NICU Flashcards
discuss premature birth
born before 37 wks
preterm birth and low birth weight - 17% of infant deaths
usual prob in premature children
breathing issues
intestinal prob
brain bleeding
dev delay
discuss general guidelines in handling and pos for premature
use blanket rolls to simulate fetal pos - LE tucked towards trunk
swaddle to promote relaxation and induce sleep - wean if starting to roll
make sure there is enough room for LE to prevent disloc
what is kangaroo care
skin to skin holding
supports physio and behavioral stab
benefits of kangaroo care
O2 sat
dec apnea and bradycardia
improves behavior
inc weight gain
analgesic
dec length of hospitalization
inc milk and positive interaction for mother
usual equipment for pos
cloth bunting
circumferential straps
foot roll
lateral roll
sheepskin
towels or diaper
components of pos of comfort
prone flexion
flexion of LE c neutral abd/add and rot
slight chin tuck or neutral
scap protraction to promote UE flexion at midline
flexion of trunk c post pelvic tilt
significance of respi capacity in pos
neck and trunk hyperflexion can compromise upper airway patency and diapghragm descent
discuss supported sitting
hammock handling
improves head righting, inc flexor and vestib training
in supp sitting c towel
diff R and L sidelying
L: dec GER
R: gastric emptying is inc
significance of supine pos
for medically unstable inftants to prevent SIDs
disadvantages of supine pos
no calming or self-reg
shorter and interrupted sleep
labored and less coordinated breathing
inc GERD
discuss prone pos
good for neck control when medically tolerable
improves oxygenation and ventilation
has fewest stress behaviors
can do weight bearing and shifting - training UE and pelvic control
goals of positioning
comfort
alignement
stability
effects of pos in cranial molding
preterm more at risk for deformations hence proper pos dapat
effects of frequent medical intervetions in NICU to infants
infant become hypersensitive or hyperirritable
areas usually hypersensitive to tactile input
soles
palms
oral motor area
ways to calm down infants
swaddling
slow rhythmic rocking
deep proprioceptive input
graded bouncing
upright pos
gentle ROM
