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Persons exposed to discount accupril 10 mg visa chlorine become restless quality accupril 10 mg, sneeze, develop sore throat and salivate copiously. Wet chlorine at low pressure can be handled in chemical stonewear, glass or porcelain and in certain alloys and plastics. Cylinders are normally protected from over-pressurization by a fusible metal plug melting at about 85°C. Insert a trap in the line between the chlorine supply and the receiver of sufficient capacity to accommodate all the liquid. It is colourless and odourless, only slightly soluble in water but readily soluble in hydrocarbons. Although relatively inactive at ambient temperature it reacts with many elements either at high temperatures or in the presence of catalysts and can react dangerously with air, acetylene, aromatics, unsaturated organic matter, halogens, metals such as lithium, calcium, barium, strontium and potassium, and with oxidants such as chlorine dioxide, oxides of nitrogen and palladium oxides. Anhydrous hydrogen chloride is a colourless, pungent, heavy, corrosive, thermally-stable gas with a suffocating odour. It is heavier than air and fumes strongly in moist air and is highly soluble in water with evolution of much heat. It is shipped as a liquefied gas with a cylinder pressure of about 613 psig at 21°C and platinum coated frangible bursting discs and fusible metal plugs. Its toxicity results from its severe irritating effects to the upper respiratory tract and corrosivity towards skin, eyes and mucous membranes. Neutralization of alkalis in tissues can result in death from oedema or spasm of the larynx. In the presence of moisture, however, most metals are corroded and it is advised that the proposed use and pressures are discussed with the supplier so that suitable construction materials are established prior to installation. Hydrogen chloride gas has produced runaway reactions with dinitrotoluene, fluorine (with ignition), sodium, and alcoholic hydrogen cyanide. Liquid hydrogen chloride does not conduct electricity and is without action on zinc, iron, magnesium, calcium oxide and certain carbonates. Some special precautions for use of compressed hydrogen chloride gas include: • Store and use under ventilated conditions. Hydrogen sulphide is used in the preparation of metal sulphides, oil additives etc. Commercially it is obtained as a by-product from many chemical reactions including off-gas in the production of some synthetic polymers. Hydrogen sulphide is a dense, colourless, highly flammable water-soluble gas with an offensive odour of rotten eggs. Acute poisoning may result from exposures at or above 700 ppm due to systemic effects, including attack on the nervous system and respiratory collapse. Hydrogen sulphide may become rapidly oxidized on contact with a range of metal oxides and in certain cases may ignite or explode. Cylinders are typically protected from over-pressurization by frangible gold-plated discs and fusible plugs. Important precautions include: • Use in well-ventilated conditions and eliminate sources of ignition. Strips of wet lead acetate paper turn black on exposure to hydrogen sulphide and offer a simple indicator, as do colour indicator tubes.

The data listed are for comparison purposes only since retention time for a compound can vary according to order genuine accupril line the condition of the column packing material purchase cheap accupril on-line, packing procedure and chemical interaction among the components of a vapour mix. T y y s C o m p o u n d A n a l y t i c a l P a t h l e n g t h m A b s o r b e n c e M i n i m u m D e t e c t a b l e W a v e l e n g t h m C o n c e n t r a t i o n ppm (m tr c e ll A c e t l h A c e tc c i A c e tc nh r A c e tone A c e toni trl A c e toph none A c e t l ne A c e t l ne c h lor s e e c h loroe th l ne A c e t l ne t tr b rom A c rol n A c r loni trl A ll l lc oh ol A ll lc h lor A ll lgl