- Procedure
- Postprocedure Care
- Procedure Note
- 47. Peripherally Inserted Central Venous Catheter Insertion and Removal
- Catheter Insertion
- Postprocedure Use, Care, and Family Education
- Catheter Removal
- 48. Peritoneal Catheter Insertion
- Indications
- Contraindications
- Complications
- Equipment
- Procedure
- Postprocedure Care
- Procedure Note
- 49. Rapid Sequence Intubation
- Indications
- Contraindications
- Complications
- Equipment
- Procedure
- Postprocedure Care
- Procedure Note
- 50. Ultrasound
- Ultrasound Physics
- Basics of Imaging
- Techniques to Improve Tissue Imaging
- Ultrasound-Guided Vascular Access
- 51. Wound Closure
- Three Phases of Wound Healing
- History
- Physical Examination
- Preparing the Patient and Family
- Wound Preparation
- Goals of Wound Care
- Sutures
- Discharge Instructions
- Procedure Note
- Special Considerations
- Prophylactic Antibiotics
- Animal Bites
- Human Bites
- Part V. Laboratory Values
- 52. Laboratory Values
- Chemistries
- Liver Function/Enzyme Studies
- Hematology and Markers of Inflammation
- Coagulation Studies
- Thyroid Function Studies
- Cardiac Enzymes
- Complements
- Blood Gases
- Cerebrospinal Fluid Studies
- Chapter 53. Simulation
- Simulation Educational Theory and the Adult Learner
- Types of Simulators and Simulations
- Simulation Facilities
- Simulation Personnel
- Components of the Simulation Session
- Validation and Research
- Recent Advances in Simulation
- Appendix: Key Pediatric Developmental Differences From Adults
- 54. The Role of Assessment in Teaching and Learning
- Purpose of Assessment
- Assessment Standards
- Effective Learning Assessment Principles
- Levels of Assessment
- The Language of Assessment
- Developing Assessable Objectives
- Qualities of Effective Assessment
- Using Rubrics to Assess Learning
- Index
- Edition: 2
- Published: June 20, 2020
- Imprint: Elsevier
- No. of pages: 1280
- Language: English
- Paperback ISBN: 9780323673327
BB
Beth Nachtsheim Bolick
KR
Karin Reuter-Rice
MM
Maureen A. Madden
PS