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41 Cards in this Set
- Front
- Back
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hypoxia or placenta insuff can cause
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perinatal asphyxia
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hypoxia can cause infant to breath quickly at birth and cause
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meconium aspiration
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increased metabolic rate may cause
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hypoglycemia
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chronic hypoxia can cause
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polycythemia
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maternal diabetes can cause..
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LGA
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LGA can cause.. 4
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asphyxia
CNS injury polycythemia hypoglycemia |
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high glucose in mom cause..
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high insulin production in baby which then increases fat--> large organs
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glucose does what when born
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depletes quickly- monitor qhr when born
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low extracellular fluid volume
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hyperbilirubia
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tx of infant diabetes
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IV dextrose
feeding infant |
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signs of hypoglycemia in infant:
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tremor, jittery
LOC change apnea, brady, tachypnea, cyanosis hypothermia poor feeding seizures |
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resp distress due to absence, deficiency, or alteration in the production of what?
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surfactant
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no surfactant increases what? and then what happens?
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increased surface tension which leads to problems with inflation of lungs--> atelectasis
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ductus arteriosus cant close bc of .._____ so then what happens?
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low O2; increases pulmonary blood flow
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tx RDS
what med what help prevent |
prevent preterm birth
STEROIDS |
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mild RDS
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NC with humidified O2
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moderate RDS
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CPAP
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severe RDS
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mechanical ventilation
surfactant replacement (28 wks and under) |
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inflammatory bowel disease causing hypoxia and ischemia , decreased blood flow and then necrosis of bowel mucosa
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NEC
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S/S of NEC
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feeding intolerance
gastric residuals irritability abdominal distention blood diarrhea low output |
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most definitive measure to assess NEC
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laparotomy
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xray will reveal what if baby has NEC?
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dilated bowel loops
free air |
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baby with nec may have..
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increased girth
sepsis SS gray abdomen |
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tx of NEC
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d/c feeding, TPN, IVF until resolved
NG tube to suction antibiotics surgical resection |
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pt with NEC my have further complications such as..
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mal absorption
liver failure from longterm TPN delayed growth |
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decreased brown fat and glycogen in the liver causes
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thermoregulation
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increase heat loss 5:
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high ratio of body surface to body weight
inadequate insulation from fat thinner skin hypotonic. extended posture decreased ability to vasoconstrict |
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mild hypothermia temp
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96.8-97.4
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severe hypothermia temp
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<96.6
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hyperthermia
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99.6 and greater
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S/S of cold stress
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hypoglycemia
increased movements increased resp metabolic acidosis |
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tx of hypothermia
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warm slow
monitor skin q15-30 min tx hypoglycemia |
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TTN s/s
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little distress then a lot of stress
grunting nasal flaring mild cyanosis tachypnea |
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tx for TTN
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02 hood at 30-50 %
IV fluids hold oral feedings improve in 18-24 hours and 72 complete |
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barrel chest, stained nails- yellow green, hypoxia...
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meconium aspiration
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tx of MAS
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suction before first breath
resuscitation high O2 delivery admin surfactant antibiotics |
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determine anemia by..
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hematocrit values
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nursing care for anemia
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erythropoietin
iron supplement blood transfusion |
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rapid deterioration, behavior changes, hypothermia, feeding intolerance, apnea
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neonatal infection
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infection cultures include?
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blood
nasal skin spinal |
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infection tx
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antibiotics should be given before diagnosis made
obtain CBC, CT, xray |
