
The Harriet Lane Handbook
The Johns Hopkins Hospital
- 22nd Edition - April 9, 2020
- Imprint: Elsevier
- Authors: The Johns Hopkins Hospital, Keith Kleinman, Lauren McDaniel, Matthew Molloy
- Language: English
- Paperback ISBN:9 7 8 - 0 - 3 2 3 - 6 7 4 0 8 - 9
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 6 7 4 0 9 - 6
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 u… Read more

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Request a sales quoteEvery 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 22nd Edition of this portable reference continues to be the #1 source of pediatric point-of-care clinical information for pediatric residents, students, nurses, and all healthcare professionals who treat young patients.
- Trusted for more than 65 years for fast, accurate information on pediatric diagnosis and treatment.
- Updated and expanded content includes an all-new chapter on Psychiatry, plus reorganized information on Emergency and Critical Care Management, as well as Traumatic Injuries.
- The popular Pediatric Drug Formulary, updated by Carlton K. K. Lee, PharmD, MPH, provides the latest in pharmacologic treatment of pediatric patients.
- Outline format ensures you’ll find information quickly and easily, even in the most demanding circumstances.
- Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.
Pediatric practitioners, residents, medical students
- Cover image
- Title page
- Pediatric Parameters and Equipment
- Glasgow Coma Scale
- Resuscitation Medications
- IV Infusions
- Copyright
- Dedication
- Preface
- Part I. Pediatric Acute Care
- Introduction
- Chapter 1. Emergency and Critical Care Management
- I. Approach to the Unresponsive Child
- II. Management of Shock3,5,7,11
- 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. Thoracic and Abdominal Trauma Evaluation18
- V. Orthopedic/Long Bone Trauma
- VI. Dental Trauma
- VII. Ophthalmologic Trauma26
- VIII. Animal Bites
- IX. Burns
- X. Nonaccidental Trauma
- XI. Resources
- Color Plates
- Chapter 3. Toxicology
- I. Initial Evaluation
- II. Toxidromes
- III. Ingestions and Antidotes
- IV. Acetaminophen Overdose7
- V. Lead Poisoning8
- VI. Web Resources
- Chapter 4. Procedures
- I. General Guidelines
- II. Ultrasound for Procedures
- III. Neurologic Procedures: Lumbar Puncture2,3
- 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
- Introduction
- Chapter 5. Adolescent Medicine
- I. Adolescent Health Maintenance
- II. Sexual Health
- III. Transitioning Adolescents Into Adult Care51
- IV. Web Resources
- Chapter 6. Analgesia and Procedural Sedation
- I. Pain Assessment
- II. Analgesics1
- III. Patient-Controlled Analgesia (PCA)
- IV. Opioid Tapering
- V. Procedural Sedation1,9–12,19–21
- VI. 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 (Figs. 8.18–8.20, Color Plates)
- V. Acne Vulgaris
- VI. Common Neonatal Dermatologic Conditions (Fig. 8.21; Figs. 8.22–8.30, Color Plates)
- VII. Autoimmune and Allergic Dermatologic Conditions (Figs. 8.31–8.38, Color Plates)
- X. Online Content
- Color Plates
- 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. Web Resources
- Chapter 10. Endocrinology
- I. Diabetes
- II. Thyroid Gland14-16
- III. Parathyroid Gland and Vitamin D22-24
- IV. Adrenal Gland25-29
- V. Disorders of So dium 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. Electrolyte Management
- IV. Algorithm for Evaluating Acid-Base Disturbances7,17,18
- Chapter 12. Gastroenterology
- I. Gastrointestinal Emergencies
- II. Conditions of the Gastrointestinal Tract
- III. Conditions of the Liver
- IV. Pancreatitis30-32
- V. Web Resources
- Chapter 13. Genetics: Metabolism and Dysmorphology
- I. Metabolism1-7
- II. Newborn Metabolic Screening7
- III. Dysmorphology7,11-14
- IV. Patterns of Dysmorphologic Conditions11,14
- V. Etiologies of Dysmorphic Features (Fig. 13.5)11,14,29
- VI. Consent and Disclosure of Genetic Testing
- VII. Web Resources
- References
- VIII. Online Content
- Chapter 14. Hematology
- I. Anemia
- II. Neutropenia
- III. Thrombocytopenia and Impaired Platelet Function
- IV. Coagulation
- V. Blood Component Replacement
