The Harriet Lane Handbook

The Johns Hopkins Hospital

23rd Edition - April 15, 2023
Author: The Johns Hopkins Hospital
Editors: Camille C. Anderson, Sunaina Kapoor, Tiffany E Mark
Language: English
Paperback ISBN:
9 7 8 - 0 - 3 2 3 - 8 7 8 8 0 - 7
Paperback ISBN:
9 7 8 - 0 - 3 2 3 - 8 7 6 9 8 - 8
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 8 7 8 0 3 - 6

Your #1 source of pediatric point-of-care clinical information. Every three years, The Harriet Lane Handbook is carefully updated by residents, edited by chief residents, and re… Read more

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Your #1 source of pediatric point-of-care clinical information.

Every three years, The Harriet Lane Handbook is carefully updated by residents, edited by chief residents, and reviewed by expert faculty at The Johns Hopkins Hospital. Easy to use, concise, and complete, this essential manual keeps you current with new guidelines, practice parameters, pharmacology, and more. The 23rd Edition of this portable reference continues to be the most widely used and most recognized pediatric reference worldwide—an indispensable resource for pediatric residents, students, nurses, and all healthcare professionals who treat young patients.

Instructions for online access
Cover image
Title page
Table of Contents
Pediatric Parameters and Equipment
Copyright
To our families
Preface
Part I. Pediatric Acute Care
Part I. Pediatric Acute Care
Chapter 1. Emergency and Critical Care Management
I. Approach to the Unresponsive Child
II. Management of Shock3,5,7,12,13
III. Management of Common Emergencies
IV. Critical Care Reference Data
Chapter 2. Traumatic Injuries
I. Components of the Trauma Assessment
II. Head and Neck Trauma
III. Concussion
IV. Intrathoracic, Abdominal, and Pelvic Trauma16
V. Limb and Long Bone Trauma16
VI. Dental Trauma
VII. Ophthalmologic Trauma16
VIII. Animal Bites16
IX. Burns27,28
X. Nonaccidental Trauma16
Color Plates Chapter 2
Chapter 3. Toxicology
I. Initial Evaluation
II. Toxidromes
III. Ingestions and Antidotes
IV. Acetaminophen Overdose8
V. Lead Poisoning9
VI. Web Resources
Chapter 4. Procedures
I. General Guidelines
II. Ultrasound for Procedures2a
III. Neurologic Procedures: Lumbar Puncture3-5
IV. Otolaryngologic Procedures
V. Cardiovascular procedures
VI. Pulmonary Procedures
VII. Gastrointestinal Procedures
VIII. Genitourinary Procedures
IX. Musculoskeletal Procedures
X. Skin/Dermatologic Procedures
XI. Online Content
Part II. Diagnostic and Therapeutic Information
Part II. Diagnostic and Therapeutic Information
Chapter 5. Adolescent Medicine
I. Theory of Adolescence/Introduction
II. Structural Factors Impacting Adolescents and Their Health
III. Confidentiality
IV. Health Maintenance Elements Unique to the Adolescent Patient
V. Sexual Health
VI. Transitioning Adolescents into Adult Care94
VII. Web Resources
Chapter 6. Analgesia and Procedural Sedation
I. Types of Pain
II. Pain Assessment
III. Analgesics5
IV. Patient-Controlled Analgesia (PCA)
V. Opioid Tapering
VI. Procedural Sedation5,14–17,25–27
VII. Web Resources
Chapter 7. Cardiology
I. Physical Examination
II. Electrocardiography
III. Congenital Heart Disease
IV. Acquired Heart Disease
V. Imaging
VI. Procedures
VII. Common Cardiac Complaints
VIII. Exercise Recommendations for Patients with Congenital Heart Disease
IX. Lipid Monitoring Recommendations
X. Cardiovascular Screening
XI. Web Resources
Chapter 8. Dermatology
I. Evaluation and Clinical Descriptions of Skin Findings
II. Vascular Anomalies1
III. Infections
IV. Hair Loss (Fig. 8.22, Color Plates )
V. Acne Vulgaris
