The End Flashcards
what should noise levels be kept under in NICU
below 45 - normal adult talking is 50-60
car seat guidelines (6)
- in back seat away from any airbags
- always securely bucket the infant in the seat
- face the the rear of the car
- recline the seat so the infant’s toe do not fall forward
-place padding around, not under, if the infant slouches to one side
-place blankets over straps and buckles, not under
how to help cradle cap
cleanse scalp throughly, rubbing area with terry cloth or brushing to loosen crust of flakes; to soften the crust, leave olive oil on head for 15 ins and the brush or gently comb to loosen crusts and flake’s lower, then wash with baby shampoo
what does a fungal infection diaper rash look like
red weepy open areas with purple tape discharge
post circ care
-small amount of oozing and bleeding may presist for 24 hours
-change diaper STAT because urine will cause pain
-clean area gentle with water and pat dry
-petroleum jelly or PJ gauze
-avoid soap, commercial cleaning products such as baby wipes until healed
-look for increased swelling, redness, temp, or purulent discharge
care of un-circ-ed penis
-do not separate or retract foreskin - until about 5 years old
-do no use cotton swabs to clean
- wash penis with soap and water just routine bath or PRN
how to give surfactants
given via ET tube as an inhalant - needs reach bilateral upper and lower lungs
- first head of bed is declined and baby’s head is the down position - head is turned to one direct a dose is given and then head is turned to the other direction and dose is given. then head of bed is inclined to reach lower fields, head again is turned to both sides and last two doses are given
name the two surfactants and what they are made from
-beractant (Survanta); made from bovine lung tissue
-calfactant (Infasulf); made from calf lung tissue
early onset VKDB causes
occurs in the first 24 hours; related to maternal medications that interfere with vitamin K
late on-set VKDB
occurs after two weeks of age; related to exclusively breastfeeding, diarrhea, hepatitis, cystic fibrosis, alpha 1 antitrypsin disease and celiac disease
apap oral dosing
24mg/kg as loading dose and then 12mg/kg q4hrs or 8hrs for neonates less then 32 weeks
apap rectal dosing
36 mg/kg loading, then 24 mg/kg q8hrs
IV dose of epi
0.01-0.03mg/kg; 1:10,000 epi
TXA dosing
1 g over 10 mins in 100ml IVPB
it PP what is important in insulin dependent mothers?
insulin requirements drop significantly in the 24 hours post delivery, 50-75% due to the drop in hormone levels, insulin levels should be reestablished over the next couple days and diet and exercise should be taken into consideration; with GDM, insulin can usually be discontinued but close monitoring may be needed, oral anti hyperglycemia medications are contraindications in breastfeeding
