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Respiratory Care: Patient Assessment and Care Plan Development 2nd New edition [Mīkstie vāki]

  • Formāts: Paperback / softback, 750 pages, weight: 1389 g
  • Izdošanas datums: 22-Feb-2021
  • Izdevniecība: Jones and Bartlett Publishers, Inc
  • ISBN-10: 128420622X
  • ISBN-13: 9781284206227
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  • Formāts: Paperback / softback, 750 pages, weight: 1389 g
  • Izdošanas datums: 22-Feb-2021
  • Izdevniecība: Jones and Bartlett Publishers, Inc
  • ISBN-10: 128420622X
  • ISBN-13: 9781284206227
Citas grāmatas par šo tēmu:
For all students and clinicians assessing or caring for patients with cardiopulmonary disorders, Respiratory Care: Patient Assessment and Care Plan Development is a must-have resource. As the most comprehensive reference available, it is a guide to the evaluation of the patient, and the development and implementation of an appropriate, evidence-based, respiratory care plan.Respiratory Care: Patient Assessment and Care Plan Development, Second Edition describes the purpose of patient assessment and then guides the reader through the process of reviewing existing data in the medical record, conducting the patient interview, performing the physical assessment, and finally evaluating the diagnostic studies needed and implementing a respiratory care plan.Bridging the gap between patient assessment and treatment, the text demonstrates how to apply assessment skills to the development and implementation of respiratory care plans. Integrated throughout each chapter are Clinical Focus Exercises, RC Insights!, and Key Points to help readers refine critical thinking and problem-solving skills as well as strongly grasp important concepts.
Preface xiii
How to Use This Book xiv
Note from the Authors xvii
Acknowledgments xviii
Chapter 1 Introduction to Patient Assessment
1(24)
David C. Shelledy
Jay I. Peters
Overview
2(1)
Introduction to Patient Assessment
2(1)
Rationale for Patient Assessment
3(1)
Factors That Affect Health
3(1)
Triple Aim
4(1)
Cost, Access, and Quality
4(3)
Misallocation of Respiratory Care
7(1)
Optimizing Patient Outcomes
7(1)
Evidence-Based Practice
7(1)
Sources of Evidence
7(1)
Types of Evidence
8(1)
Grades of Recommendations for Therapy
8(2)
Critical Diagnostic Thinking in Respiratory Care
10(1)
Approach to Hypothesis Formulation and Evaluation
10(8)
Typical Presentations of Common Respiratory Disorders
18(4)
Summary
22(1)
Key Points
22(1)
References
23(2)
Chapter 2 Development and Implementation of Respiratory Care Plans
25(44)
David C. Shelledy
Jay I. Peters
Overview
26(1)
Introduction to Respiratory Care Plans
26(1)
Common Conditions Requiring Respiratory Care Plan Development
26(1)
Respiratory Failure
27(1)
Respiratory Care Plan Development
28(3)
Goals of Respiratory Care Plans
31(1)
Key Elements of a Respiratory Care Plan
31(1)
Maintain Adequate Tissue Oxygenation
31(6)
Treat and/or Prevent Bronchospasm and Mucosal Edema
37(1)
Bronchodilator Therapy
37(2)
Respiratory Care Plans for Asthma
39(2)
Assessment and Treatment of COPD
41(3)
Treatment of Stable COPD
44(1)
Respiratory Care Plans for COPD
45(6)
Anti-inflammatory Agents and Antiasthmatic Medications
51(1)
Treatment of Upper Airway Inflammation
52(1)
Mobilize and Remove Secretions