- VI. Additional Resources
- VII. Online Content
- Chapter 15. Immunology and Allergy
- I. Allergic Rhinitis1–6
- II. Food Allergy7–12
- III. Drug Allergy13,14
- IV. Evaluation of Suspected Immunodeficiency
- V. Immunoglobulin Therapy22–25
- VI. Immunologic Reference Values
- Chapter 16. Immunoprophylaxis
- I. Immunization Schedules
- II. Immunization Guidelines
- III. Postexposure Prophylaxis (Table 16.5)
- V. Counseling and Communication about Vaccines16-26
- VI. Web Resources27-33
- VII. Online Content
- Chapter 17. Microbiology and Infectious Disease
- I. Common Neonatal and Pediatric Infections: Guidelines for Diagnosis and Initial Management
- II. Microbiology
- III.Spectra of Activity for Commonly Used Antibiotics (Fig. 17.6)
- IV. Exposures to Blood Borne 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 Prematurity34
- XIV. Commonly Used Medications in the Neonatal Intensive Care Unit
- XV. Web Resources
- XVI. Online Content
- Chapter 19. Nephrology
- I. Urinalysis1: Table 19.1
- II. Kidney Function Tests
- III. Chronic Hypertension5-7
- IV. Urinary Tract Infections8-13
- V. Proteinuria14–16
- VI. Hematuria18
- VII. Acute Kidney Injury19,20
- VIII. Chronic Kidney Disease23
- IX. Dialysis
- X. Tubular Disorders
- XI. Nephrolithiasis27-30
- XII. Web Resources
- Chapter 20. Neurology
- I. Neurologic Examination
- II. Headaches1–11
- III. Seizures12–25
- IV. Hydrocephalus26–28
- V. Ataxia29,30
- VI. Stroke31–33
- VII. Encephalopathy/Altered Mental Status34–37
- VIII. Neuromuscular Disorders38–45
- IX. 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. Overview of Pediatric Malignancies1-4
- II.Pediatric Hematologic Malignancies1-2 (TABLE 22.1)
- V. Oncologic Emergencies2,9-16
- VI. Commonly Used Chemotherapeutic Drugs and Associated Acute Toxicities (TABLE 22.4)
- VIII. Antimicrobial Prophylaxis in Oncology Patients (TABLE 22.6)17-19
- IX. Hematopoietic Stem Cell Transplantation (HSCT)1,2,20
- X. Complications of hsct1,2,20-22
- XI. Cancer survivorship3,23-25
- XII. Web Resources
- XIII. 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 in Children (2 To 12 Years)
- IV. Common Psychiatric Conditions in Adolescents
- V. Psychiatric Emergencies
- VI. Web Resources
- Chapter 25. Pulmonology and Sleep Medicine
- I. Evaluation of Pulmonary Gas Exchange
- II. Pulmonary Function Tests (PFT)
- III. Asthma12,18
- IV. Bronchiolitis19-23
- V. Bronchopulmonary Dysplasia (BPD)24-27
- VI. Cystic Fibrosis28-37
- VII. Obstructive Sleep Apnea Syndrome (OSAS)38-42
- VIII. Infant and Child Sleep43-46
- IX. Brief Resolved Unexplained Event (BRUE)47,48
- X. Web Resources
- References
- 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 (see Chapter 7)
- VII. Abdomen
- VIII. Genitourinary Tract
- IX. Musculoskeletal
- X. Confirming Tube Placement and Line Insertion
- XII. Web Resources
- Chapter 27. Rheumatology
- I. Brief Overview of Clinical Characteristics of Rheumatologic Diseases
- II. Interpretation of Laboratory Studies Used in the Diagnosis and Monitoring of Rheumatologic Diseases
- III. Primary Care Management of Rheumatologic Diseases363839
- IV. Web Resources
- Part III. Reference
- Introduction
- 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. Evidence-Based Medicine
- II. Biostatistics and Epidemiology
- III. Web Resources
- Part IV. Formulary
- Introduction
- Chapter 30. Drug Dosages
- I. Note to Reader
- III. Explanation of Breastfeeding Categories
- IV. Explanation of Pregnancy Categories
- V. Nomogram and Equation for Body Surface Area
- VI. Drug Index
- A
- B
- C
- D
- E
- F
- G
- H
- I
- K
- L
- M
- N
- O
- P
- Q
- R
- S
- T
- U
- V
- W
- Z
- Chapter 31. Drugs in Renal Failure
- I. Dose Adjustment Methods
- II. Antimicrobials Requiring Adjustment in Renal Failure
- III. Nonantimicrobials Requiring Adjustment in Renal Failure
- References
- Index
- Pediatric tachycardia
- Pediatric Bradycardia
- Pediatric Cardiac Arrest
- Pediatric BLS Health Care Providers
- Edition: 22
- Published: April 9, 2020
- Imprint: Elsevier
- Language: English
- Paperback ISBN: 9780323674089
- eBook ISBN: 9780323674096