c i l th r 2 m noe th nol s e e th nol m ne A m m oni n m l c e t t A ni lne A rsi ne A r l m s e e rb r l B nz ne p nz oqu none s e e Q none B nz lc h lor B sph nol s e e gl c i l th r B s(c h lorom th l th r B oron trfl or B rom oform B t ne b t ne B t ne B t ne th ol s e e t lm rc a pt n 2 t none 2 tox th nol b t lc e llosol B t l c e t t n b t l c e t t se c t l c e t t t rt t l c e t t n t l lc oh ol se c t l lc oh ol t rt t l lc oh ol B t l m ne B t l th r B t lc a rb tol n t lgl c i l th r B t lm rc a pt n p t rt t ltol ne C rb on su lph C rb on ox C rb on m onox C rb on t tr c h lor C rb ony lsu lph C rb r C h lorna t c a m ph ne C h lorob nz ne m onoc h lorob nz ne C h lorob rom om th ne 2 h loro b t ne s e e h loropr ne C h lorod fl orom th ne r on 1 h loro pox propa ne s e e pi c h loroh rn 2 h loroe th nol s e e th l ne c h loroh rn C h loroe th l ne s e e ny lc h lor C h loroform trc h lorom th ne 1 h loro ni tropropa ne C h lorope nt fl oroe th ne ne tron C h loropi c rn trc h loroni trom th ne C h loropr ne c h loro b t ne C h lorotrfl oroe th l ne C r sol ll som rs) C rotona l h tr ns b t na l C m ne sopropy lb nz ne C noge n C c loh ne C c loh nol C c loh none C c loh ne D t r m ox D se c h lor os D c e tone lc oh ol h rox m th l pe nt none 1 m noe th ne s e e th l ne m ne D b or ne D b rom oc h loropropa ne 1 b rom ot tr fl oroe th ne o c h lorob nz ne p c h lorob nz ne D c h lorod fl orom th ne r on 1 c h loroe th ne 1 c h loroe th l ne T C o m p o u n d A n a l y t i c a l P a t h l e n g t h m A b s o r b e n c e M i n i m u m D e t e c t a b l e W a v e l e n g t h m C o n c e n t r a t i o n ppm (m tr c e ll D c h loroe th l th r D c h lorom th ne s e e th l ne c h lor D c h lorom onofl orom th ne r on 1 c h loro ni troe th ne 1 c h loropropa ne s e e ropy l ne c h lor D c h lorot tr fl oroe th ne r on D c h lor os D D th l m ne D th l m no th nol D th l th r s e e th l th r D th lke tone D th lm lona t D fl orod b rom om th ne D gl c i l th r D h rox b nz ne s e e roqu none D sob t lke tone D sopropy l m ne 1 m th ox th ne D m th ox m th ne s e e th l l N N m th l c e t m D m th l m ne D m th l m nob nz ne s e e l ne D m th l ni lne m th l ni lne D m th lb nz ne s e e l ne D m th lform m 2 m th lh pt none s e e sob t lke tone D m th lsu lph t D m th lsu lph ox D ox ne th l ne ox D ph ny lm th ne soc y na t s e e th l ne b sph ny l soc y na t l E nfl r ne E pi c h loroh rn 1 pox propa ne s e e ropy l ne ox 2 pox propa nol s e e l c i ol E th ne th ol s e e th lm rc a pt n E th ne E th nol m ne 2 th ox th nol c e llosol 2 th ox th l c e t t c e llosol c e t t E th l c e t t E th l c r l t E th l lc oh ol th nol E th l m ne E th lse c m lke tone m th l h pt none E th lb nz ne E th lb rom E th lb t lke tone h pt none E th lc h lor E th l th r E th lform t 2 th lh nol E th lm rc a pt n E th lsi lc a t E th l ne E th l ne c h loroh rn E th l ne m ne E th l ne b rom b rom oe th ne E th l ne c h lor c h loroe th ne E th l ne gl c olm onom th l th r c e t t s e e th lc e llosol c e t t E th l ne ox E th l ne c h lor s e e c h loroe th ne F l orob nz ne F l orotrc h lorom th ne r on F l rox ne F orm l h F orm c c i F rfu r l F rfu r l lc oh ol G l c i ol pox propa nol G l c olm onoe th l th r s e e th ox th nol G th on s e e nph osm th l H loth ne H pt ne n h pt ne 1 pt nol H c h loroe th ne H fl oroprope ne H ne n h ne 2 none H one m th l sob t lke tone se c l c e t t H r ne H roge n c h lor T C o m p o u n d A n a l y t i c a l P a t h l e n g t h m A b s o r b e n c e M i n i m u m D e t e c t a b l e W a v e l e n g t h m C o n c e n t r a t i o n ppm (m tr c e ll H roge n c y ni H roqu none I soa m l c e t t I soa m l lc oh ol I sob t l c e t t I sob t l lc oh ol I sod c a nol I sofl r ne I soph orone I sopr ne I sopropy l c e t t I sopropy l lc oh ol I sopropy l m ne I sopropy l th r L lqu fi pe trol m ga s) M si t lox M th ne M th ne th ol s e e th lm rc a pt n M th ox fl r ne 2 