52(1)
Techniques to Mobilize Secretions
53(5)
Provide Lung Expansion Therapy
58(1)
Critical Care and Mechanical Ventilation
59(1)
Diagnostic Testing
60(1)
Respiratory Care Plan Format
60(1)
Summary
60(6)
Key Points
66(1)
References
67(2)
Chapter 3 Review of the Medical Record
69(30)
Meredith Quinene
Toni M. Podgorak
David C. Shelledy
Introduction to Medical Records
70(1)
Types and Components of the Medical Record
70(1)
Types of Medical Records
71(1)
Problem-Oriented Medical Records
72(4)
Review of the Medical Record
76(1)
Patient Admissions Sheet
76(1)
Admitting Diagnosis and/or Problem List
77(1)
Physician Orders
77(3)
Results of the History and Physical Examination(s)
80(1)
Vital Signs
81(1)
Progress Notes and Reports of Procedures
81(1)
Laboratory Reports
81(1)
Imaging Studies
82(1)
Respiratory Care-Related Diagnostic Studies
82(1)
Critical Care Monitoring
82(1)
Patient Education
82(1)
Respiratory Care Plan Development
82(1)
Charting
82(14)
Summary
96(1)
Key Points
96(1)
References
97(2)
Chapter 4 Patient History
99(52)
David C. Shelledy
Jay I. Peters
Overview
100(1)
Patient Interview Guidelines
100(1)
Demographic Data and Patient Profile
101(1)
Chief Complaint
102(1)
History of the Present Illness
102(1)
Cough and Sputum Production
103(1)
Cough Assessment
103(2)
Sputum Production
105(4)
Hemoptysis
109(1)
Life-Threatening Hemoptysis
110(1)
Whistling, Wheezing, and Chest Tightness
111(1)
Chest Pain
112(1)
Substernal Chest Pain
112(1)
Pleuritic Chest Pain
113(1)
Musculoskeletal Chest Pain
113(1)
Onset, Duration, and Timing of Chest Pain
113(1)
Dyspnea
114(1)
Quantification of Dyspnea
115(3)
Treatment of Dyspnea
118(1)
Sleep Disorders
119(1)
Past Medical History
120(6)
Family History
126(3)
Personal and Social History
129(1)
Smoking History
129(2)
Tobacco History
131(2)
Smoking Cessation
133(4)
Vaping
137(1)
Inhalation of Illicit Drugs
137(1)
Occupational and Environmental History
138(1)
Environmental History
138(2)
Occupational History
140(1)
Current Medications
141(1)
Current Respiratory Care
141(1)
Exercise Tolerance
142(1)
Nutritional Status
142(1)
Advance Directives
142(1)
The Patient's Learning Needs
142(1)
Health-Related Quality of Life Questionnaires
143(1)
COVID-19 and Patient History
144(1)
Review of Symptoms
144(1)
Timing of Signs and Symptoms
145(1)
Summary
146(1)
Key Points
146(1)
References
147(4)
Chapter 5 Physical Assessment
151(52)
Steven A. Skaggs
Meggan McCarthy
David C. Shelledy
Overview
152(1)
Introduction to the Physical Examination
152(1)
Approach to the Patient
152(2)
Patient Position
154(1)
Order of the Physical Examination
155(1)
Vital Signs
155(1)
Heart Rate
155(4)
Respiratory Rate
159(1)
Respiratory Pattern
160(1)
Blood Pressure
161(2)
Temperature
163(4)
Pain
167(1)
Height and Weight
168(2)
Weight Loss and Cachexia
170(1)
General Appearance
171(1)
Skin
172(1)
Mental Status and Neurologic Examination
173(1)
Assessment of Mental Status and Level of Consciousness
173(4)
Neurologic Examination
177(3)
Head, Eyes, Ears, Nose, and Throat Examination
180(1)
Inspection of the Head and Neck
181(1)
Thorax Examination
182(1)
Inspection of the Chest
182(4)
Palpation
186(1)
Percussion
187(1)
Auscultation
188(3)
Cardiac Examination
191(1)
Inspection and Palpation
191(1)
Auscultation of the Heart
192(1)
Normal Cardiac Sounds
