Nail Trephination
Indications Print Section Listen • Subungual hematoma with pain. • Some experts suggest that nail removal and repair should be prompted by the percentage of nailbed involved (eg, greater than…
Suprapubic Catheterization
Indications Print Section Listen • Diagnostic evaluation of urine in an infant. Contraindications Print Section Listen Absolute • Neutropenia. • Thrombocytopenia and bleeding disorders. • Cellulitis and infection at puncture…
Paracentesis/Peritoneal Lavage
Indications Print Section Listen • Diagnostic sampling of ascitic fluid (eg, internal bleeding following blunt abdominal trauma, chylous ascites after surgery, rule out malignancy, identification of infectious organism in spontaneous…
Gastrostomy Tube Replacement
Indications Print Section Listen • First change should be performed 6–8 weeks after initial gastrostomy tube placement. • Dislodged gastrostomy tube or gastrostomy button. • Replacing a gastrostomy button. •…
Nasogastric Tube Insertion
Indications Print Section Listen • Decompression of the upper gastrointestinal tract (eg, pancreatitis, intestinal obstruction). • Gastric lavage. • Enteral feeding. Contraindications Print Section Listen Absolute • Unstable airway. •…
Hernia Reduction
Indications Print Section Listen • A hernia is a benign process unless the contents within the hernia sac become incarcerated. • Incarceration is the inability of the hernia’s contents to…
Gastric Lavage
Indications Print Section Listen • Therapeutically: To remove gastric contents after poisoning or drug overdose. • Diagnostically: To confirm upper gastrointestinal bleeding. Contraindications Print Section Listen Absolute • Unstable airway….
Thoracentesis
Indications Print Section Listen • Therapeutic drainage of pleural effusion in patient with respiratory compromise when fluid is unlikely to reaccumulate. • Diagnostic evaluation of pleural effusion of unknown etiology….
Chest Tube Insertion
Indications Print Section Listen • Prolonged drainage of air or fluid (eg, empyema, hemothorax) from the pleural space. • Definitive treatment of a tension pneumothorax (after needle decompression). Contraindications Print…
Blood Pressure Management
Indications Print Section Listen • All children aged 3 years or older who are seen in any medical setting should have their blood pressure (BP) measured. • BP is a…
