Doctor insights on:
If you're asking : about the nursing manuals for pediatric NANDAS, here are two sites: http://faculty.mu.edu.sa/public/uploads/1380604673.6151NANDA%202012.pdf & http://kb.nanda.org/article/AA-00574/0/Development-of-nursing-diagnoses-for-pediatric-nursing-practice.html. The books of Delmar's Med-Surg, Maternal-Child & Pediatric Nursing Care Plans are on Amazon.com ...Read more
Isolated VSD: Review of literature revealed that management of isolated VSD (ventricular septal defect) in infant depends on 1) size of the defect. 2) Chance of spontaneous closure or decrease in size over time 3) Involvement of one or more cardiac valves 4) Difficulty and effectiveness of surgical closure. This is absolutely the field of pediatric cardiologist and heart surgeon. ...Read more
Sevoflurane and more: For inhalation Sevo is most common quickly followed by Isoflurane and Desflurane. Alternatively, the use of many IV anesthetics are commonly used in pediatrics to include: propofol, ketamine, fentanyl, morphine, hydromorphone, Midazolam. Somewhat less commonly: dexmedetomidine, sufentanil, alfentanil, and diazepam. There are more but these are the ones you are most likely to encounter in the U.S. ...Read more
What team?: What team are you referring to? As far as i know, there isn't any specific teams in medicine...We do have various specialties and depending what that specialty is, various level of personels may be involved--doctors, physician assistants, nurses, medical assistants, secretaries/receptionists are the usual suspects, and they all have different roles. Repost question if this is not what you meant.. ...Read moreSee 2 more doctor answers
Questions for doctor: 1. Is my child developing appropriately for age? 2. What are should the diet consist of, how much and how often? 3. When are the next vaccines due? 4. How much sleep should my child be getting? 5. Is it normal for my child to (insert behavior here)? 6. Is my child growing appropriately? 7. What other screenings should we be having done (i.e. dental, vision, hearing, psychological, etc.) ...Read more
Good question: I don't see a way to file a complaint with abp. However, if you really feel that your pediatrician has done something wrong, please start a conversation with him/her. Pediatricians are extremely interested in helping your child and can even suggest second opinions. The abp maintains specialty certification, the worst they could do was revoke certificaiton, but not a medical license to practice. ...Read moreSee 4 more doctor answers
Why do pediatric tracheostomies need up-sizing? I know kids of very diff sizes with same trach size.
Why does the american academy of pediatrics say not to exceed a maximum of 32oz of formula in 24hrs?
Obesity: Excessive formula delivers excessive calories thus leading to obesity. There are studies that show excessive weight in infancy can lead to obesity in childhood - which can lead to various other medical problems. Sometimes a baby cries - it is not always related to hunger. ...Read moreSee 3 more doctor answers
Overheard resident say "flk" and attending say my child needs to see pediatric geneticist. What was that about?
Eye specialist: A pediatric ophthalmologist is a physician who specializes in treating disorders of the eye. Ophthalmologists treat a wide variety of eye disorders in children ranging from visual acuity problems to retinitis to eye tumors and other disorders requiring surgery. ...Read moreSee 2 more doctor answers
Yes: Almost everything in the pediatric office carries germs, including books, toys and even the doctor's stethoscope. Most offices try to clean these items but it would be very difficult to clean everything between each patient. Hand washing is a good idea when you leave using soap and water or hand sanitizer which should be available in each room. ...Read moreSee 17 more doctor answers
Eye disorder: It is inflammation of the uvea, the middle layer of the eye. Uvea consists of the iris, choroid and ciliary body. The choroid is sandwiched between the retina and the white of the eye (sclera), and provides blood flow to the deep layers of the retina. The most common type of uveitis is an inflammation of the iris called iritis. Infections, injury and autoimmune disorders may be serious causes. ...Read moreSee 1 more doctor answer