193(1)
Abnormal Heart Sounds
193(1)
Abdominal Examination
194(1)
Abdominal Anatomy
195(1)
Inspection
195(1)
Auscultation
195(1)
Palpation
195(1)
Percussion
195(1)
Extremities
196(1)
Specific Exam Findings
196(1)
Clubbing
197(1)
Ancillary Equipment in Use
197(1)
Summary
197(2)
Key Points
199(1)
References
200(3)
Chapter 6 Assessment of Oxygenation
203(52)
David C. Shelledy
Overview
204(1)
Introduction
204(1)
Initial Assessment of Oxygenation
204(4)
Respiratory Failure
208(1)
The Oxygenation Process
208(1)
Inspired Oxygen
208(1)
Altitude Hypoxia
209(2)
Other Forms of Ambient Hypoxia
211(1)
Ventilation and the Conducting Airways
211(1)
Conducting Airways
211(3)
Alveolar Ventilation
214(5)
Matching of Gas and Blood
219(1)
Alveolar Versus Arterial Oxygen Levels
219(1)
Ventilation-Perfusion Relationships
220(6)
Diffusion of Oxygen
226(3)
Blood Oxygen Content
229(1)
Hemoglobin and Oxygen Content (Cao2)
229(5)
Oxygen Saturation
234(4)
Oxygen Delivery
238(1)
Cardiac Output
238(1)
Blood Pressure
238(3)
Uptake and Utilization of Oxygen in Tissues
241(1)
Peripheral Perfusion
241(1)
Tissue Uptake and Utilization
242(1)
Mixed Venous Oxygen Levels and the Fick Equation
243(1)
Overall Assessment of Oxygenation
244(2)
Treatment
246(5)
COVID-19 and Hypoxemia
251(1)
Key Points
251(1)
References
252(3)
Chapter 7 Assessment of Ventilation
255(40)
David C. Shelledy
Overview
256(1)
Introduction to Assessment of Ventilation
256(1)
Alveolar Ventilation and Dead Space
257(1)
Alveolar Ventilation
258(1)
Alveolar Ventilation and Paco2
258(1)
Best Index of Ventilation
259(1)
Factors Associated with Normal Ventilation
259(1)
Pressure Gradients in the Lung
260(1)
Compliance and Elastance
261(2)
Dynamic Versus Static Compliance
263(2)
Pressure-Volume Curves
265(2)
Surface Tension and the Lung
267(1)
Resistance to Ventilation
268(3)
Breath Sounds and Gas Flow
271(1)
Work of Breathing
272(2)
Muscular Weakness and Fatigue
274(1)
Ventilatory Failure
274(1)
Ventilatory Capacity Versus Ventilatory Demand
274(2)
Compliance and Resistance
276(1)
Ventilatory Muscle Weakness
276(1)
Neuromuscular Disease
276(1)
Risk Factors for Development of Ventilatory Failure
277(2)
Clinical Manifestations of Ventilatory Failure
279(2)
Indications for Mechanical Ventilatory Support
281(1)
Apnea
281(1)
Acute Ventilatory Failure
281(1)
Impending Ventilatory Failure
282(1)
Severe Oxygenation Problems
282(1)
Ventilator Discontinuance
283(1)
Patient Assessment
284(2)
Airway Assessment
286(3)
Readiness Testing
289(1)
Weaning Methods
290(1)
Key Points
291(2)
References
293(2)
Chapter 8 Blood Gas Analysis, Hemoximetry, and Acid-Base Balance
295(64)
J. Brady Scott
Brian K. Walsh
Sara H. Mirza
David C. Shelledy
Overview
296(1)
Introduction to Blood Gases and Acid-Base Balance
296(1)
Blood Gas Analysis
296(1)
Indications for Blood Gas Analysis
297(1)
Arterial Percutaneous Sampling
297(4)
Complications Associated with Arterial Punctures
301(1)
Arterialized Capillary Sampling
302(1)
Arterial Line Insertion and Sampling
303(1)
Indications for Radial Artery Cannulation
303(1)
Techniques
304(1)
Complications Associated with Arterial Cannulation
305(1)
Blood Pressure Monitoring
305(1)
Arterial Line Sampling
305(2)
Maintenance, Troubleshooting, and Removal of Radial Arterial Catheters
307(1)
Venous Blood Gas Sampling