th ox th nol s e e th lc e llosol M th l c e t t M th l c e t l ne propy ne M th l c r l t M th l l m th ox m th ne M th l lc oh ol m th nol M th l m ne M th l m l lc oh ol s e e th l sob t lc a rb nol M th ln m lke tone h pt none M th lb rom M th lb t lke tone s e e none M th lc e llosol M th lc e llosol c e t t M th lc h lor M th lc h loroform M th lc y c loh ne M th lc y c loh nol o th lc y c loh none M th l ne b sph ny l soc y na t l M th l ne c h lor M th l th lke tone s e e t none N m th lform m M th lform t M th l od M th l soa m lke tone M th l sob t lc a rb nol M th l sob t lke tone s e e one M th l soc y na t M th l sopropy lke tone M th lm rc a pt n M th lm th c r l t M th lpropy lke tone s e e nt none fi th lst r ne M onom th l ni lne M orph olne N c ke lc a rb ony l N trc ox N trob nz ne N troe th ne N troge n ox N troge n trfl or N trom th ne N trotol ne N trotrc h lorom th ne s e e h loropi c rn N trou s ox O c t ne P nt ne 2 nt none P rc h loroe th l ne P trol m stll t s P h ny l th rb ph ny lm t r pou r P h ny l th l ne s e e t r ne P h ny lh r ne P h osge ne c a rb ony lc h lor P h osph ne P c rc c i P ropa ne n ropy l c e t t P ropy l lc oh ol n ropy lc h lor n ropy lni tr t P ropy l ne c h lor P ropy l ne ox P ropy ne s e e th l c e t l ne P r ne T C o m p o u n d A n a l y t i c a l P a t h l e n g t h m A b s o r b e n c e M i n i m u m D e t e c t a b l e W a v e l e n g t h m C o n c e n t r a t i o n ppm (m tr c e ll Q none S tod r sol nt S t r ne S lph r ox S lph rh fl or S lph r lfl or S stox s e e m ton 1 tr c h loro fl oroe th ne r on 1 tr c h loroe th ne 1 tr c h loroe th ne T tr c h loroe th l ne s e e rc h loroe th l ne T tr c h lorom th ne s e e rb on t tr c h lor T tr h rofu r n T tr l T ol ne o ol ne T ox ph ne s e e h lorna t c a m ph ne T rb t lph osph t 1 rc h loroe th ne s e e th lc h loroform 1 rc h loroe th ne T rc h loroe th l ne T rc h lorom th ne s e e h loroform 1 rc h loropropa ne 1 rc h loro rfl oroe th ne r on T rfl orom onob rom oe th ne r on 2 rni troph nol s e e c rc c i 2 rni troph ny lm th lni tr m ni ne s e e tr l T rpe ntne V ny lb nz ne s e e t r ne V ny l c e t t V ny lb rom V ny lc h lor V ny lc y ni s e e c r loni trl V ny l ne c h lor V ny ltol ne X l ne lol X l ne (h na l tc a l l ngth h s su ll b n c h ose n sth tof th stronge stb nd n th spe c tr m h c h sfr from nt rfe r nc e to tm osph rc t r nd C f m or th n one nfr r b sorb ng m t r l spr se nt n th r n si gni fi c a ntc onc e ntr ton, th se of noth r na l tc a l l ngth m b ne c e ssa r (th l ngth s r c h ose n to optm r ngs tth posu r lm ts. Insertion of the tube incorrectly into the pumphousing (the correct direction is indicated on the tube). Leaks in sample lines, or insufficient time allowed to lapse between pump strokes when extensions are used. Tubes should be stored under refrigerated conditions but allowed to warm to ambient temperature prior to use. Use of tubes under conditions of temperature, pressure or humidity outside the range of calibration. Unless pumps possess a limiting orifice they should be calibrated with the air indicator tube in position. Interference due to the presence of other contaminants capable of reacting with the tube reagent. Equipment for personal monitoring comprises a lapel-mounted filter holder connected to a portable pump with a flow rate of about 3 litres/min. In order to ensure uniformity of fractionation, smooth and constant flow rates are essential. For background monitoring, miniaturization is unimportant and as a consequence equipment incorporates pumps of higher flow rates, typically fi100 1/min. Humidity-controlled balance rooms, microbalances and careful handling techniques may be required. Uniform pore size T rt ul t sm on tori n g – pri n pl sof ppa ra tus P r i n c i p l e E x a m p l e s C o l l e c t i o n S a m p l i n g C o l l e c t i o n A n a l y s i s A d v a n t a g e s d i s a d v a n t a g e s r a t e e f f i c i e n c y (l