PEDIA 1 Flashcards
Causes of ASPHYXIATION
○ Umbilical cord clamped
○ No more O2 from placenta
○ Hypoxia
○ Hypercapnia/Hypercarbia
dangerous state (fatal) kasi may
direct effect sya sa brain! Lahat ng vital
center is magre-react, V/S, LOC etc
Acidosis
Neonates must breathe after birth!
If not,
asphyxiation may result! (hypoxia,
hypercapnia, acidosis)
A crying baby is a breathing baby
TRUE
USE BULB SYRINGE NEVER WALL
SUCTION
TO REMOVE OXYGEN as Oxygen can cause
blindness
use pulse
oximeter
on the sole of the foot
SUCTION ONLY WHEN?
BOTH ARE COLOR
GREEN: mucus and meconium
Suction with bulb syringe PRN
TO PREVENT ASPIRATION
Use only a bulb syringe in
suctioning
to avoid
stimulating the vagus nerve
leading to bradycardia
Using a wall suction
you are
exerting a strong negative
pressure; you are not only
suctioning the secretions but also his/her oxygen reserves =
HYPOXIA
Too much O2 can what?
Can make the
baby blind
Retrolental Fibroplasia
for term babies
Retinopathy of Prematurity (ROP)
for
preterm babies
Reason why DR has aircon
to prevent
infection to come inside (maintenance of
environmental asepsis)
Extreme hypothermia can cause cold stress
causing what?
ACIDOSIS
Prone to cold stress due to?
extreme hypothermia
Decreased O2, Increased CO2 can lead to?
ACIDOSIS
BROWN FATS ALSO KNOWN AS
BABY FATS
By product of brown fats
Ketones/ Fatty Acids
60% of their weight is brown fats
= intended to?
to hold, sustain, or
cushion their abdominal organs
in place
Dry baby immediately after birth to?
to stimulate the baby to cry and to dry
his/her skin
what is SSC?
skin to skin contact
CHEST CIRCUMFERENCE
31-33 cm
HEAD CIRCUMFERENCE
33-35 cm
Radiant warmer is ideal because
○ it is not close to the baby (18-24 inches) /
2 feet
○ Heat is even from head to toe and also
circulation
APGAR SCORE
Done at 1 minute then at 5 minutes
WHO SUGGESTED APGAR SCORING?
Dr. Virginia Apgar
Score of 0 - 3: POOR CONDITION
○ Resuscitation needed/ NICU
○ Will not undergone skin to skin contact
with the mother
Score of 4 - 6: FAIR CONDITION BUT GUARDED
CLOSE MONITORING
○ Baby goes to NICU
○ Wala ding rooming in dito (yung ilalabas
din siya kasama ng mother sa ward for the
skin to skin contact and breastfeed etc)
Score of 7 - 10: GOOD CONDITION
○ Allowed to do “Unang Yakap”
○ Rooming-in (adapting)
EYE CARE (Crede’s Prophylaxis)
Prevents Ophthalmia Neonatorum due to maternal
gonorrhea or chlamydia
when is crede’s prophylaxis done?
Done to ALL babies delivered either CS or NSD after
initial bonding / or complete breastfeeding
responsible for breastmilk
Prolactin
When is the best time to give crede’s prophylaxis?
After the mother and the baby have
already bonded and/or complete breastfeeding;
when to clamp umbilical cord
Clamp when no longer pulsating, at 2cm and 5cm
from the base
Prevent infection of umbilical cord by
cleaning the
umbilical cord with WATER AND SOAP only
do not use what when cleaning the umbillical cord?
DO
NOT USE betadine, hydrogen peroxide and alcohol
(we don’t use chemical based)
How do we promote drying of the umbilical cord?
Promote drying by natural technique of air exposure
redness around the cord and foul smelling
CORD INFECTION
Ano ang dapat na ituro sa mother when she puts
diaper to the baby?
Air exposure is the best, so turuan ang
mother to fold the waistband of the diaper down
to expose the cord