VI. Common Neonatal Dermatologic Conditions (Fig. 8.21; Figs. 8.23 To 8.30, Color Plates)
VII. Autoimmune and Allergic Dermatologic Conditions (Figs. 8.32 To 8.38, Color Plates)
VIII. Nail Disorders28
IX. Disorders of Pigmentation29
X. Rashes of Unknown or Inflammatory Etiology
XI. Online Content
Color Plates Chapter 8
Chapter 9. Development, Behavior, and Developmental Disability
I. Developmental Definitions1,2
II. Guidelines for Normal Development and Behavior
III. Developmental Screening and Evaluation of Developmental Disorders
IV. Specific Disorders of Development
V. Longitudinal Care of Children with Developmental Disorders and Disabilities
VI. Transitions from Pediatric to Adult Care for Youth with Developmental Disabilities
VII. Social Determinants of Health and Adversity Significantly Impact Child Development, Attainment of Developmental Milestones, and/or Long-Term Health
VII. Web Resources
Chapter 10. Endocrinology
I. Diabetes
II. Thyroid Gland13-15
III. Parathyroid Gland and Vitamin D22-24
IV. Adrenal Gland25-29
V. Disorders of Sodium and Water Regulation35
VI. Growth35-37
VII. Sexual Development39-45
VIII. Neonatal Hypoglycemia Evaluation51,52
IX. Additional Normal Values
X. Web Resources
Chapter 11. Fluids and Electrolytes
I. Introduction
II. Fluid Resuscitation
III. Fluid Removal
IV. Electrolyte Management
V. Algorithm for Evaluating Acid-Base Disturbances9,20,21
Chapter 12. Gastroenterology
I. Gastrointestinal Emergencies
II. Conditions of the Gastrointestinal Tract
III. Conditions of the Liver
IV. Pancreatitis36-38
V. Web Resources
Chapter 13. Genetics: Metabolism and Conditions With Distinctive Appearance
I. Metabolism1-8
II. Newborn Metabolic Screening7
III. Dysmorphology7,11-14
IV. Patterns of Genetic Conditions with Distinctive Appearance11,14
V. Etiologies of Dysmorphic Features (FIG. 13.4)11,14,29
VI. Consent and Disclosure of Genetic Testing
VII. Web Resources
VIII. Online Content
Chapter 14. Hematology
I. Anemia
II. Erythrocytosis12,48
III. Neutropenia
IV. Leukocytosis12
V. Thrombocytopenia and Impaired Platelet Function
VI. Thrombocytosis12
VII. Coagulation
VIII. Blood Component Replacement
IX. Additional Resources
X. Online Content
Chapter 15. Immunology and Allergy
I. Allergic Rhinitis1-6
II. Food Allergy7-18
III. Drug Allergy19-21
IV. Immunodeficiency22-27
V. Immunoglobulin Therapy28-34
VI. Immunologic Reference Values
Chapter 16. Immunoprophylaxis
I. Common Types of Vaccines Administered to Children1
II. Immunization Schedules
III. Immunization Guidelines
IV. Postexposure Prophylaxis (Table 16.5)
V. Special Patient Populations9
VI. Counseling and Communication About Vaccines 22-34
VII. Web Resources35-40
VIII. Online Content
Chapter 17. Microbiology and Infectious Disease
I. Common Neonatal and Pediatric Infections: Guidelines for Diagnosis and Initial Management
II. Microbiology
III. Antibiotic Therapy And Stewardship
B. Antibiotic Stewardship
C. Resistance in Common Organisms
IV. Exposures to Bloodborne Pathogens and Prophylaxis
Chapter 18. Neonatology
I. Newborn Resuscitation
II. Routine Newborn Care of a Term Infant
III. Newborn Assessment
IV. Fluids, Electrolytes, and Nutrition
V. Cyanosis in the Newborn
VI. Respiratory Diseases
VII. Apnea and Bradycardia
VIII. Cardiac Diseases
IX. Hematologic Diseases
X. Gastrointestinal Diseases
XI. Neurologic Diseases
XII. Urologic Disorders
XIII. Retinopathy of Prematurity29
XIV. Commonly Used Medications in the Neonatal Intensive Care Unit
XV. Web Resources
XVI. Prenatal Assessment of Fetal Health
Chapter 19. Nephrology
I. Urinalysis1: See Table 19.1
II. Kidney Function Tests