in I pin ger idgetim pin ger y bubblin g icroscopy ggregates brok en up; on ly particles collected. F iltration ibrous filter – – ravim etric orfi ibrous filtergood forgravim etric an alysis D epen ds on ch em ical fi fora ran ge ofparticle sizes particle size fi fastan d relatively easy) fi values stated fi 2 em bran e forth ose icroscopy fi em bran e filtergood for icroscopy filter usually gravim etric orfi iden tification ofparticles an d cou tin g en cou tered ch em ical fi w h ere required. T on t P r i n c i p l e E x a m p l e s C o l l e c t i o n S a m p l i n g C o l l e c t i o n A n a l y s i s A d v a n t a g e s d i s a d v a n t a g e s r a t e e f f i c i e n c y (l in P h otom etry Nu ber igh tscattered ives autom atic particle sizin g butaccuracy con cen tration on to a on ly guaran teed ifcalibrated for. R oyco ph otom ultiplier particulate ofin terest D irectreadin g 2 ass igh tscattered V ery versatile – on ly accurate con tin uous con cen tration on to a lon g ter ass on itorin g in stru en t. Sim slin ph otom ultiplier sam ple ay also be collected on a filter D irectreadin g Suitable forautom ated operation s. P iezoelectric lectrostatic frequen cy of h an ge in U suitable foram bien tair on itorin g. Methods for assessment of workplace air are published by the Health and Safety Executive. Examples of other official methods for monitoring workplace air quality are those published by the British Standards Institute (Table 10. Some basic considerations include the following, with examples of application for employee exposure and incident investigation. Sampling It is crucial to consider the sampling protocol, equipment, calibration, and validation. Tightly sealed sample containers of adequate strength, and generally protected from heat and light, are required. Sample containers must not become contaminated with the substance under study or by any major interfering chemicals. Precautions must also prevent accidental loss of material collected awaiting analysis.

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Intraocular foreign bodies retained in the posterior segment can be very challenging to order accupril 10 mg fast delivery remove without additional injury to buy 10 mg accupril amex ocular structures. Therefore, they should be left alone during the initial globe repair and a vitreoretinal subspecialist consulted about subsequent removal. Globe rupture is splitting or tearing of the cornea and/or sclera at a relatively weak point by severe blunt ocular trauma. Relatively common sites are posterior to the extraocular muscles (especially in the superonasal quadrant), along incisions from prior intraocular surgery, and at the lamina cribrosa. Globe rupture should be suspected in the setting of any blunt trauma resulting in massive hemorrhagic chemosis or a profoundly soft eye (Figure 19–3). If an open globe injury is identified or suspected, straightaway a protective shield should be taped over the injured eye and urgent ophthalmology consultation arranged. Analgesic and antiemetic medications should be administered to keep the patient reasonably comfortable and avoid vomiting. Once an ophthalmologist has confirmed an open globe injury, surgical repair should be undertaken as soon as reasonably possible. General anesthesia should be induced without the use of depolarizing agents (eg, succinylcholine) as this can lead to increased intraocular pressure and extrusion of intraocular contents. The ophthalmologist explores the wound to determine its full extent and plan the surgical repair. In most cases, corneal lacerations and ruptures are closed using 10-0 nylon sutures with buried knots, and scleral discontinuities are closed using 8-0 or 9-0 nylon sutures. Iris and/or ciliary body tissue incarcerated in the wound may be replaced inside the eye (reposited) if it is not necrotic or grossly contaminated. Precise realignment of the wound edges and release of incarcerated corneal