307(1)
Indications for Mixed Venous or Central Venous Blood Gas Measurement
307(1)
Technique for Mixed Venous Blood Gas Sampling
308(1)
Complications
309(1)
Sample Analysis
309(1)
Errors in Blood Gas Analysis
309(2)
Quality Assurance and Control
311(1)
Acid-Base Chemistry
311(1)
Solutions and Ions
311(1)
Brgnsted-Lowry Definitions
311(1)
Quantifying Hydrogen Ion Concentration
312(1)
Henderson Equation for Carbonic Acid
312(1)
Henderson-Hasselbalch Equation
313(2)
Calculation of Bicarbonate
315(1)
Regulation of Blood Acids
315(2)
Regulation of Blood Base
317(1)
Electrolytes
317(1)
Arterial Blood Gas Interpretation
318(1)
Assessment of Oxygenation
319(1)
Assessment of Ventilation
319(1)
Assessment of Acid-Base Balance
320(1)
Conventional Nomenclature for Blood Gas Interpretation
321(1)
Other Measures of the Metabolic Component of Acid-Base Balance
322(3)
Problems with Conventional Nomenclature
325(2)
Expected Respiratory and Renal Compensation
327(1)
Expected Maximal Compensation for Respiratory Disorders
327(3)
Expected Maximal Compensation for Metabolic Disorders
330(4)
Clinical Interpretation of Arterial Blood Gases
334(1)
Ventilatory Failure (Respiratory Acidosis)
335(3)
Alveolar Hyperventilation (Respiratory Alkalosis)
338(2)
Metabolic Acidosis
340(6)
Metabolic Alkalosis
346(3)
Mixed and Combined Disorders
349(3)
Noninvasive Oximetry
352(1)
Indications
353(1)
Technique
353(1)
Monitoring
354(1)
Summary
355(1)
Key Points
355(1)
References
356(3)
Chapter 9 Laboratory Studies
359(40)
Maribeth L. Flaws
Joan Radtke
Demetra Castillo
Overview
360(1)
Introduction to the Diagnostic Laboratory
360(1)
Hematology
360(1)
Complete Blood Count
361(1)
Red Blood Cell Parameters
361(1)
Hemoglobin and Hematocrit
361(1)
Hemoglobin Measurement
362(1)
Hematocrit and Other Indices
362(2)
White Blood Cell Parameters
364(2)
Segmented Neutrophil
366(1)
Lymphocytes
366(1)
Monocytes
367(1)
Eosinophils
367(1)
Basophils
367(1)
Platelet Parameters
367(1)
Coagulation Studies
368(1)
Clinical Chemistry
368(2)
Carbohydrates: Diabetes Tests
370(2)
Kidney Function Tests
372(1)
Serum Proteins
372(1)
Lipids and Cardiac Markers
373(1)
Bilirubin and Enzymes
374(1)
Water and Electrolyte Balance
374(2)
Hormones and Therapeutic Drug Monitoring
376(1)
Microbiology
376(1)
Specimens of the Lower Respiratory Tract
376(5)
Urine
381(3)
Skin Testing
384(1)
Skin Testing for Tuberculosis or Fungi
385(1)
Allergy Testing
385(1)
Histology and Cytology
386(1)
Molecular Diagnostics
386(2)
Point-of-Care Testing
388(2)
Summary
390(1)
Key Points
390(6)
References
396(3)
Chapter 10 Cardiac Assessment and the Electrocardiogram
399(40)
Richard B. Wettstein
Viva Jo Siddall
David C. Shelledy
Overview
400(1)
Introduction to the Electrocardiogram
400(1)
Overview of Cardiac Function
400(2)
The Electrocardiogram
402(2)
Lead Placement
404(2)
Components of the ECG Tracing
406(1)
The P Wave
406(1)
The PR Segment and Interval
407(1)
The QRS Complex
407(2)
The ST Segment and T Wave
409(1)
Rhythm Strip Interpretation
410(1)
Step 1 Calculate and Evaluate the Heart Rate
410(5)
Step 2 Evaluate the Cardiac Rhythm
415(3)
Step 3 Assess the Strip for P Waves, PR Interval, and the Relationship of the P Waves to the QRS Complexes
418(1)
Step 4 Assess the QRS Complex
419(1)
Step 5 Inspect the ST Segment
420(1)
Step 6 Determine the QRS Axis
