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25 Cards in this Set
- Front
- Back
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Gastroschesis
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Herniation of intestines thru an abdominal wall defect on one side of umbilical cord
Abdominal contents protrude outside body |
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Spina Bifida
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AKA Myelomenigocele
Incomplete closure of spinal column leaving gap btw vertebrea Spinal nerve fibers push out thru defect Results in paralysis and sensory loss distal to lesion |
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Hypoxic ischemic Encephalopy
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Perinatal Asphyxia
Brain injury as a result of oxygen deprivation |
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Most common sign of brain injury?
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Seizures - often idiopathic, but may be caused by:
infection Bleeds chemical imblance Malformation Swelling Birth trauma Hypoxia |
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Example of genetic anomalies
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Ambiguous genetalia
Club feet Cleft palate Flattened nasal bridge Low set ears Micrognathia Syndactalye Other syndromes (Trisomy 21) |
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Tracho-esophageal Fistula (TEF)
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Hole in between esophages and trachea
Severe or fatal pulmonary complications |
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What are a significant portion of surviving premies with PVL later diagnosed with?
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CP
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3 types of beds in NICU
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Warmers
Isolettes ie. incubators Open cribs |
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Norm for NICU:
HR Temp RR Oxygen saturation BP |
120-160
98.4-98.6 20-60 90's 60-90/30-60 |
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Common equipment in the NICU
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Nasal cannula
Nasal CPAP Vent support (endotrach or tracheostomy) TPN/lipids Tube feeds (NG, oG, G-tube, J-tube, GJ-tube) |
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What is developmental care in the NICU based upon?
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Providing optimal env in NICU for immature CNS to develop and mature
Based on Synactive Theory of Development |
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Why do developmental care?
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3rd trimester is period of greatest brain growth and development, and premies are deprived of this
Developmental care helps to optimize brain depvelopment during this critical time |
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Why dim lights in NICU?
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Womb is dark
Infant does not rquire light for visual development until right before term... it may even cause damage |
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Auditory input to consider in NICU
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Sounds over 50 dB can be damaging to infants ears and be disorganizing for brain development
Brain does not expect auditory input until right before term |
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Olfactor input in NICU
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Mother's scent is good
No perfumes or other shit tho |
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Pain/touch in infants?
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Pain/touch pathways are fully myelinated at 20 weeks gestation
Feel pain = disorganization b/c this info can not be processed = stress response and brain won't develop properly |
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Techniques to use to foster positive touch?
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Hand containment
Kangaroo care |
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Why is it important to focus on premies correction gestational age?
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B/c this tells you there CNS age and what they need at that time
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Why type of evaluation does a PT do on a premie at 23-34 weeks?
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OBSERVATION eval
Physiologic stability with handling Behavioral stress cues Self-regulatory balance |
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Stress signs
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Extension/arching
Irregular Respirations Ataxic movt Dusky/pale Cough, gag, sneeze, yawn Flaccid Finger splaying Jittery, disorganized movt |
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Signs of self regulatory balance?
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Flexion
Well defined movt patterns Pink skin Eye opening Hand to mouth Grasping/seeking boundries Hand/foot clasping Sucking |
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What is state regulation as defined by Brazelton?
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Deep sleep
REM/active sleep Drowsy Active and alert/quiet aler fussy Crying |
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PT interventions for 23-34 week olds
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Hand containment
Kangaroo care Supportive positioning Early oral mo stimulation |
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PT interventions/assessments for 34 week to full term infants?
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TIMP
Baby's first massage Swaddled bath |
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What type of rounds are there
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Bedside rounds (MDs, case manager, pharmacy, nutrition, therapists)
Feeding rounds Small baby rounds BPD rounds |
