Family Practice Guidelines: Third Edition PDF
Preview Family Practice Guidelines: Third Edition
Family PracTicE GuidElinEs G C l a a T h i r d E d iTi o n third Edition s s h s Jill C. Cash, MSN, APN, FNP-BC · Cheryl A. Glass, MSN, WHNP, RN-BC Editors Praise for the second Edition: GF namEd a 2013 doody’s corE TiTlE! Family a “This is a wonderful book for both novice and experienced physician assistants and nurse practitioners. u This latest edition will see frequent use in your daily practice.” Score: HHHHH m —Doody’s Medical Reviews i “This textbook provides comprehensive coverage of primary care disorders in an easy-to-read format and d contains invaluable step-by-step instructions for evaluating and managing primary care patients. . . [It] belongs in every NP and PA’s reference library. I highly recommend this wonderful textbook.” i PracTicE —Maria T. Leik, MSN, FNP-BC, ANP-BC, GNP-BC, President, National ARNP Services, Inc. El “Family Practice Guidelines is an excellent resource for the busy clinician. It offers succinct, comprehensive y l information in an easy format that is particularly useful for quick reference [in] general practice settings as well as specialty care.” i —Anne Moore, APN, WHNP/ANP-BC, FAANP, Vanderbilt University n P This is a comprehensive family practice resource for both novice and experienced primary care clinicians, providing current national practice guidelines for patient care across the life span in outpatient settings. It includes individual G u i dEl i nEs Er care guidelines for adult, child, pregnant, and geriatric patients; health promotion and dietary information; procedure guidelines; national resources; and comprehensive patient teaching guides. Fully updated, this third edition includes s seven new guidelines and three updated procedures, revised and new patient teaching guides in print and PDF a format, updated national treatment guidelines, and several new chapters. Three major sections encompass care guidelines, commonly used procedures, and 151 perforated patient teaching guides. c Included are nearly 300 disorder guidelines organized alphabetically by body system and presented in outline format. Each disorder includes definition, incidence, pathogenesis, predisposing factors, common complaints, signs/symptoms, subjective data, physical exam and diagnostic tests, differential diagnoses, plan of care, and follow-up care. Of special note ET T DH are highlighted “Practice Pointers” containing critical information. This resource also presents 19 procedure guidelines as i well as those for routine health maintenance. Appendices cover special diets, normal lab values, Tanner’s Sexual Maturity II Stages, and the teeth diagram. TR c new to the third Edition: ID O E • Eleven new protocols including atrial fibrillation, colorectal cancer screening guidelines, erectile dysfunction, lymphedema, deep vein thrombosis, hypogonadism, obstructive sleep apnea, peripheral N vascular disease, West Nile virus, and wound care • Nearly 150 completely updated and 11 new patient teaching guides in print and PDF formats • Updated national treatment guidelines throughout • New chapter on cultural sensitivity and diversity • Guidelines emphasize history-taking, the physical exam, and key elements of diagnoses Jill C. Cash • Cheryl A. Glass ISBN 978-0-8261-9782-5 Editors 11 W. 42nd Street New York, NY 10036-8002 9 780826 197825 www.springerpub.com Family Practice Guidelines Cash_Glass_97825_PTR_00_i-xx_FM_1-17-14.indd 1 1/17/14 11:02 PM Jill C. Cash, MSN, APN, FNP-BC, is a family nurse practitioner who currently prac- tices