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1、PediatricTreatmentGuidelinesNewAAPGuidelines2004EditionKarenScruggs,MDMichaelT.Johnson,MDCurrentClinicalStrategiesPublishingwww.ccspublishing.com/ccsDigitalBookandUpdatesPurchasersofthisbookmaydownloadthedigitalbookandupdatesforPalm,PocketPC,WindowsandMacintosh.Thedigitalbo
2、okscanbedownloadedattheCurrentClinicalStrategiesPublishingInternetsite:www.ccspublishing.com/ccs/pedtreat.htmCopyright©2004byCurrentClinicalStrategiesPublishing.Allrightsreserved.Thisbook,oranypartsthereof,maynotbereproducedorstoredinaretrievalnetworkwithoutthewrittenpermis
3、sionofthepublisher.Thereaderisadvisedtoconsultthedrugpackageinsertandotherreferencesbeforeusinganytherapeuticagent.Nowarrantyexists,expressedorimplied,forerrorsandomissionsinthistext.CurrentClinicalStrategiesPublishing27071CabotRoadLagunaHills,California92653Phone:800-331-8
4、227Fax:800-965-9420info@ccspublishing.comInternet:www.ccspublishing.com/ccsPrintedinUSAISBN1-929622-26-0NeonatologyNormalNewbornCareI.PrenatalpediatricvisitA.Theprenatalpediatricvisitusuallytakesplaceduringthethirdtrimesterofthepregnancy.Maternalnutrition,thehazardsofalcoho
5、l,cigarettesmokingandotherdrugs,andthedangersofpassivesmokingshouldbediscussed.Maternalillnessesandmedicationsshouldbereviewed.PrenatalPediatricVisitDiscussionIssuesMaternalHistoryGeneralhealthandnutritionPastandpresentobstetrichistoryMaternalsmoking,alcohol,ordruguseMatern
6、almedicationsInfectiousdiseases:Hepatitis,herpes,syphilis,ChlamydiarubellaMaternalbloodtypeandRhbloodgroupsFamilyHistoryNewbornIssuesAssessmentofbasicparentingskillsFeedingplan:BreastfeedingvsformulaCarseatsCircumcisionofmaleinfantII.DeliveryA.Neonatalresuscitation1.Allequi
7、pmentmustbesetupandcheckedbeforedelivery.Theinfantwhofailstobreathspontaneouslyatbirthshouldbeplacedunderaradiantwarmer,dried,andpositionedtoopentheairway.Themouthandnaresshouldbesuctioned,andgentlestimulationprovided.2.Themouthshouldbesuctionedfirsttopreventaspiration.Prol
8、ongedoroverlyvigoroussuctioningmayleadtobradycardiaandshouldbeavoidedunlessmoderat