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6 Cards in this Set
- Front
- Back
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First days of life. list 8 needs for newborn priorities
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respiration
circulation temperature nutrition elimination infection infant/parent relationship rest/stim. for mental dev. |
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Managing Infant respiratory acidosis
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by 2 minutes after birth, severe acidosis is underway
nursing actions- -suction mouth and nose(bulb syringe) -Rub back -blow-by 02 by face mask(no pressure) -suction with catheter by mouth |
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(NICU)Respiratory care for infant
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Medical actions-
-meconium=deep suction -intubation=100% o2 with low pressure bag(watch for stomach distention) -Neonate depression=narcan via cord(narcan reverses effect of opiates) -Transfer to NICU |
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(NICU)circulatory care for infant
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-heart rate udner 80= chest compressions
-fluid/electrolyte=isotonic iv(LR) prevents dehydration and hypovolemia -hypotension(not hypotevolemia)=dopamine (vasoconstricts) -hypovolimia(classic sign of shock)=give plasma expanders -iv rate, check closely (high rate=patent ductus arteriousus, CHF, intercranial hemorrhage) -specific gravity, >1.015-20=dehydration |
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(NICU)Temperature care for infant
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cold stress increases metabolic rate
-surfactant production stops -glucose is used up=anaerobic metabolism -acidosis=risk of kernicterus treatment- -radiant heat sources=open double wrap isolettes overed -kangaroo care=infant/parent skin to skin |
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Heat loss
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-evaporation
-radiation -convection -conduction |
