Download Pediatrics (2004 Edition) (Current Clinical Strategies) by Paul D. Chan, Jane L. Gennrich PDF

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By Paul D. Chan, Jane L. Gennrich

<A present medical options scientific Book>Pocket-sized annual covers new AAP directions for pediatric care. additionally discusses cardiovascular issues, pulmonary problems, infectious illness, toxicology, fluids and electrolytes, and infant care. specializes in average pediatric practices for care. For physicians and citizens. Softcover.

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Condition: 4. Vital signs: Call MD if: 5. Activity: 6. Nursing: 7. Diet: 8. IV fluids: 9. Special medications: Adolescent Outpatients -Ofloxacin (Floxin), 400 mg PO twice daily or levofloxacin (Levaquin), 500 mg PO once daily, with or without metronidazole (Flagyl), 500 mg twice daily for 14 days. OR -Ceftriaxone (Rocephin), 250 mg IM, cefoxitin (Mefoxin), 2 gm IM plus probenecid 1 gm, or another parenteral third-generation cephalosporin, followed by doxycycline (100 mg bid) with or without metronidazole for 14 days.

An airway must be established promptly with endotracheal tube or tracheostomy. 4. Vital signs: Call MD if: 5. Activity: 6. Nursing: Pulse oximeter. Keep head of bed elevated, allow patient to sit; curved blade laryngoscope, tracheostomy tray and oropharyngeal tube at bedside. Avoid excessive manipulation or agitation. Respiratory isolation. 7. Diet: NPO 8. IV fluids: 9. Special medications: -Oxygen, humidified, blow-by; keep sat >92%. Antibiotics: Most common causative organism is Haemophilus influenzae.

Irrigate with a copious volume of sterile saline by high-pressure syringe irrigation but do not irrigate puncture wounds. Débride any devitalized tissue. -Wound cultures are not indicated unless signs of infection exist. Followup with physician. -Tetanus immunization if not up to date. -Assess risk of rabies from animal bites and risk of hepatitis and HIV from human bites. 10. Symptomatic medications: -Ibuprofen (Motrin) 5-10 mg/kg/dose PO q6-8h prn OR -Acetaminophen (Tylenol) 15 mg/kg PO/PR q4h prn temp >38°C or pain.

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