Family Practice Guidelines: Third Edition

1032 Pages·2014·11.03 MB·English

by  Jill C. Cash MSN APN FNP-BC

Family PracTicE GuidElinEs
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third Edition s
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Jill C. Cash, MSN, APN, FNP-BC · Cheryl A. Glass, MSN, WHNP, RN-BC
Editors
Praise for the second Edition:
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namEd a 2013 doody’s corE TiTlE! Family
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“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
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—Doody’s Medical Reviews
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“This textbook provides comprehensive coverage of primary care disorders in an easy-to-read format and
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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
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information in an easy format that is particularly useful for quick reference [in] general practice settings
as well as specialty care.”
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—Anne Moore, APN, WHNP/ANP-BC, FAANP, Vanderbilt University
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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
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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
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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
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are highlighted “Practice Pointers” containing critical information. This resource also presents 19 procedure guidelines as
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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
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• 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
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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.
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Family Practice Guidelines
Third Edition
Jill C. Cash, MSN, APN, FNP-BC
Cheryl A. Glass, MSN, WHNP, RN-BC
Editors
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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,
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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
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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
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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
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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
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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
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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
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