S.T.A.B.L.E. - Cardiac Module: Recognition and Stabilization of Neonates with Severe CHD will be valuable to any healthcare provider responsible for the recognition and stabilization of newborns with severe forms of CHD. Nurses, advanced practice nurses, physician assistants, and physicians working in all settings- neonatal, neonatal transport, well-baby, and pediatric and cardiac intensive care settings will gain critical knowledge for the highest standard of care.
The updated 2nd edition contains more than 120 new full-color illustrations making it an excellent teaching tool for healthcare providers and parents!
The 2nd edition features:
A comprehensive explanation of neonatal CHD, starting with a history and physical examination.
New! Common palliative care for and surgical correction of the CHD lesions illustrated in this book.
Expanded tables and figures help explain complex concepts in a practical, easy-to-understand format.
Thorough explanation of critical forms of CHD, covering anatomy, blood flow pattern, clinical presentation, and initial stabilization.
The illustrations in the book are very useful for explaining complex heart lesions and palliative and surgical repair to parents of infants with severe forms of CHD.
Rezensionen / Stimmen
This is a unique book and course that has been taught for over 30 years as an adjunct to the Neonatal Resuscitation Program. This second edition of the cardiac module is a welcome update of the 2003 original. It has easily understood illustrations and directions to help providers treating newborns with CHD prior to transport. It is an excellent teaching tool and will find multiple uses in the education of neonatal providers."
- Doody's 4-Star Review (Jay P. Goldsmith, MD, Tulane University School of Medicine)
Auflage
Sprache
Verlagsort
Zielgruppe
Editions-Typ
Maße
Höhe: 279 mm
Breite: 238 mm
Dicke: 20 mm
Gewicht
ISBN-13
978-1-937967-17-8 (9781937967178)
Copyright in bibliographic data and cover images is held by Nielsen Book Services Limited or by the publishers or by their respective licensors: all rights reserved.
Schweitzer Klassifikation
Dr Karlsen is a neonatal nurse practitioner who has been involved in neonatal care in a variety of settings including transport, education, patient care, and simulation for more than 35 years. She is the founder of the internationally recognized S.T.A.B.L.E. Program and author and developer of The S.T.A.B.L.E. Program Pretransport / Postresuscitation stabilization neonatal education course, The S.T.A.B.L.E. - Cardiac Module course (book and slide program), the STABLEize (TM) app (for Apple and Android), The S.T.A.B.L.E. Program's Gestational Age and Physical Assessment of the Newborn slide program, and the Neonatal Stabilization Scenarios Guidebook, based on The S.T.A.B.L.E. Program curriculum. More than 650,000 students have completed a S.T.A.B.L.E. Program course, and the Program is taught in more than 45 countries.
Dr Karlsen serves as the Program Director for S.T.A.B.L.E., and she travels domestically and internationally to teach The S.T.A.B.L.E. Program curriculums and Instructor Courses. Since 1985, her clinical affiliation is the Level 4 neonatal intensive care unit at Intermountain Healthcare Primary Children's Hospital in Salt Lake City, Utah, where she serves as a neonatal nurse practitioner on the cardiac patient team.
Dr Karlsen is the recipient of numerous awards and recognition: the AWHONN/Johnson & Johnson 2003 Childbirth Nursing Award, the March of Dimes 2004 Leadership in Healthcare Nurse Award, the University of Utah College of Nursing 2005 Outstanding Doctoral Student Award, the 2010 National Association of Neonatal Nurse Practitioners NNP Excellence Award, and the 2014 National Perinatal Association, The Individual Contribution to Maternal & Child Health at the National and International Level Award. In 2019, she was awarded a Fellowship in the American Academy of Nursing to recognize her worldwide impact on improving neonatal outcomes through the S.T.A.B.L.E. Program's interprofessional neonatal education.
Collin G. Cowley, MD, joined the faculty of the University of Utah in 2000 after completing fellowships in pediatric cardiology and interventional catheterization at the University of Michigan. Over the next 20 years, he pursued his interests in clinical care, research, education, and clinical administration and was promoted to tenured Professor in 2013. Dr Cowley is a fellow of the American Academy of Pediatrics and the American College of Cardiology. Dr Cowley remains passionate about patient care and recently retired from the University of Utah to join Mednax Health Solutions in opening several pediatric cardiology offices in northern Utah.