and conjunctival epithelium are important. If the conjunctiva was lacerated or incised to facilitate exposure of a scleral wound, it is closed with absorbable 7-0 or 8-0 sutures. Antibiotics and corticosteroids are often injected subconjunctivally at the conclusion of the operation and continued as eye drops postoperatively. The 841 patient should be examined frequently in the postoperative period for wound leaks, infection, recurrent intraocular bleeding, hypotony, and ocular hypertension that may require additional treatment. Intraocular or Intraorbital Foreign Body A history of explosion, gunshot wound, or striking of metal upon metal should raise suspicion of an intraocular or intraorbital foreign body. If the optical media are still relatively clear, it may be possible for an ophthalmologist to detect or exclude an intraocular foreign body. Closed Globe Injuries Corneal abrasion, a scratching or scraping away of some of the corneal epithelium (Figure 19–8), is one of the most common ophthalmic injuries encountered in an emergent care setting. Commonly there is a history of an injury, such as from a finger nail or during manipulation of a contact lens. Typically there is severe foreign body sensation, tearing, light sensitivity, and blurred vision. Administration of a topical anesthetic drop usually improves the patient’s symptoms dramatically. Slitlamp examination with fluorescein, which stains the exposed basement membrane, will reveal the extent of the corneal abrasion. Treatment for corneal abrasion should always include topical broad spectrum antibacterial agents.

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See Heart disease Lyme disease and generic accupril 10mg online, 432 Cardiac lesions purchase 10mg accupril visa, ductal-dependent, 306 maternal conditions compatible with, Cardiopulmonary resuscitation, 196, 310 290–291 Care bundles, 447–448 maternal infections and, 450–451 Carpenter and Coustan, on glucose level, 228, milk collection and storage, 291–293, 292t 228t 552 index Car safety seats, 307, 309, 312. See also Car-seat Cervical carcinomas, human papillomavirus and, carriers 404 Car-seat carriers, 312. See also Chest X-ray, for tuberculosis, 424, 425, 426 Cervical insufficiency Chickenpox, 305, 412 Cerebral atrophy, diffuse, 323 Child abuse Cerebral energy deficiency, neonatal hypoglycemia factors associated with, 314 and, 300 high-risk infants at risk for, 375, 377 Cerebral palsy, 326, 343 intimate partner violence and, 131, 132 Cerebrovascular accidents, drug use in pregnancy or neglect and, 338 discharge readiness and, 307 Certified midwives, 491, 492 medical record of, 279 Certified nurse–midwives, 491, 492–493 neonatal withdrawal and, 337 Certified professional midwives, 491, 492–493 Childbirth Connection, 493 index 553 Childbirth education classes, 157 Communication Childhood obesity, gestational diabetes mellitus barriers, adequate follow-up and, 153 and, 227 of fetal autopsy results, 261 Chlamydia (Chlamydia trachomatis) informed consent and, 156 early pregnancy screening for, 112, 114b, 115 of neonatal information, 278–279 gonorrhea and, 416–417 of occupational exposure hazards, 521, 527–529 incidence and management, 415–416 patient safety and, 70 preconception testing for, 99 women with disabilities and, 154 premature rupture of membranes and, 176, 260 Complete blood count, 113t, 214 topical agents and, 284 Complications. See Informed consent Clinical protocols, quality improvement and, Continuous positive airway pressure, bronchopul 63–64 monary dysplasia and, 352 Clomipramine, neonatal withdrawal and, Contraception 336–337t oral Clothing, for newborn, 287 after bariatric surgery, 218 Cocaine, 337, 428 breastfeeding and, 291 Cohort programs during epidemics, 451–452 postpartum Coitus for adolescents, 151 genital herpes simplex virus infection and, 394 antepartum counseling on, 161 postpartum, 201 barrier methods, 205 preterm labor and, 258 benefits and choices