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MN 580 Primary Care of Children and Adolescent Nursing (Pediatric Nursing) Unit 4 Discussion
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MN 580 Primary Care of Children and Adolescent Nursing (Pediatric Nursing) Unit 4 Discussion
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lOMoAR cPSD| 19857451MN 580 Primary Care of Children and
Adolescent Nursing (Pediatric Nursing)
Unit 4 Discussion
, lOMoAR cPSD| 19857451
Cardiac, Atopic, Rheumatic, Immunodeficiency, and Respiratory System Disorders
This week, you are discussing pediatric conditions affecting cardiac, atopic, rheumatic,
immunodeficiency, and respiratory system disorders. An important question for NPs is when
should you refer? The answer is more about clinical judgment than what the practice
guidelines say, although always follow practice guidelines on when to refer as with all
else. Remember, even cardiologists have difficulty with things such as distinguishing certain
murmurs. You need to be very careful about interpreting tests such as EKGs,
echocardiograms, chest films, MRIs, CT scans, etc. Unless you have received formal
education in these areas, it is best to refer. Always keep in mind "scope of practice."
Exceptions would be previously diagnosed conditions that are now stable with current
treatment.
You are expected to present your initial topic, including, but not limited to, the following
items:
• Pathophysiology
• Physical exam findings
• Differential diagnoses and rationale
• Management plan to focus on pharmacotherapy agents based upon evidence-based
practice guidelines
Topics:
1. Murmurs (innocent and pathologic)
2. Asthma
3. Infective endocarditis, pericarditis
4. Myocarditis
5. Cardiomyopathy
6. Cardiac dysrhythmias
7. Upper respiratory disorders (common cold, rhinosinusitis)
8. Pharyngitis, tonsillitis
9. Diphtheria, pertussis
10. Croup, epiglottitis
11. Nonbacterial and bacterial pneumonia
12. Cystic fibrosis
13. Pectus deformity
14. Rashes
15. Rheumatic fever
16. Systemic erythematosus lupus (SLE)
Any thoughts? Should the NP order any tests or labs before or while waiting for the referral?
If so, what are some of these?
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