420(1)
Step 7 Overall Assessment
420(2)
Myocardial Infarction
422(1)
STEMI and NSTEMI
422(3)
Evolution of Myocardial Infarction
425(1)
Left-Sided Heart Failure
426(1)
ECG with Heart Failure
427(1)
Treatment of Heart Failure
427(1)
Management of Cardiac Arrhythmias
427(1)
Pharmacologic Treatment
427(1)
Nonpharmacologic Treatment
427(1)
Rhythms Initiated in the Sinus Node
428(2)
Rhythms Initiated in the Atria
430(1)
Rhythms Initiated at the AV Junction
430(1)
Rhythms Initiated in the Ventricles
431(2)
Rhythms Initiated by Atrioventricular Blocks
433(1)
12-Lead ECG Interpretation
434(1)
Cardiovascular Complications ofCOVID-19
435(1)
ECG for Diagnostic Purposes
435(1)
Stress Testing
435(1)
Ambulatory Monitoring
436(1)
Other Diagnostic Tests and Procedures
436(1)
Key Points
436(1)
References
437(2)
Chapter 11 Cardiopulmonary Imaging
439(74)
Laura P. Vasquez
David C. Shelledy
Jay I. Peters
Overview
440(1)
Introduction to Medical Imaging
440(2)
Digital Radiography
442(1)
How It Works
442(2)
Radiation Exposure
444(1)
The Normal Chest X-Ray
445(5)
Normal Anatomy
450(2)
Trachea and Carina
452(1)
Mediastinum
452(2)
Heart
454(1)
Lungs
455(3)
Diaphragm and Hemidiaphragms
458(1)
Bone
458(1)
Soft Tissue
459(1)
Computed Tomography
460(1)
How It Works
460(2)
Indications for CT Scans
462(1)
Procedures for the Exam
463(1)
What Patients Can Expect
463(1)
Magnetic Resonance Imaging
463(1)
How It Works
464(1)
Indications for MRI
464(1)
MRI Risks
465(1)
Considerations in Transporting Critically III Patients
465(1)
Nuclear Medicine
466(1)
How It Works
466(1)
Lung Ventilation and Perfusion Imaging
466(1)
PET Scans and Fusion Imaging
467(1)
What Patients Can Expect
467(1)
Indications for PET and Fusion Imaging
467(1)
Limitations of Nuclear Medicine Scans
468(1)
Nuclear Medicine Cardiac Imaging
468(1)
Diagnostic Arteriography
468(2)
Interventional Radiology
470(1)
Catheter-Directed Thrombolysis
471(1)
Percutaneous Abscess Drainage
472(1)
Radiation Exposure Considerations
472(1)
Ultrasound
472(1)
How It Works
472(1)
Doppler Ultrasound
472(1)
Echocardiograms
473(1)
Cardiopulmonary Disease
474(1)
Alveolar Lung Disease
474(1)
Pneumonia
475(3)
Pulmonary Edema
478(5)
Other Alveolar Airspace Disease
483(1)
Atelectasis
483(1)
Other Infectious Pulmonary Diseases
484(3)
Pulmonary Vascular Diseases
487(3)
Pneumothorax, Pneumomediastinum, and Hemothorax
490(3)
Pleural Effusion
493(1)
Interstitial Lung Disease
494(3)
Asthma
497(1)
Chronic Obstructive Pulmonary Disease
497(3)
Neoplastic Disorders of the Lung
500(2)
Miscellaneous Chest Conditions
502(1)
Placement of Chest Tubes and Lines and Endotracheal Tubes
502(2)
Imaging the Trauma Patient
504(3)
Foreign Body Aspiration
507(1)
Key Points
507(2)
References
509(4)
Chapter 12 Adult Pulmonary Function
513(42)
Megan L. Carreon
Jay I. Peters
David C. Shelledy
Overview
514(1)
Introduction to Pulmonary Function Testing
514(1)
Purpose of Pulmonary Function Testing
514(1)
Predicted Values
514(1)
Reference Ranges
515(1)
Factors That Influence Predicted Values
515(1)
Pulmonary Function Laboratory Equipment
516(1)
Spirometer
516(1)
Pneumotachometer
516(1)
Forced Oscillation
516(1)
Preparing the Patient
517(1)
Contraindications
517(1)
Positioning
517(1)
Measurements and Documentation
517(1)
Medications
517(1)
During the Test
518(1)
