day five ppt Flashcards
fluorescent light exposure can lead to
chromosomal dx
disruption of diurnal rhythms
over stiulation leading to physiological distress
pre 30 w infants are unable to do what with the eyes?
close eyelids tightly or filter light properply
noise increases?
arousal and can increase physiological ditres
auditory processing development is most active when?
3rd trimester
you want to avoid unnecessary _____
touching for infants
swaddling does what
provides infant deep pressure and simulation of womb positioning through the wrapping of a blanket around the baby
kangaroo care?
involves skin to skin contact with parents - which is better for non ventilated infants
yields increased feeding time, reduction of stress and improved attachment
which care is better for non-ventilated infants?
kangaroo care
containment def?
the use of material or humans to provide physical boundaries for the infant
infant massage includes?
parents provide gentle tactile stimulation or prolonged placement of the hands WITH the infant
when is infant massage best?
32wks PCA
what education method would you use for parents in the NICU?
Vygotsky’s scaffolding method to train family
what would you train the family to do?
detect baby stress reduce sensory stim perform calming techniques position the baby therapeutically providing feeding instruction and support
you should perform evaluation based on
infants sleep cycle
name two frequent errors by NICU therapist/
overinterpretation and mistaking immaturity for pathology
should you perform reflex testing on early preemies?
NOOOOOOO
therapeutic positioning in infants?
without positioning infant present with W posturing of arms, frog like posturing g of legs, and asymmetrical head position
what is the typical muscle tone for the preemie?
hypotonia
without proper positioning what happens to baby
typically head positioning gets funky = torticollis
plageoctomy def:
abnorm head shape in infants resulting for externally enforced molding surfaces - prolonged positioning of head towards one direction
tracheostomy def:
flattening of the back of the head due to prolonged supine position
what position do you want to increase?
flexion
two goals to maintain in infants?
temperature and weight
frames of reference used in NICU?
- biomechanical
- sensory processing
- sensory integration
- coping
- NDT
discharge plans for the NICU?
early intervention or medically based pediatric services and follow up - NICU clinic
goal for breathing?
breathe independently or that caregiver be independent with vent care
feeding goals?
feed well by bottle or breast feeding or be independent with tube placement and feedings
radiant warmer
open bed with open heat source
incubator
clear, plastic heated box that encloses the mattress and infant
open crib
bassient style bed, no external heat source provided; infant is dressed In clothe and swaddled in blankets
bag and mask ventilation
bag attached to face mask is rhythmically squeezed to deliver positive pressure and oxygen
continuous positive airway pressure:
CPAP
- steady stream of pressurized air given through endotracheal tube, nasopharyngeal tube, nasal prongs, or small nasal mask
mechanical ventilation
machine controls or assists breathing by mechanically inflating the lungs, increasing alveolar ventilation, and improving gas exchange
extracorporeal membrane oxygenation ECMO:
sophisticated life support system uses modified heart lung bypass to provide nearly total lung rest and minimize barotraumas (lung damage from prolonged ventilation)
vapotherm
respiratory therapy device attached to a nasal cannula that allows very high nasal flows warmed by moist air
oxygen hood
plastic hood that provides a flow of warm, humid oxygen placed over infant’s heart
nasal cannula
humidified oxygen delivered by flexible NC with small prongs that fit into the nares
intrauterine environment: TACTILE
constant proprioceptive input; smooth comfortable boundaries
intrauterine VESTIBULAR:
maternal movements, dinural cycle, amniotic fluid creates gentle oscillating environment, flexed posture
intrauterine AUDITORY:
biological sounds muffed environmental sounds
intrauterine VISUAL:
dark occasional red dim spectrum light
intrauterine THERMAL:
constant warmth consistent temperature
extrauterine TACTILE:
pain and invasive; dry cool air, medical touching, some social touching
extrauterine VESTIBULAR:
flat posture, rapid position changes, influences of gravity restraints due to equipment
extrauterine AUDITORY :
loud no contingent, mechanical frequent harsh intermittent impulse noise
extrauterine VISUAL
bright lights, eyes unprotected; often no diurnal rhythm
extrauterine THERMAL:
environmental temperature variations, high risk of neonatal heat loss from thin skin and lack of subcutaneous fat
