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A Comprehensive Manual of Pediatric Nursing Procedures
Kavitha K
CHAPTER 1:
Newborn Care
CHAPTER 2:
Assessment Procedures
TEMPERATURE
Types of Thermometer
Equipments Needed
Preparations
Procedure
Nurse’s Responsibility in Checking Temperature
Temporal Scanning
PULSE
Sites for Checking Pulse
Preparations
Equipment Needed
Procedure
General Instructions
RESPIRATION
Preparations
Procedure
General Instructions
BLOOD PRESSURE
Equipments Needed
Preparations
Sites for Checking Blood Pressure
Procedure
Doppler or Electronic Monitor
General Instructions
Vital Signs Normal Value
Normal Temperature Ranges Based on Measurement
Methods in Pediatrics
Recommended Dimensions for BP Cuff Bladders
WEIGHING THE INFANT OR CHILD
Purposes
Indications
Equipments Needed
Preparations
Types of Weighing Scale
Procedure
Nurse’s Responsibility
Formulas for Calculating Expected Weight
Formula for Calculating Degree of Malnutrition
Classification of Degree of Malnutrition
WHO Classification
Welcome trust classification
Post-procedure Care
MEASURING LENGTH AND HEIGHT
Equipments Needed
Types of Measuring Devices/Scales (Standing Height)
Preparations
Procedures
Measuring Length
Measuring Height
Formulas for Calculating Expected Height
Weight for Height
MEASURING HEAD CIRCUMFERENCE
Indications
Factors which Affect the Head Circumference
Equipments Needed
Preparations
Procedure
General Instructions
Normal Values
CHEST CIRCUMFERENCE
Procedure
Head/Chest Circumference Ratio
MID-ARM CIRCUMFERENCE
Procedure
General Instructions
Normal Values
Shakir Tape Method
SKIN FOLD THICKNESS
Equipment Needed
Procedure
MID ARM MUSCLE CIRCUMFERENCE
BODY MASS INDEX
Equipments Needed
Setting
Approach
Positions
Sequence of Examination
Scheme for Presentation
GENERAL APPEARANCE
Variation in Color and Their Causes
SKIN
Vascular Lesions and Their Significance
Inspection
Palpation
Accessory Structures
HEAD
Inspection
Palpation
NECK
Inspection
Manipulation
Palpation
EYES
External Structures
Inspection
Internal Structure
Testing Visual Acuity
In infants
Color Vision
EARS
External Structures
Internal Ear
NOSE
External Structure
Internal Structures
MOUTH AND THROAT
CHEST
Inspection
LUNGS
Inspection
Palpation
Percussion
Auscultation
Classification of breath sounds:
HEART
Inspection
Palpation
Auscultation
ABDOMEN
Inspection
Auscultation
Palpation
Percussion
GENITALIA AND ANUS
Male
Female Genitalia
Anus
BACK
EXTREMITIES
METHODS
In the Community Set up
Equipments Needed
Indications
Developmental History
Developmental Milestones
1. Ventral suspension
2. Prone position
3. Supine posture and sitting
4. Vertical supine, standing and walking (Table 2.12)
5. Fine motor, adaptive and social responses (manipulations) (Table 2.13)
6. Social, mental and language development (Table 2.14)
Interpretation of Developmental Findings
Indications
Components of Assessment
Equipments Needed
Preliminary Assessment
Preparations
Procedure
Reflex Assessment
Glasgow Coma Scale
Muscle Strength
Cerebellar Assessment (Balance and Co-ordination)
Cranial Nerve Assessment
Indications
Equipments Needed
Preparations
Procedure
Post-procedure Care
General Instructions
CHAPTER 3:
Assisting in Diagnostic Procedures
CHAPTER 4:
Meeting Nutritional Needs
CHAPTER 5:
Respiratory Care
CHAPTER 6:
Administration of Medications
EYE MEDICATION
Purposes
Preliminary Assessment
Equipments Needed
Preparations
Procedure
In Case of Ointment
EAR DROPS
Indications
Equipments Needed
Preparations
Procedure
NASAL DROPS
Indications
Equipments Needed
Preparations
Procedure
Instillation of Nasal Spray
TOPICAL APPLICATIONS
Indications
Forms of Topical Applications
Equipments Needed
Preparations
Procedure
Nurse’s Responsibility in Topical Application
Topical Steroids
Side Effects
CHAPTER 7:
Elimination Needs
CATHETER SELECTION
Choosing the Appropriate Catheter Depending on
Types
Special Considerations
Risks/Complications
Procedure
For Female Child
For Male Child
Genearal Instructions
Instillation of Lidocaine Gel
Nursing Care of Child with Indwelling Catheter
Removal of Indwelling Catheter
Indications
Contraindications
Absolute
Relative
Complications
Equipments
Patient Preparation
Procedure
Post-procedure Care
Nurse’s Responsibility
Home Care Instruction
Duration of Changing Catheter
Points to Remember
Indications
Amount
Equipments Needed
General Instruction
POSITIONS
Preparations
Procedure
Post-procedure Care
Advantage of Other Methods over Enema
Indications
Complications
Purposes of Colostomy Care
Equipments Needed
Preparations
Procedure
Nurse’s Responsibility
Indications/purposes
Complications
Equipments Needed
Preparations
Procedure
Post-procedure Care
General Instructions
Indication
Purposes
Procedure
Nurse’s Responsibility
CHAPTER 8:
Emergency Procedures
CHAPTER 9:
Safety and Recreation
CHAPTER 10:
Care of Child with Fracture
CHAPTER 11:
Care of Child Undergoing Surgery
PREOPEARATIVE CARE
Equipments Needed
Psychological Preparation:
Physical Preparation:
Protective Measures:
Commonly Used Premedications
Recommended Fasting Hours for Children
POSTOPERATIVE NURSING MANAGEMENT
Equipments Needed
Preparations
Care During Postoperative Period
Activity Level
Vital Signs and Skin Color
Adequacy of Ventilation
Level of Consciousness and Feeding
Pain Management
Intake and Output
Dressing
Anxiety
Complications
Common Postoperative Complications
CHAPTER 12:
Meeting Children’s Hygiene Needs
APPENDIX:
Normal Values
INDEX
TOC
Index
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