Reproducibility
518(1)
Lung Volumes
518(2)
Tidal Volume
520(1)
Minute Ventilation
520(1)
Inspiratory Reserve Volume
520(1)
Expiratory Reserve Volume
520(1)
Residual Volume
520(1)
X-Ray Planimetry
520(1)
Lung Capacities
521(1)
Inspiratory Capacity
521(1)
Functional Residual Capacity
521(1)
Vital Capacity
522(1)
Total Lung Capacity
523(1)
Body Plethysmography
523(1)
Flow Determination
524(1)
Measurement of Airflow
524(1)
Forced Expiratory Volume in 1 Second
524(1)
Forced Expiratory Flow, Midexpiratory Phase
525(1)
Peak Expiratory Flow
525(1)
Choice of Best Test
525(1)
Flow-Volume Loops
526(1)
Maximal Voluntary Ventilation
527(1)
Pre- and Postbronchodilator Pulmonary Function Testing
527(1)
Diffusion Capacity
528(1)
Airway Resistance and Conductance
529(1)
Forced Oscillation Technique
529(1)
Exhaled Nitric Oxide
529(1)
Respiratory Pressures
530(1)
Compliance Studies
530(1)
Respiratory Quotient
530(1)
Exercise Testing
530(1)
6-MinuteWalk
530(1)
Cardiopulmonary Exercise Testing
531(2)
Bronchoprovocation Testing
533(1)
Pulmonary Function Testing in Children
533(2)
Pulmonary Function Test Interpretation
535(1)
Quality Control
535(1)
Pattern Recognition
536(9)
Approach to Interpretation of Results
545(6)
Summary
551(1)
Key Points
551(1)
References
552(3)
Chapter 13 Bronchoscopy and Other Diagnostic Studies
555(14)
Philip Ong
Jay I. Peters
Adriel Malave
Overview
556(1)
History
556(1)
Clinical Indications for Bronchoscopy
556(1)
Hemoptysis
556(1)
Pneumonia
556(1)
Masses and Solitary Pulmonary Nodules
557(1)
Foreign Bodies
557(1)
Interstitial Lung Disease
557(1)
Diagnostic Bronchoscopy
557(1)
Flexible Bronchoscopy
558(6)
Rigid Bronchoscopy
564(1)
Thoracentesis
564(1)
Surgical Lung Biopsy
565(1)
Video-Assisted Thoracoscopic Surgery
566(1)
Open Lung Biopsy
566(1)
Key Points
566(1)
References
567(2)
Chapter 14 Acute and Critical Care Monitoring and Assessment
569(36)
David L. Vines
Ramandeep Kaur
Overview
570(1)
Introduction to Acute and Critical Care Monitoring and Assessment
570(1)
Ventilatory Parameters
570(1)
Monitoring Volume and Rate During Mechanical Ventilation
571(1)
Bedside Measures of Ventilation
572(1)
Assessment of Ventilation During Mechanical Ventilatory Support
573(1)
Respiratory Mechanics
573(1)
Inspiratory-to-Expiratory Ratio
574(1)
Bedside Spirometry
575(1)
Assessment of the Intubated Patient Receiving Mechanical Ventilation
576(2)
Ventilator Graphics
578(1)
Peak Inspiratory Pressure
579(1)
Inspiratory Plateau
580(1)
Pressure Control Ventilation and Pressure Support Ventilation
580(4)
PSV and PCV Flow and Pressure Waveforms
584(2)
Air Trapping and Auto-PEEP
586(2)
Pressure-Volume Curves and PEEP
588(1)
Monitoring the Patient Airway
588(1)
Noninvasive Monitoring
589(1)
Pulse Oximetry
589(1)
Capnography
590(2)
Transcutaneous Monitoring
592(1)
Exhaled Nitric Oxide
592(2)
Cardiac Monitoring
594(1)
Electrocardiography Monitoring and Analysis
594(1)
Hemodynamic Monitoring
595(6)
Special Considerations for the Care and Monitoring of the COVID-19 Patient
601(1)
Summary
601(1)
Key Points
602(1)
References
603(2)
Chapter 15 Obstructive Sleep Apnea and Other Sleep-Related Breathing Disorders
605(22)
Paul Ingmundson
Angela C. Hospenthal
Maureen Koops
Overview
606(1)
Introduction to Respiration in Sleep
606(1)
Sleep Stages
606(1)
Recording Parameters
607(2)