III. Blood Pressure (BP) and Chronic Hypertension6-11
IV. Urinary Tract Infections12-17
V. Proteinuria19-21
VI. Hematuria19,24
VII. Acute Kidney Injury25,26
VIII. Chronic Kidney Disease32,33
IX. Dialysis34-36
X. Tubular Disorders
XI. Nephrolithiasis38-44
XII. Web Resources
Chapter 20. Neurology
I. Neurologic Examination
II. Neurologic Emergencies
III. Chronic Or Gradually Progressive Conditions
IV. Web Resources
Chapter 21. Nutrition and Growth
I. Assessment of Growth
II. Management of Overweight and Obese Children
III. Malnutrition in Infants and Children
IV. Re-Feeding Syndrome
V. Nutritional Needs of Healthy Children
VI. Breastfeeding and the Use of Human Milk
VII. Enteral Nutrition
VIII. Parenteral Nutrition
IX. Web Resources
Chapter 22. Oncology
I. Nonspecific Symptoms in the Primary Care Setting (TABLE 22.1)1,2
II. Pediatric Hematologic Malignancies (TABLE 22.2)3-4
III. Pediatric Solid Tumor Malignancies (TABLE 22.3)3-4
IV. Pediatric Central Nervous System (CNS) Tumors3-4,7-10 (TABLE 22.4)
V. Oncologic Emergencies4,11-18,19
VI. Commonly Used Chemotherapeutic Drugs, Associated Acute and Long-Term Toxicities (TABLE 22.5)
VII. Common Chemotherapy Complications and Supportive Care3,13
VIII. Antimicrobial Prophylaxis in Oncology Patients20-22 (TABLE 22.7)
IX. Hematopoietic Stem Cell Transplantation (HSCT) (Also Called Bone Marrow or Stem Cell Transplantation)3,4,23
X. Complications of HSCT3,4,23-26
XI. Cancer Survivorship5,27-29
XII. Fertility Preservation30
XIII. Web Resources
XVI. Online Content
Chapter 23. Palliative Care
I. Introduction to Hospice and Palliative Medicine
II. Communication and Decision-Making
III. Care of the Dying Child
IV. Web Resources
Chapter 24. Psychiatry
I. Overview
II. Postpartum Depression
III. Common Psychiatric Conditions of Children and Adolescents
IV. Psychiatric Emergencies
V. Web Resources
Chapter 25. Pulmonology and Sleep Medicine
I. Evaluation of Pulmonary Gas Exchange
II. Pulmonary Function Tests (PFT)
III. Asthma12-13,19
IV. Bronchiolitis20-27
V. Bronchopulmonary Dysplasia (BPD)28-33
VI. Cystic Fibrosis (CF)34-46
VII. Obstructive Sleep Apnea Syndrome (OSAS)47-53
VIII. Infant and Child Sleep53-54
IX. Brief Resolved Unexplained Event (BRUE)58-59
X. Web Resources
XI. Online Content
Chapter 26. Radiology
I. General Pediatric Principles
II. Choosing the Right Study
III. Head
IV. Neck and Airway
V. Chest
VI. Heart
VII. Abdomen
VIII. Genitourinary Tract
IX. Musculoskeletal
X. Confirming Tube Placement and Line Insertion
XI. Web Resources
Chapter 27. Rheumatology
I. Brief Overview of Clinical Characteristics of Rheumatologic Diseases
II. Interpretation of Lab Studies Used In The Diagnosis and Monitoring of Rheumatologic Disorders1
III. Medications: Mechanisms of Action, Toxicities, and Recommended Surveillance2 (SEE TABLE 27.4)
Part III. Reference
PART III. REFERENCE
Chapter 28. Blood Chemistry and Body Fluids
I. Reference Values
II. Evaluation of Body Fluids
III. Conversion Formulas
Chapter 29. Biostatistics and Evidence-Based Medicine
I. Biostatistics and Evidence-Based Medicine (EBM)1-3
II. Biostatistics and Epidemiology
III. Web Resources
Part IV. Formulary
PART IV. FORMULARY
Chapter 30. Drug Dosages
I. Note to Reader
II. Sample Entry
III. Explanation of Breastfeeding Categories
IV. Explanation of Pregnancy Categories
V. Nomogram and Equation for Body Surface Area
VI. Drug Index
Chapter 31. Drugs in Kidney Failure
I. Dose Adjustment Methods
II. Antimicrobials Requiring Adjustment in Kidney Failure
III. Non-Antimicrobials Requiring Adjustment in Kidney Failure
Index
PEDIATRIC BLS HEALTH CARE PROVIDERS