Neonate complications Flashcards
bili levels increase by what?
two’s until the fourth/fifth day
they peak and begin to decrease
Day one=2
Day two= 4
higher levels of RBCs or immature liver
causes of hyperbilirubemia
testing for hyperbilirubinemia
Transcutaneous bilirubin (TcB)
24h bili total
2-6
48 hr bili total
6-7
3-5 days bili total
4-6
light source for phototherapy should be how many cm/in from baby?
45-50 cm (17-19in)
Kernicterus s/s
Poor feeding
Fatigue
Fever
Acute bilirubin encephalopathy
Gestational diabetes & hormones
maternal hyperglycemia
hypoglycemia occurs in
first 30 minutes of birth
need to get a heel stick & get baseline
early onset sepsis
first 24 hrs to 6 days of life
TORCH
toxoplasmosis (higher levels of IgM) other (hep B, syphilis) Rubella Cytomegalovirus (CMV) Herpes simplex virus
Sepsis presentation
Respiratory distress
Thermoregulation disturbances (hypothermic; viral infection)
Neurological (usually late) lethargic; decreased responses
Sepsis treatment
Broad spectrum antibiotics Oxygen/vent thermoregulation BP Fluid resuscitation
CNS NAS clinical presentation
high pitched cry
poor sleep
tremors
seizures
Metabolic, respiratory, vasomotor NAS
sweating fever >100.4 Frequent yawning nasal flaring tachypnea
Gastro-intestinal NAS
Excessive sucking
poor feeding
loose/watery stools
3 major systems affected with NAS
CNS
Metabolic/respiratory/vasomotor
Gastro-intestinal
Retained lung fluid
seen with C section babys
Mild respiratory distress
Transient Tachypnea of newborn (TTN)
s/s of TTN
grunting
flaring
retracting
tachypnea
treatment of TTN
oxygen
CPAP
fluids
Antibiotics
Hallmark sign of fetal distress
Meconium aspiration syndrome (MAS)
treatment of MAS
oyxgen vent support surfactant vasopressors nitric oxide ECMO
NEC treatment
gastric decompression
antibiotics
serial xrays
NEC
very low birth weight
intestinal tissue dies off; disease of progression
NEC diagnosis
serial abdominal xrays
