Premature Infant Case Study – Flashcards
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betamethasome
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Increases fetal lung maturity less than 34 weeks gestation. Classification is a corticosteroid - antiinflammatory and immunosupressant - given 12-24 hrs before delivery. Given to prevent RDS.
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Premature Newborn preparing for resuscitation
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This is critical in preparing for a preterm birth. At 30 weeks, premature fetal lung immaturity, poor development of pulmonary vasculature and possible delayed closure of the ductus arteriosis related to hypoxia are critical factors related to the development of Neonatal Respiratory Distress.
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Radiant Warmer
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Open bed with overhead heating source to warm the baby. So the baby will not lose more heat during the drying process post bathing.
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Why is the premature neonate having trouble breathing?
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Lack of surfactant needed to keep aveoli open.
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Repiratory Acidosis
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if the cause of the pH is below 7.35 from repiratory its called Respiratory Acidosis
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Respiratory Alkalosis
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Always due to hyperventilation
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decrease of CO2
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respiratory alkalosis
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increase of CO2
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Respiratory acidois
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Consistent finding of a 30 week gestational premature infant.
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Pinna of the ears is flexible and folds forward easily.
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Patent ductus arteriosis
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Acyanotic (left to right shunt). Ascultated Pulmonary crackles would be an expected finding. Upper left sternal border is where you want to auscultate.
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Indomethacin
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Agent used for closure of patent ductus arteriosus.
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Epogen
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is a human recombinant erythropoieitin that stimulates erythroieesis and subsequently increases hematocrit and hemoglobin.
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Do not bend the premature infants legs
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when changing the diapers.
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NEC risk factors
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Delayed gastiric emptying will result in increased gastric residual. One of the first S/S of malabsorption and feeding intolerance.
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Inserting a tube for oral gastric feedings
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measure the tubing from the ear to the xyphoid process
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Gavage feedings
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Some infants need this. This involves passing a feeding tube through the nose or mouth, down the esophagus, and into the stomach. Initiates vagal stimulation which causes bradycardia . Pausing the feedings usually decreases the vagal nerve stimulation and the HR will return to normal.
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Primary administration of caffiene
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A decrease in Apneic events.
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Premature babies often tire
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and stop nursing before they get enough.