Acronyms Used in this Book
Introduction
Part 1 History and Patient Assessment
Incidence of Congenital Heart Disease (CHD)
History and Patient Presentation
Neonatal History
Pregnancy, Labor, and Delivery History
Maternal Medical History
Recurrence Risk
Patient Assessment
Neurologic Status
Physical Appearance - Size and Features
Infant of the Diabetic Mother (IDM)
Small for Gestational Age (SGA) Infants
Syndromes and Chromosomal Abnormalities Associated with CHD
Trisomy 21 (Down Syndrome)
Trisomy 18 (Edwards Syndrome)
Trisomy 13 (Patau Syndrome)
What does it mean? Let's talk about a persistent Patent Ductus Arteriosus (PDA)
Monosomy X (Turner Syndrome - XO chromosome)
CHARGE Syndrome
VACTERL Association
22q11 2 Deletion Syndrome (22q11 2DS)
What does it mean? Conotruncal
Color
Oxygen Saturation
Vital Signs - Respiratory Rate and Effort
Vital Signs - Heart Rate and Rhythm
Treatment of SVT
Adenosine
Vital Signs - Blood Pressure (BP)
Shock
Bruit
Pulses
Skin Perfusion and Appearance
Precordial Activity
Heart Sounds
Heart Murmur
Liver Size and Location
What does it mean? Situs solitus, situs inversus, and heterotaxy
Diagnostic Tests
Differential Diagnosis
Part 2 Clinical Presentation and Stabilization of Neonates with Severe CHD
What does it mean? Let's talk about CHD that is ductal dependent
Pharmacology - Prostaglandin E1 (PGE, Alprostadil, Prostin)
Left-Sided Obstructive Lesions, Ductal Dependent for Systemic Blood Flow
Underlying Concepts
Coarctation of the Aorta
Interrupted Aortic Arch
Aortic Valve Stenosis
Hypoplastic Left Heart Syndrome
Left-sided Obstructive Lesions - Clinical Presentation
Left-Sided Obstructive Lesions - Chest X-Ray
Left-sided Obstructive Lesions - Initial Stabilization
Case Study: 1-Day old infant with HLHS
Cyanotic Congenital Heart Disease, Not Ductal Dependent for Pulmonary Blood Flow
Underlying Concepts and Stabilizing the Cyanotic Neonate with Suspected CHD
Tetralogy of Fallot
Tetralogy of Fallot - Clinical Presentation
Tetralogy of Fallot - Chest X-Ray
Tetralogy of Fallot - Initial Stabilization
What does it mean? Let's talk about hypercyanotic/tet spells
Hypercyanotic/Tet Spell - Treatment Principles
What does it mean? Let's talk about Double Outlet Right Ventricle (DORV)
Tricuspid Atresia
Tricuspid Atresia - Clinical Presentation
Tricuspid Atresia - Chest X-Ray
Tricuspid Atresia - Initial Stabilization
Truncus Arteriosus
Truncus Arteriosus - Clinical Presentation
Truncus Arteriosus - Chest X-Ray
Truncus Arteriosus - Initial Stabilization
Total Anomalous Pulmonary Venous Connection
Supracardiac TAPVC
Cardiac TAPVC
Infracardiac TAPVC (also called infradiaphragmatic)
Total Anomalous Pulmonary Venous Connection - Clinical Presentation
Total Anomalous Pulmonary Venous Connection - Chest X-Ray
Total Anomalous Pulmonary Venous Connection - Initial Stabilization
Ebstein Anomaly
Ebstein Anomaly - Clinical Presentation
Ebstein Anomaly - Chest X-Ray
Ebstein Anomaly - Initial Stabilization
Cyanotic Congenital Heart Disease, Ductal Dependent for Pulmonary Blood Flow
Underlying Concepts
Stabilizing the Cyanotic Neonate with Ductal Dependent Pulmonary Blood Flow
Pulmonary Atresia with Intact Ventricular Septum (PA-IVS)
Pulmonary Atresia with Intact Ventricular Septum (PA-IVS) - Clinical Presentation
Pulmonary Atresia with Intact Ventricular Septum (PA-IVS) - Chest X-Ray
Pulmonary Atresia with Intact Ventricular Septum (PA-IVS) - Initial Stabilization
What does it mean? Let's talk about PA-IVS and Ventriculocoronary Connections
Pulmonary Atresia and Ventricular Septal Defect (PA-VSD)
Pulmonary Atresia and Ventricular Septal Defect (PA-VSD) - Clinical Presentation
Pulmonary Atresia and Ventricular Septal Defect (PA-VSD) - Chest X-Ray
Pulmonary Atresia and Ventricular Septal Defect (PA-VSD) - Initial Stabilization
Transposition of the Great Arteries (TGA)
Transposition of the Great Arteries - Clinical Presentation
Transposition of the Great Arteries - Chest X-Ray
Transposition of the Great Arteries - Initial Stabilization
What does it mean? What is the difference between D-TGA and L-TGA?
Part 3 S.T.A.B.L.E. - Cardiac Module
Introduction
Sugar and Safe Care Module
Glucose Production and Utilization Rate
Initial IV Fluid Rate and Target Glucose Levels
IV Access and Central Lines
Umbilical Vein Catheter (UVC)
Umbilical Artery Catheter (UAC) and Peripheral Arterial
Umbilical Catheter Safety
Peripherally Inserted Central Catheter (PICC)
Temperature Module
Airway Module
O2 Saturation, Hemoglobin, and CHD
O2 Content
What does it mean? What is Regional Oximetry Monitoring - Near Infrared Reflective Spectroscopy (NIRS) Monitoring?
Pulse Oximetry Screening (POS) for Critical Congenital Heart Disease (CCHD)
Blood Pressure Module
Methods for Measuring BP
Oscillometric Measurement - How Does it Work?
Lab Work Module
Blood Sugar
Blood Gas
Lactic Acid/Lactate
Electrolytes and Renal Function Tests
Ionized Calcium
Magnesium
Liver Function Tests
Complete Blood Count with Differential
Cardiac Enzymes: B-Type Natriuretic Peptide (BNP) and Troponin I
What does it mean? Let's talk about Genetic Testing
Emotional Support Module
Appendix 1 - Palliative and Surgical Repair of the Lesions Discussed in this Book
Appendix 2 - Medications Used in the Treatment of Neonates with CHD
References
Index