at Southern Illinois Rheumatology, located in southern Illinois. Jill has been practicing as a family nurse practitioner for over 18 years. She is a clinical precep- tor for nurse practitioner students for various nurse practitioner clinical programs. Her previous experience includes high-risk obstetrics as a clinical nurse specialist in Maternal-Fetal Medicine at Vanderbilt University Medical Center in the Department of Obstetrics- Gynecology. She received her Family Nurse Practitioner Certification from the National Certification Corporation and has a special interest in women’s health and rheumatology. Ms. Cash is a member of the Illinois Society for Advanced Practice Nurses; American Association of Nurse Practitioners (AANP); American College of Nurse Practitioners; Association of Women’s Health, Obstetrics, Neonatal Nursing; Ass ociation of Rheumatology Health Professionals; and Sigma Theta Tau International Honor Society of Nursing. She currently sits on the Board for Hospice of Southern Illinois, the Board for the American Cancer Society, and the Board for Women for Health and Wellness in Southern Illinois. She has authored several chapters in textbooks and is the c o-author of Family Practice Guidelines, First and Second Editions. Cheryl A. Glass, MSN, WHNP, RN-BC, is a women’s health nurse practitioner who currently practices as a clinical research specialist for KePRO in TennCare’s Medical Solutions Unit in Nashville, Tennessee. She is also adjunct faculty at Vanderbilt University School of Nursing. Ms. Glass has been a clinical trainer and trainer manager for Healthways. Her previous nurse practitioner practice was as clinical research coordinator on pharmaceutical clinical trials at Nashville Clinical Research. She also worked in a collaborative clinical obstetrics practice with the director and assistant directors of Maternal-Fetal Medicine at Vanderbilt University Medical Center Department of Obstetrics-Gynecology. The National Certification Corporation certifies Ms. Glass as a women’s health care nurse practitioner. She is a member of the American Association of Nurse Practitioners (AANP) and the National Association of Nurse Practitioners in Women’s Health. She is the author of several book chapters and is co-author of Family Practice Guidelines, and Editions. She has published five refereed journal First Second articles. In 1999, Ms. Glass was named Nurse of the Year by the Tennessee chapter of the Association of Women’s Health, Obstetric and Neonatal Nurses. Cash_Glass_97825_PTR_00_i-xx_FM_1-17-14.indd 2 1/17/14 11:02 PM Family Practice Guidelines Third Edition Jill C. Cash, MSN, APN, FNP-BC Cheryl A. Glass, MSN, WHNP, RN-BC Editors Cash_Glass_97825_PTR_00_i-xx_FM_1-17-14.indd 3 1/17/14 11:02 PM Copyright © 2014 Springer Publishing Company, LLC All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, e lectronic, mechanical, photocopying, recording, or otherwise, without the prior permission of Springer Publishing Company, LLC, or authorization through payment of the appropriate fees to the Copyright Clearance Center, Inc., 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400, fax 978-646-8600, [email protected] or on the Web at www.copyright.com. Springer Publishing Company, LLC 11 West 42nd Street New York, NY 10036 www.springerpub.com Acquisitions Editor: Margaret Zuccarini Composition: diacriTech ISBN: 978-0-8261-9782-5 e-book ISBN: 978-0-8261-6875-7 Patient Teaching Guides: 978-0-8261-2023-6 Patient Teaching Guides are available from www.springerpub.com/family-practice-guidelines-3e-ancillary 14 15 16 17 / 5 4 3 