Neonate Care Flashcards
How do you know it is time to go to c-seciton in SR?
Fetal Viability:
-HR slows <150 (normal 153-248)
Serial ultrasounds
What is the physiological process of a baby being ready to come out?
Rupture of membranes and umbilicus = hypoxia and stress
Increase co2 makes them gasp and begin to breath
reduced alveolar pressure allow air to remain in lung
Increaseoxygen, pulmonary blood flor decreased and peripheral vascular resistance increase and closeing of foramen ovale and DA
What is key to resuscitation of a neonate?
Establish and airway - flow by oxygen
Sternal recumbency (no upside down)
Pat sides
Suction airway
Reverse any sedative
What are some rescue drugs?
Dexamethasone, Doxapram, Epinephrine, Furosemide
What other things can be used for recesitaiton?
Acupuncture point GV 26
Madigan squeeze
APGAR score to see how progressing
What should be on your defect checklist for neonates?
Cleft palate, atresia ani, umbilical hernia, contracted tendons, heart defect, cyclops, parrot mouth, entropion
What should you use for a navel dip?
Iodine or chlorohex
What values should your colostrum reach on the brix and other to mean good qaulity?
> 50g/dL
22% Brix (<17% = trash)
How much colostrum to SR neonates need?
50ml/kg first feeding (200ml-300ml)
200ml/kg in first 24 hours to get to 10-20% BW in first 3-12hrs
What are some alternative sources of colostrum?
Frozen (good 1 yr - test CAE and Johnes)
Colostrum replacer (mix well)
How do you feed colostrum?
Esophageal feeder or red rubber catheter (14-18 French)
What kind of placenta do small ruminants have?
Epitheliochoiral cotyledonary
When should you be concerned that baby is not getting his colostrum?
Dystocia, not nursing well, spesis, pneumonia or diarrhea, meconium stain
How do you diagnose FPT in sheep?
24-72 hours measure TP
TP: >5.5g/Dl or Brix >8.4%
How do you treat FPT?
Plasma transfusion
20-40ml/kg
How much do orphans need to eat and how should you feed them?
15-20% BW
48oz
pritchard nipple
2-3x day
What is important to look for when finding a milk replacer?
Species specific, whey ptorin, mix well, need fresh water
When do you wean SR?
8-12 weeks - creep feed and coccidiostats
What are the rules if kidding in jug or pasture?
Jug - cleanout 3 monhts prior to lambing and need sand
Pasture needs to be ungrazed for 60 days
What should the jug look like?
4x4 or 5x5
3ft high
Need heat lamp 30 inch above bedding, panel 20inch off ground so baby can get close and mom wont catch on fire
How do lambs maintain body temp?
Brown Adipose Tissue
Shivering Thermogenesis
Why is brown fat brown?
Mitochondria
Protein thermogenenin-ATp heat from burring fat
When can hypothermia occur?
<98F
Weakness, shock, stress, tube feed cold milk, dam not cleaning baby
How do babies get hypoglycemia?
No mlik 48 hours (septicemia)
karosyrup
dextrose
What is floppy kid?
Not real
Acidosis without dehydration (usually from diarrhe and sever dehydration)
Electrolytes
What is the formula for bicarb deficit to fix acidosis?
Mmol bicarb = base deficit x BW (kg) x 0.6
What is the normal progression of baby progress once born?
Stand 15 min
Nurse 2 hours
Loss 15%
