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12 Cards in this Set
- Front
- Back
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Definition of Exomphalos... |
Congenital anterior abdominal wall defect resulting in herniation of the abdominal cotents through the umbilicus covered by a sac. Minor = defect diameter <5cm with no liver in sac. Major = Defect diameter >5cm with liver in sac. |
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Key Issues with Exomphalos... |
Rupture and damage to protective sac. Association with other major abnormalities such as cardiac. |
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Definition of Gastroschisis... |
The evisceration of fetal intestine through a paraumbilical anterior abdominal wall defect, on the right side of the umbilicus. Bladder and gonads outside. Liver does not herniate. No sac = intestines exposed and bowel becomes damaged. No associated abnormalities. |
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Step One... |
Call for Help - Buzzer and needing experienced Pead/ANNP and Team Leader. |
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Step Two... |
Clamp umbilical cord after thorough assessment, to avoid bowel present in cord. |
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Step Three... |
Use plastic cord clamp 10cm away from cord start in order to avoid bowel injury. |
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Step Four... |
Dry Baby. |
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Step Five... |
Assess/Provide resus if requires. |
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Step Six... |
Nurse in supine position and pass NGT fixing securely. Aspirate and leave on free drainage. |
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Step Seven... |
Put nappy on under defect and place in plastic bag to protect defect and reduce fluid loss. |
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Step Eight... |
Show baby to parents and explain plan of care. DOCUMENTATION, DATEX, DEBRIEF. |
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Transfer to NNU and Surgical Unit Referral. |
Supine position, IV cannula and bloods (FBC, CRP, Clotting, U&E, Cultures), blood glucose, venous gas, fluids, vit K, aspirate 4hrly, abx, blood glucose 4-6hrly, swab of defect, debrief parent and referral to surgical unit. |