2 1 The author and the publisher of this Work have made every effort to use sources believed to be reliable to provide information that is accurate and compatible with the standards generally accepted at the time of publication. Because medical science is continually advancing, our knowledge base continues to expand. Therefore, as new information becomes available, changes in procedures b ecome necessary. We recommend that the reader always consult current research and specific institutional policies before performing any clinical procedure. The author and publisher shall not be liable for any special, consequential, or exemplary damages resulting, in whole or in part, from the readers’ use of, or reliance on, the information contained in this book. The publisher has no r esponsibility for the persistence or accuracy of URLs for external or third-party Internet websites referred to in this publication and does not guarantee that any content on such websites is, or will remain, accurate or appropriate. Library of Congress Cataloging-in-Publication Data Family practice guidelines / [edited by] Jill C. Cash, Cheryl A. Glass. — Third edition. p. ; cm. Includes bibliographical references and index. ISBN 978-0-8261-9782-5 — ISBN 978-0-8261-6875-7 (e-book) I. Cash, Jill C., editor of compilation, author. II. Glass, Cheryl A. (Cheryl Anne), editor of compilation, author. [DNLM: 1. Family Practice—methods—Handbooks. 2. Primary Nursing—methods—Handbooks. 3. Diagnostic Techniques and Procedures—Handbooks. 4. Nurse Practitioners. 5. Physician Assistants. WY 49] RT120.F34 610.73—dc23 2013038402 Special discounts on bulk quantities of our books are available to corporations, professional associations, pharmaceutical companies, health care organizations, and other qualifying groups. If you are interested in a custom book, including chapters from more than one of our titles, we can provide that service as well. For details, please contact: Special Sales Department, Springer Publishing Company, LLC 11 West 42nd Street, 15th Floor, New York, NY 10036-8002 Phone: 877-687-7476 or 212-431-4370; Fax: 212-941-7842 E-mail: [email protected] Printed in the United States of America by Bradford & Bigelow. Cash_Glass_97825_PTR_00_i-xx_FM_1-17-14.indd 4 1/17/14 11:02 PM Mom and Dad, Thank you for sharing your wisdom and love in many ways. Dad, I know there are holes in the floor of heaven allowing you to watch over me. —Jill Rob, Late nights and determination make the difference. Thank you for your patience, love, and confidence. —Jill Kaitlin and Carsen, You provide love and laughter in my life. I am so proud of you. You are my inspiration! —Mom “Success is not the key to happiness. Happiness is the key to success. If you love what you are doing, you’ll be a success.” —Albert Schweitzer This is dedicated to my older brother Joe, most lovingly called Papa Joe. You have shown us courage, strength, and humor through “kicking cancer’s butt.” You could not have done it without your bride, Miss Charlotte. —Cheryl To Ed, You are the best! I can’t wait to grow old with you. —Cheryl “If we cannot now end our differences, at least we can help make the world safe for diversity.” —John F. Kennedy Cash_Glass_97825_PTR_00_i-xx_FM_1-17-14.indd 5 1/17/14 11:02 PM Cash_Glass_97825_PTR_00_i-xx_FM_1-17-14.indd 6 1/17/14 11:02 PM Contents Contributors xiii Benign Skin Lesions 50 Candidiasis 51 Reviewers xv Contact Dermatitis 52 Preface xvii Eczema or Atopic Dermatitis 54 Erythema Multiforme 56 Acknowledgments xix Folliculitis 57 Hand-Foot-and-Mouth Syndrome 59 Section i. GuidelineS Herpes