High Risk Newborn: Acquired & Congenital Conditions Flashcards
Cause of TNT (Occurs in 1st 4 hrs of life)
Number of respirations
Conditions resolves itself in first few days
Risk factors…
TX….
Fluid in lungs & resp distress
60 - 120
Risk factors: CS without labor, Asphyxia, Maternal analgesia, bleeding, DM
TX: Gavage feeding maybe needed, Monitor O2, IV, Antibiotics
Causes of TTN
Retained lung fluid & resp distress devs.
Does TTN resolve itself
Yes within a few days
Describe respirations during TTN
60 - 120 per min
Risk factors for TTN
SS 60 - 120 resp
Grunting
Flaring
Cyanosis
Retractions
CS w/o labor
Asphyxia
Maternal analgesia
Bleeding
DM
Tx for TTN…
O2, IV or gavage feeding, possibly antibiotics
TTN usually happens when…
Within 4 hours of life
Meconium aspiration
Interuterine Asphyxia causes increase in _____ and relaxation of _____
Peristalsis/ Anal Sphincter
Meconium aspiration
Meconium may enter the lungs at birth air cannot enter.
T or F
F
Air can enter but not escape.
_____ mechanism, over distends alveoli, causing pneumothorax
Ball valve
Can breath in but cannot breath out due to Meconium
Usually SS of resp distress happens with Meconium aspiration
Describe the breath sounds..
Course
Pathological Jaundice is Dangerous
Occurs when…
1st 24 hours of life
At what levels can you see bilirubin…
What level is it dangerous…
5 or above you can see Yellowing starting in the face and eyes and move downward with high levels
bilirubin levels >20 mg/dL can lead to complications like kernicterus, a form of brain damage caused by bilirubin toxicity.
2 froms of Bilirubin
Describe solubility/ toxicity
Unconjugated….
Conjugated….
Unconjugated Fat soluable / Toxic
Conjugated Water soluable / NonToxic
Type of detrimental effects a bilirubin levels of 18 will have on a healthy full term baby…
None with close observation
