Cases in Pediatric Acute Care

ANDREA KLINE-TILFORD, PHD, CPNP-AC/PC, FCCM, FAAN is the Nurse Practitioner Manager at C.S. Mott Children's Hospital, University of Michigan Health System, Ann Arbor, MI, USA.CATHERINE M. HAUT, DNP, CPNP-AC/PC, FAANP, CCRN is the Coordinator of Research and Evidence-Based Practice at Nemours/Alfred I. duPont Hospital for Children, Wilmington, DE, USA; also practices in a Pediatric Intensive Care Unit, employed by Mednax Pediatrix Medical Group, Baltimore, MD, USA.

• Preface xiList of Contributors xiii1 Complication of Pneumonia 1Ji-Yeon Kim2 Infant with Diaphoresis during Feedings 5Kristen Brown and Kristen Nelson McMillan3 Hypotension in the Operating Room 7Ann Marie Felauer4 Toddler with Vomiting and Diarrhea 11Kimberly L. DiMaria5 Infant with Fever and Cold Symptoms 15Cheryl Bartke6 Toddler with Pineoblastoma and Bone Marrow Transplant 19Cathryn Freeman7 A 5-Year-Old with Altered Mental Status 23Yu-shan Tseng and Richard Garcia8 An 8-Year-Old with Abdominal Trauma 29Julie Resler9 Child with Left Eye Swelling 33Amy Graf10 Billing and Coding 37Dawn M. Silverman11 Language Delay 47Jolene Dickerson12 A 6-Month-Old Infant with RSV and Respiratory Failure 51Catherine M. Haut13 Adolescent Abdominal Pain after Cardiac Surgery 55Cathy Woodward14 Young Infant with Vomiting 57Sarah Martin15 School-age Child with Bruising 61Lisa Hovingh and Candie Ritsema16 Infant with Shunted Hydrocephalus 65Mark Weber17 Newborn with Poor Oral Intake and Irritability 69Elaine Geary18 An 8-Week-Old Infant with a Cough 73Sarah Jane Garraty19 Desaturation in Postoperative Cardiac Surgery Infant 77Lisa Kohr20 Pre-school Child with Seizures 81Heather Herrera and Rachel Luthen21 Child with Blood in Stool 85Brittany Cook and Darby Tozer22 Osteomyelitis Case Study 89Kim Steanson23 A 2-Year-Old with Liver Transplant and Fever 93Louise Flynn24 Respiratory Decompensation in Trached Infant 97Jennifer Helman25 Neonatal Hypoglycemia 101Janice L. Wilson26 Chronic Otitis Media 105Kimberly Young-Conner27 Complex Patient with Recurrent Lower Respiratory Tract Infection 109Ann Marie Ramsey28 Child with Racing Heart 115Bradley Goettl29 Teen with Headache and Seizure 119Valarie Eichler30 A 4-Year-Old with Bloody Diarrhea 125Tamara Hill31 Child with Persistent Fever 129Misty Ellis32 Quality Improvement Case Study 133Peggy Dorr33 Newborn Immediately Post Delivery 139Heather Schniepp34 A 5-Year-Old with Poor Weight Gain and Dehydration 143Kimberly Young-Conner35 Toddler with Complex Chronic Condition 147Jennifer Wright36 Pre-adolescent with Knee Pain 151Katelyn Hamann and Shannon Konieczki37 Infant with Increased Fussiness and Decreased Oral Intake 155Stephanie Haughey38 Infant with Prolonged Jaundice 161Aimee Bucci39 Child with Rash and Drooling 165Mark Weber40 Child with Fever and Sore Throat 169Stephanie Robell and Danielle Van Damme41 Teenager with Sickle Cell Disease and Fever 173Shannon Konieczki and Katelyn Hamann42 Ethical Case Study 177Jamie Tumulty43 Infant with Neurologic Changes and Respiratory Failure 183Blythe Pollack and Stacey Sears44 Acute Hyperglycemia 191Jeanne Little45 Infant with Progressive Lethargy and Poor Feeding 195Kathleen P. Thompson46 Neonatal Tachypnea 199Janet Dutcher47 Diplopia and Esotropia 203Lindsay Chapman48 Acetaminophen Ingestion 207Aaron Carpenter49 A 3-Year-Old with Sudden Onset of Breathing Difficulty 211Judy Verger50 A 2-Month-Old with Acute Abdomen 215Christyne Kyper51 Henoch–Schönlein Purpura Nephritis 219Tamara Hill52 Toddler with Tachypnea and Cool Extremities 223Cathy Woodward53 Teen with Intractable Headache 227Tara Pezzuto54 Seizures in School-age Child 231Ann