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6 Cards in this Set

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First days of life. list 8 needs for newborn priorities
respiration
circulation
temperature
nutrition
elimination
infection
infant/parent relationship
rest/stim. for mental dev.
Managing Infant respiratory acidosis
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
(NICU)Respiratory care for infant
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
(NICU)circulatory care for infant
-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
(NICU)Temperature care for infant
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
Heat loss
-evaporation
-radiation
-convection
-conduction