for, 202–203 Cold sores, 398 hormonal, 205 Colic, infantile, 128 for incarcerated women, 152 Collaborative practice, 493 long-acting reversible, 203–204 Collagen-vascular disease, 236b parent education on, 310 Combined units, 39–43 sterilization, 203–204 Comfort measures, for stress and pain manage Contraceptive implants, 204 ment, 362–363 Contractions. See Uterine contractions Committee on Perinatal Health, 1 Contraction stress test, 146, 148–149, 236 554 index Contrast agents, iodinated, 142 D Convalescence length, 201 D (Rh) type. See also Body temperature postpartum management, 227 hypoxic–ischemic encephalopathy care at, pulmonary embolism and, 225 324–325 recommended consultation for, 477 during pregnancy, 143 Deferoxamine, 215 Cor pulmonale, bronchopulmonary dysplasia Dehydration, 281, 307, 330. See also Privileges multiple gestations, 194 family physicians, 484–485 nutrition during, 158 of medical providers, 21–22 obese mother and, 216 obstetricians, 482–483 postanesthesia care and, 196 physician assistants, 33 postpartum care, 201 Critical care. See Chorionic villus sampling venous thromboembolism and, 226–227 Cyanosis, 276, 345 cytomegalovirus and, 383–384 Cyanotic congenital heart disease, 304 elective, 160 Cystic fibrosis carrier testing, 101, 120, facilities for, 41–43 121t gestational diabetes mellitus, 229–230 Cytomegalovirus, 383–385 human immunodeficiency virus and route of, breastfeeding and, 291 401 health care-associated, 444 intrauterine growth restriction and, 236–237 index 555 Delivery (continued) Diet. See also Asian ethnicity Diazepam, neonatal withdrawal and, 336–337t Echoviruses, 385–386, 454 556 index Eclampsia. Food and Drug Administration nonwhite, trial of labor after cesarean delivery Feeding. See also Retinopathy of prematurity medical record of, 279 chlamydial infection in newborns and, 416 postpartum follow-up on, 208 congenital rubella syndrome and, 410 recommended consultation for, 479 covered, phototherapy and, 332–333 Fetal breathing movements gonococcal infection in newborns and, 417 biophysical profile and, 149 initial examination of, 354, 355t Fetal compromise neonatal care for, 284 postterm pregnancy and, 256 protection for, infection control and, 445 premature rupture of membranes and, 260 Fetal death (demise, loss) F antiphospholipid syndrome and, 211 Facial abnormalities, anesthesia risks and, 186–187 chronic hypertension and, 232 Facial clefting, obese mother and, 217 current reporting requirements, 511–512 Falls, trauma during pregnancy and, 246 definition, 498 False labor, 175, 515 delivery methods, 261 Family. See Contraception recommended consultation for, 478 Fanconi anemia group C screening, 121t recommended consultation for, 479 Fasting plasma glucose test, 230 recurrence counseling, 262 Father. See also Family; Parents; Partner; Support reporting requirements and recommendations, persons 508 labor and delivery and, 169, 195 risk factors and comorbidities, 261 postpartum period and, 304 sickle cell disease and, 215 558 index Fetal death (demise, loss) (continued) Flu vaccine, 98, 118, 198, 295, 442. See also spontaneous, increased nuchal transparency Influenza viruses measurement and, 124 Folic acid (folate), 102–103 state differences in definition of, 497 antepartum, after bariatric surgery, 218–219 twin–twin transfusion syndrome and, 242 Dietary Folate Equivalents, 133 uncontrolled pregestational diabetes mellitus preconception supplementation, 103t and, 220 during pregnancy, 133 Fetal growth restriction. See also Growth restric for pregnant and lactating adolescents and tion; Intrauterine growth restriction women, 134t chronic hypertension and, 232, 233 sickle cell disease and, 215 inherited thrombophilias and, 215 Folinic acid, for toxoplasmosis, 434, 435 medical record of, 279 Follow-up care recommended consultation for, 479 appointment for healthy newborns, 308 Fetal heart rate. See Heart rate, fetal appointment for late preterm infants, 