Only 2 more units left in Nurs 2202 - Hang in there We all get tired!!

1. Only 2 more units left in Nurs 2202 - Hang in there We all get tired!!

9. Remember in term neonate Extracellular water content is 70-75%. In reterm neonates maybe 90%

20. Factors associated with prematurity

21. Neonatal resuscitation supplies And equipment Narcan

22. Correct placement of the neonatal with oxygen mask With incorrect placement if mask too large or too small

23. Silverman & Anderson Evaluation Scale

25. Means of administering supplemental oxygen

26. Note placement of head in hood

27. Documentation information

29. Clinical signs often associated with Neonatal Hypoglycemia

30. Any can cause further depletion in weight & metabolic stores

31. Detrimental effects of hypothermia in the neonate DIC Increase risk of billirubin encephalopathy At low levels of billirubin Loss of wt. or failure to gain wt despite adequate calorie intake

32. Umbilical artery Catheter look at why do Arterial vs Venous

34. Developmental & emotional care of infant & family Environmental Hazards: NOISE (remember even putting something on isolate) INFECTION risks even from staff (HANDWASHING) Tape – sensitive skin, probes, leads Light – Microwave rays & Radiation (portable x-rays, etc. Remember increase anxiety & tension Cause increase in O2 consumption, increase RDS some other Signs & Symptoms of stress (overstimulation): no eye contact hiccupping gagging or increase emesis pulling away HAS TO learn to trust caregivers, but caregivers inflict pain See Pain also

35. NIDCAP: Neonatal Individualized Developmental Care Noise & Light Physical Sensation: message, be careful not to over stimulate Comfort measures: pain control Kangaroo care: skin to skin Positioning: make nest, gives boundaries, helps infant’s organizational ability, remember flexed position Pain in neonates: Assessment: Behavioral: high pitched cry with shrill quality (remember high pitched cry seen in CNS damage), grimace, quivering mouth, pulls away Physiologic: increase in HR, BP(increase then decrease), increase intercranial pressure, increase O2 consumption (tachypnea), decrease O2 sats Document to make pain more objective GOALS: minimize intensity, duration & maximize the neonate's ability to cope

36. Clinical signs of RDS

38. 2500gm = 5lbs. 8oz. 1500gm = 3lbs. 4ozs. 1000gm = 2lbs. 3oz.

39. Factors associated with prematurity

40. Hyaline membrane Formation BPD = bronchiopulmonary Dysplasia caused by increase pressure used to deliver increase O2 Increases pulmonary vascular resistance TX ? Prevention Oxygen – lowest delivery pressure & concentration Nutrients Fluid & acid/base balance Medications i.e.. Diuretics corticosteriods, bronchiodilators

41. PDA = common in neonates weighing less than 1000 g Tx = ventilation, norm blood gases, diuretics & indomethacin (prostaglandin) . If fails surgery to ligate.

42. PV-IVH = periventricular-intraventricular hemorrhage One of most common & severe brain injuries 3 times in moderately 1501 – 2500 g premi ; 7 times in severe under 2 lbs. 3 oz (1000g)

43. Teaching considerations