Simplex Virus Type 1 59 1. Health Maintenance Guidelines 3 Herpes Zoster, or Shingles 61 Jill C. Cash Impetigo 62 Cultural Diversity and Sensitivity Angelito Tacderas 3 Insect Bites and Stings 63 Contributing Factors to Cultural Diversity 3 Lice (Pediculosis) 65 Thoughtful Consideration 3 Lichen Planus 66 Health Maintenance During the Life Span 7 Pityriasis Rosea 67 Pediatric Well-Child Evaluation 7 Precancerous or Cancerous Skin Lesions 68 Anticipatory Guidance by Age 7 Psoriasis 70 Nutrition 7 Scabies 72 Weight Loss 15 Seborrheic Dermatitis 73 Exercise 15 Tinea Corporis (Ringworm) 75 Planning an Exercise Program 15 Tinea Versicolor 76 Patient Education Before Exercise 16 Warts 77 Other Providers 16 Wound Care 78 Adult Risk Assessment Form 16 Lower Extremity Ulcer Amy C. Bruggemann 78 Adult Preventive Health Care 16 Pressure Ulcers Amy C. Bruggemann 81 Immunizations 17 Wounds of the Skin 83 Immunizations for Travel 17 Xerosis (Winter Itch) 84 Links to the Immunization Schedules 34 4. Eye Guidelines 87 2. Pain Management Guidelines 35 Jill C. Cash Amblyopia 87 Moya Cook and Deanna Tacderas Blepharitis 88 Acute Pain 35 Cataracts 89 Chronic Pain 37 Chalazion 90 Lower Back Pain 41 Conjunctivitis 91 3. Dermatology Guidelines 45 Corneal Abrasion 93 Jill C. Cash Dacryocystitis 94 Acne Rosacea 45 Dry Eyes 95 Acne Vulgaris 46 Excessive Tears 97 Animal Bites, Mammalian 48 Eye Pain 98 vii Cash_Glass_97825_PTR_00_i-xx_FM_1-17-14.indd 7 1/17/14 11:02 PM viii • Contents Glaucoma, Acute Angle–Closure 99 Chronic Venous Insufficiency and Varicose Hordeolum (Stye) 101 Veins Laura A. Petty 196 Strabismus 102 Deep Vein Thrombosis (DVT) Laura A. Petty 198 Subconjunctival Hemorrhage 103 Heart Failure Cheryl A. Glass 200 Uveitis 104 Hypertension Jill C. Cash and Cheryl A. Glass 207 Lymphedema Laura A. Petty 213 5. Ear Guidelines 107 Murmurs Jill C. Cash 214 Moya Cook and Jill C. Cash Palpitations Jill C. Cash 217 Acute Otitis Media 107 Peripheral Arterial Disease Laura A. Petty 219 Cerumen Impaction (Earwax) 109 Superficial Thrombophlebitis Cheryl A. Glass and Hearing Loss 110 Laura A. Petty 222 Otitis Externa 111 Syncope Jill C. Cash 224 Otitis Media With Effusion (OME) 113 Tinnitus 114 10. Gastrointestinal Guidelines 231 Cheryl A. Glass 6. Nasal Guidelines 117 Abdominal Pain 231 Jill C. Cash Appendicitis 236 Allergic Rhinitis 117 Celiac Disease 238 Epistaxis 119 Cholecystitis 242 Nonallergic Rhinitis 121 Colic 244 Sinusitis 123 Colorectal Cancer Screening 246 7. Throat and Mouth Guidelines 127 Constipation 248 Crohn’s Disease 252 Jill C. Cash Avulsed Tooth 127 Cyclosporiasis 258 Dental Abscess 128 Diarrhea 260 Epiglottitis 129 Diverticulosis and Diverticulitis 262 Oral Cancer, Leukoplakia 130 Elevated Liver Enzymes 264 Pharyngitis 132 Gastroenteritis, Bacterial and Viral 267 Stomatitis, Minor Recurrent Aphthous Stomatitis 134 Gastroesophageal Reflux Disease (GERD) 271 Thrush 135 Giardiasis Intestinalis 274 Hemorrhoids 277 8. Respiratory Guidelines 139 Hepatitis A 279 Cheryl A. Glass Hepatitis B 283 Asthma 139 Hepatitis C 288 Bronchiolitis 144 Hernias, Abdominal 292 Bronchitis, Acute 146 Hernias, Pelvic 294 Bronchitis, Chronic 148 Hirschsprung’s Disease (HD) or Congenital Aganglionic Chronic Obstructive Pulmonary Disease 150 Megacolon 297 Common Cold/Upper Respiratory Infection 154 Hookworm, Ancylostoma Duodenale and Necator Cough 156 Americanus 299 Croup, Viral 158 Irritable Bowel Syndrome (IBS) 301 Emphysema 160 Jaundice 305 Obstructive Sleep Apnea 163 Malabsorption 308 Pneumonia (Bacterial) 165 Nausea and Vomiting 311 Pneumonia (Viral) 168 Peptic Ulcer Disease 