Definitions
609(1)
Spectrum of Breathing-Related Sleep Disorders
609(1)
Central Sleep Apnea Syndromes
610(1)
Obstructive Sleep Apnea Syndromes
611(2)
Obstructive Sleep Apnea
613(1)
Epidemiology
613(1)
Risk Factors
613(1)
Clinical Presentation
614(1)
Disease Correlates
614(1)
Polysomnography Diagnosis and Severity Classification
615(1)
Alternatives to Attended Nocturnal Polysomnography
615(1)
Treatments
616(1)
Positional Therapy
616(1)
Weight Loss
616(1)
Positive Airway Pressure Devices
616(4)
Oral Appliances
620(1)
Nasal Valves
621(1)
Surgical Interventions
621(1)
Other Sleep Disorders
622(1)
Key Points
623(1)
References
623(4)
Chapter 16 Neonatal and Pediatric Assessment
627(36)
Ruben D. Restrepo
Rae Taylor-Childress
Antonio Hernandez
Angela R. Boyd
Overview
628(1)
Introduction to Neonatal/Pediatric Assessment
628(1)
Assessment of the Fetus
628(1)
History and Physical Examination of the Mother
628(1)
Confirmation of Gestational Age
629(1)
Screening and Diagnosis of Aneuploidy
629(1)
Fetal Lung Maturity
630(1)
Assessment of Fetal Well-Being
631(3)
Assessment of the Newborn
634(1)
History
634(1)
Assessment Following Delivery
635(2)
Gestational Age at Birth
637(1)
Temperature
637(3)
Cardiovascular Function and Heart Rate
640(1)
Critical Congenital Heart Disease Screening
641(1)
Respiratory Assessment
642(1)
Head and Neck Assessment
643(4)
Abdominal Assessment
647(1)
Musculoskeletal System Assessment
647(1)
Neurologic Assessment
647(1)
Assessment of the Extremities
647(1)
Laboratory Assessment
648(3)
Assessment of the Pediatric Patient
651(1)
History
651(1)
Physical Examination
652(1)
Vital Signs
652(1)
General Examination
652(1)
Pulmonary Examination
653(1)
Chest Inspection
654(2)
Cardiac Examination
656(1)
Abdominal Examination
657(1)
Skin and Extremities
657(1)
Diagnostic Imaging and Laboratory Testing
658(1)
Imaging
658(1)
Pulmonary Function Testing and Blood Gases
658(4)
Laboratory Testing
662(1)
Skin Testing
662(1)
Other Diagnostic Testing
662(1)
Summary
662(1)
Key Points
662(1)
References 663(4)
Appendix A Patient Assessment and the National Board for Respiratory Care (NBRC) Examinations 667(6)
Appendix B Synopsis of Cardiopulmonary Disease 673(48)
Appendix C Abbreviations 721(3)
Glossary 724(33)
Index 757
Dr. Shelledy has served as a professor, respiratory care program director and respiratory care academic department chairman for over 25 years. He has taught patient assessment, both at the bedside and in the classroom to respiratory care students at St. Petersburg College, Georgia State University, Athens Technical College, Rush University, University of Arkansas for Medical Sciences, and the University of Texas Health Science Center at San Antonio. He currently holds appointment as Professor and Dean, School of Health Professions at The University of Texas Health Science Center, San Antonio, Texas.

Dr. Jay Peters currently is the medical director of the Department of Respiratory Care at the University of Texas Health Science Center at San Antonio.' Dr. Peters also serves as Professor and Chief of the Division of Pulmonary and Critical Care Medicine in the Department of Medicine at the University of Texas Health Science Center.' Dr. Peters has published over 180 journal articles and abstracts and over 40 book chapters related to respiratory care.