S.T.A.B.L.E. – Cardiac Module: Recognition and Stabilization of Neonates with Severe CHD

Description

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.
  This excellent tool for teaching health care providers and patients is now in its updated 2nd edition, with more than 120 new full-color illustrations now featuring common palliative treatment for and surgical correction of CHD. It features a comprehensive explanation of neonatal CHD, starting with history and physical examination, as well as expanded tables and figures to help explain complex concepts in a practical, easy-to-understand format. A thorough explanation of critical forms of CHD is included, including anatomy, blood flow pattern, clinical presentation, and initial stabilization.
  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 Book ReviewJay P. Goldsmith, MD
Tulane University School of Medicine
  Kristine A. Karlsen, PhD, APRN, NNP-BC, FAAN 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™ 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.
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                   
 

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