314 Respiratory Syncytial Virus 170 Pinworm, Enterobius Vermicularis 318 Tuberculosis 172 Post–Bariatric Surgery Management 319 Roundworm, Ascaris Lumbricoides 323 9. Cardiovascular Guidelines 179 Ulcerative Colitis 325 Jill C. Cash, Cheryl A. Glass, and Laura A. Petty Acute Myocardial Infarction Jill C. Cash 179 11. Genitourinary Guidelines 335 Arrhythmias Jill C. Cash 181 Cheryl A. Glass Atherosclerosis and Hyperlipidemia Cheryl A. Glass 184 Benign Prostatic Hypertrophy 335 Atrial Fibrillation Laura A. Petty 188 Chronic Kidney Disease in Adults Debbie Croley Chest Pain Cheryl A. Glass 192 and Angelito Tacderas 339 Cash_Glass_97825_PTR_00_i-xx_FM_1-17-14.indd 8 1/17/14 11:02 PM Contents • ix Epididymitis 344 Premenstrual Syndrome (PMS) 460 Erectile Dysfunction 346 Vulvovaginal Candidiasis 463 Hematuria 350 14. Sexually Transmitted Infections Hydrocele 353 Guidelines 467 Interstitial Cystitis 355 Jill C. Cash Prostatitis 357 Chlamydia 467 Proteinuria 361 Gonorrhea 468 Pyelonephritis 364 Herpes Simplex Virus Type 2 470 Renal Calculi, or Kidney Stones (Nephrolithiasis) 368 Human Papillomavirus (HPV) 472 Testicular Torsion 371 Syphilis 473 Undescended Testes, or Cryptorchidism 372 Trichomoniasis 476 Urinary Incontinence 374 Urinary Tract Infection (Acute Cystitis) 379 15. Infectious Disease Guidelines 479 Varicocele 383 Cheryl A. Glass 12. Obstetrics Guidelines 389 Cat-Scratch Disease (CSD) 479 Jill C. Cash Cytomegalovirus (CMV) 481 Antepartum 389 Encephalitis 486 Preconception Counseling: Identifying H1N1 Influenza A (Swine Flu) 489 Patients at Risk 389 Influenza (Flu) 491 Routine Prenatal Care 391 Kawasaki Disease 495 Anemia, Iron Deficiency 394 Lyme Disease 498 Gestational Diabetes Mellitus (GDM) 396 Meningitis 501 Pregnancy Induced Hypertension (PIH) or Mononucleosis (Epstein-Barr) 505 Preeclampsia 398 Mumps 507 Preterm Labor (PTL) 400 Parvovirus 19 (Fifth Disease, Erythema Infectiosum) 510 Pyelonephritis in Pregnancy 402 Rheumatic Fever 512 Vaginal Bleeding: First Trimester 404 Rocky Mountain Spotted Fever 515 Vaginal Bleeding: Second and Third Trimester 407 Roseola (Exanthem Subitum) 518 Postpartum 409 Rubella (German Measles) 519 Breast Engorgement 409 Rubeola (Red Measles, or 7-Day Measles) 521 Endometritis 410 Scarlet Fever (Scarlatina) 525 Hemorrhage, Late Postpartum 412 Toxoplasmosis 527 Mastitis 413 Varicella (Chickenpox) 531 Postpartum Care: Six Weeks Postpartum Exam 415 West Nile Virus Debbie Croley 534 Postpartum Depression 416 16. Systemic Disorders Guidelines 541 Wound Infection 419 Julie Adkins 13. Gynecologic Guidelines 423 Chronic Fatigue 541 Rhonda Arthur Fevers of Unknown Origin 543 Amenorrhea 423 Human Immunodeficiency Virus Beverly R. Byram 546 Atrophic Vaginitis 425 Idiopathic (Autoimmune) Thrombocytopenic Purpura 550 Bacterial Vaginosis (BV, or Gardnerella) 427 Iron-Deficiency Anemia (Microcytic, Hypochromic) 552 Bartholin Cyst or Abscess 429 Lymphadenopathy 555 Breast Pain 430 Pernicious Anemia (Megaloblastic Anemia) 558 Cervicitis 432 Systemic Lupus Erythematosus (SLE) Julie Adkins Contraception 433 and Jill C. Cash 561 Dysmenorrhea 438 Vitamin D Deficiency Jill C. Cash and Julie Adkins 563 Dyspareunia 440 Emergency Contraception 442 17. Musculoskeletal Guidelines 567 Endometriosis 445 Julie Adkins Infertility 447 Fibromyalgia 567 Menopause 451 Gout Julie Adkins and Jill C. Cash 569 Pap Smear Interpretation 455 Neck and Upper Back Disorders 570 Pelvic Inflammatory Disease (PID) 458 Osteoarthritis 572 Cash_Glass_97825_PTR_00_i-xx_FM_1-17-14.indd 9 1/17/14 11:02 PM
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