309 Fetal heart tones functions of, 313–314 elective cesarean delivery and, 193–194 for high-risk infants elective delivery and, 160 components, 376–377 Fetal hemolysis, isoimmunization and, 238 early intervention programs, 378–379 Fetal imaging. See also Ultrasonography surveillance and assessment, 377–378 magnetic resonance, 111–112 Food and drink safety, Occupational Safety and ultrasonography, 110–111, 111b Health Administration guidelines on, Fetal loss. See Fetal death 522 Fetal movement Food-borne infections, 421–422, 433–435 admission evaluation of, 172 Footprints, patient identification and, 278 assessment of, 144, 145, 146–147 Forceps extraction, 190–192 biophysical profile and, 149 Formula milk preparations, 293–294 Fetal nonstress test. See Hemolysis, elevated liver enzymes, Occupational Safety and Health Administration low platelets guidelines on, 441–442, 519 Hematocrit, 197. See also Complete blood count Hepatitis C virus, 392–393 anemia screening and, 224 breastfeeding and, 290–291 third trimester measurement of, 116 health care worker vaccination, 442–443 Hemoglobin electrophoresis, 214 internal fetal monitoring and, 179 Hemoglobin H disease, 215 milk donor testing for, 293 Hemoglobinopathies, 213–215. See Discharge posthemorrhagic, 323 Hospitalists, 22 toxoplasmosis and, 434 Hospitalization. See Diabetes mellitus breastfeeding and, 290 Hypertension discharge readiness and, 153 admission policies on, 171 infants exposed to, 342 adult-onset, small for gestational age infants medical risks with, 337 and, 235 milk donor testing for, 293 bariatric surgery and, 218 recommended consultation for, 477, 479 chronic, 230, 232 women with syphilis and, 428 antepartum management, 233–234 Illumination, 55–56 diagnosis, 233 Imiquimod, 404 intrapartum management, 234 Immunizations. See Hepatitis B virus, new preeclampsia and eclampsia, 231–232 born immunization routine testing and, 146 for human immunodeficiency virus coinfec recommended consultation for, 477 tions, 402–403 stillbirth and, 261 hospitalized, 366–367 venous thromboembolism in pregnancy and, pneumococcus, 99, 118 225 postpartum maternal, 198 Hyperthyroidism postpartum monitoring, 208 preconception control of, 100–101 preconception, 98–99 pregnancy and, 222–223 rotavirus, 366 Hypervolemia, 269f tetanus–diphtheria acellular pertussis, 98–99, Hypocapnia, 324 198, 422–423 Hypoglycemia varicella zoster virus, 99, 413–414 gestational diabetes mellitus and, 227 web sites on, 406 late preterm infants and, 280 Immunoglobulin A, 435 in newborns, 299–300, 333–335, 334f Immunoglobulin G, 393, 434 uncontrolled pregestational diabetes mellitus Immunoglobulin M, 434, 435 and, 220 Inactivity period, obstetric privileges after, Hypotension, multifetal pregnancy reduction 486–488 and, 242 Incarcerated women, antepartum care for, Hypothermia, 270 151–153 mild, hypoxic–ischemic encephalopathy and, Incontinence, pertussis and, 422 324–325 Incubator cleaning, 458–459 Hypothyroidism Indomethacin, 324 neonatal, 142 Induced termination of pregnancy preconception control of, 100–101 definition, 500–501 pregnancy and, 222, 223 measures of, 507 Hypotonicity, neonatal, 284b reporting requirements and recommendations, Hypoxemia, as reversible, 347–348 509–510 Hypoxic cardiorespiratory failure, 347–349 Induction of labor Hypoxic–ischemic encephalopathy, 324–325 abnormal fetal well-being tests and, 146 Hysterectomy cervical ripening and, 180–181 gravid, cesarean delivery on maternal request isoimmunization and, 238 and, 193 pregestational diabetes mellitus and, 221 postpartum hemorrhage and, 254, 255 for premature rupture of membranes, 179, 260 Hysteroscopic sterilization devices, 203–204 stillbirth and, 261 index 563 Infant abduction prevention, 305 Infections (continued) Infant death. See also Neonatal death postpartum hemorrhage and, 254 definition, 499 postpartum visits and, 305 reporting requirements and recommendations, rubella, 409–411 509 sexually transmitted.