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11 Cards in this Set
- Front
- Back
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Chapter 29 and 30
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30: Assessment, Identification
- management of tissues - ABC's -airway problems - meconium = Hyperbilirubinemia -infections -diabetes -infant: hypertenstion -polycythemia hypocalcemia drug exposure PKU Congenital Anomalies (Pediatrics)- identification |
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Characteristics of Preterm infants
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- appear frail and weak
- underdeveloped muscle tone - extremities weak, limp offer no resistance - large head - lack subcutaneous or white fat, skin red - vernix serosa and much lanugo |
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Preterm infants:
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behavior: little energy - sleep related- don't have periods of reactivity
- Don't respond well to stimulation: feeble cry |
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Common Problems Preterm:
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- Problems with Respirations- intubation, suctioning, positioning
-Problems with Thermoregulation-maintain neutral thermal environment: ABC problem- do not have surfactant, will be intubated (Know causes of heat loss) |
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Common Problems Preterm: cont
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-Problems with fluid and electrolytes- assessment of overhydration (strict I&O)
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Common Problems Preterm: Dehydration
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- low urine output,
- high specific gravity - wgt loss -dry skin and mucous membranes, -sunken anterior fontanelles, -poor tissue turgor -elevated sodium, protein and hct levels - hypotension |
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Common Problems Preterm: Overhydration
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-high urine output
- low specific gravity -edema -wgt gain -bulging fontaneles -decreased sodium, protein, hct levels, -wet lungs |
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Management Issues
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- Skin: thin, assessment-handle gently-
- infection: -Pain: assessment by behavior- Wong/Baker face scale |
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Common Complications of Premies:
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-Respiratory Distress Syndrome-insufficient surfactant, air hunger (abcs) oxygenation, surfactant
use O2, bulb suction, blow-by O2, nasal canula(skin irritation, amt of O2) advocate for the infant |
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Postterm Infants: Small for Gestational age
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-SGA
- Congenital malformations, chromosomal anomalties fetal infections - Mom side, preeclampsia, diabetes, dereased ulterplacental blood flow, smoking, drugs, alcohol, malnutrition-all causes - will look SGA, will be on low end of growth charts -treat issues |
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Postterm Infants: LGA
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-weigh more than 8lbs 1 oz
- Multiparas, large parents, ethnic groups, diabetes-all causes - test glucose levels - Management- identification antepartum, manage birth injuries-saw in video yesterday (clavical breaks etc) upper 10% |