Marie Felauer55 An 18-Year-Old with Upper Respiratory Symptoms, Headache and Fever 235Misty Evans56 Testicular Torsion 239Amanda Mandel57 Teen with Fever and Rash 243Christine Renke and Elizabeth Hoppe58 Preterm Infant Unable to Wean from Mechanical Ventilation 247Michelle Dokas59 Toddler with Acute Respiratory Failure 251Ahmed Aly and Bradley Tilford60 Adolescent with Head Injury 255Jennette Firlein61 Newborn with Ambiguous Genitalia 261Barbara Wise62 Anemia in a Toddler 265Dyane Bunnell63 A 2-Year-Old with Fever and Cough 269Jessica Strohm Farber64 Research Review 273Lauren R. Sorce65 Toddler with Fever and Redness Behind Ear 277Amanda Lewis Weir66 A 5-Year-Old with Right-Sided Weakness 281Suzette Meinke and Jessica Spruit67 Postoperative Heart Block 285Cathy Woodward68 Recognizing Human Trafficking 287Christine DiPaolo69 A Toddler With Stridor 291Mari Welch70 Delirium in a 9-Year-Old Boy 295Heather Herrera71 Feeding Challenge in a Child with Spinal Muscular Atrophy 299Nicole Fragale72 A 5-Year-Old with Osteomyelitis, Electrolyte Disturbance and Headaches 303Kimberly L. DiMaria73 Child with Scald Burn Injury 307Amarilis Martin and Bradley Tilford74 Parvovirus Requiring Blood Transfusion 313Ashley Thibodeau75 A Teen With High Fever, Rash and Lethargy 317Jessica Strohm Farber76 A 9-Year-Old With Scoliosis 321Alicia McCarthy77 An Unresponsive Infant 325Charlene Pringle78 A Toddler With Abdominal Pain, Diarrhea and Lethargy 331Jessica Pech79 Sore Throat and Shortness of Breath 335Amy Manion80 Oral Presentation and Communication 339Jill Siegrist Thomas81 A 7-Year-Old with Migratory Joint Pain 345Christin Diller82 Adolescent with Murmur and Chest Flutter 349Natalie Hecht83 Outpatient Management of Asthma 353Jolene Dickerson84 A Newborn with Abnormal Movements 357Maura Bernardo85 Postoperative Infant with Tachycardia 361Cathy Woodward86 Brain Death 363Maria C. Woosley87 Postoperative Spinal Fusion with Complications 367Jaime Panton and Melissa C. Varrone88 Orthopnea in a 10-Year-Old 371Max Pizzo89 Complication of Traumatic Brain Injury 375Christine Schindler90 Newborn with Hypothermia 379Marshay James91 Back Pain in an Active Teenager 383Alicia McCarthy92 Teen with Fever and Abdominal Pain 387Sarah Martin93 Complication in a 6-Year-Old with a Kidney Transplant 391Alison Hewitt Torres94 Acute Hypertension and Seizures in a 17-Year-Old Male 395Alison Hewitt Torres95 Jittery 2-Week-Old Infant 399Christopher D. Newman96 Child with Leg and Back Pain 403Jill Marks97 Fussy, Tired Infant 407Charlene Pringle98 Tics and Something More 411Judy Adelizzi-DeLany99 Lightheaded Adolescent 415Cathy Woodward100 Infant with Hyponatremia 419Sarah Pihl101 Bone Marrow Transplant in Sickle Cell Disease 423J. Paige Rieckhoff102 Child with Respiratory Failure and Transaminitis 427Kim Steanson103 A Serious Football Injury 431Julie Resler104 Infant with Generalized Weakness 435Blythe Pollack105 A 3-Day-Old with Irritability 441Christopher D. Newman106 Child with Fever and Rash 445Misty Evans107 A Teen With Vomiting and Diarrhea 449Christyne Kyper108 Acute Jaundice in a 7-Year-Old Child 453Roseann Hausmann109 Idiopathic Nephrotic Syndrome 457Tamara Hill110 School-age Child with Hives and Lip Swelling 461Jay M. Hunter111 A 10-Year-Old with Asthma in the PICU 463Catherine M. Haut112 Skin Wound in Postoperative Neonate 467Hayley Redmond113 Provider Burnout and Resiliency 471Jill Siegrist Thomas114 Kidney Transplant Complication 475Cathy C. McAdams115 Infant with Influenza A and New Fever 479Lauren Flagg116 A 3-Year-Old with Fever and Painful Urination 483Roseann HausmannIndex 487

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