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NEC
Wocn program
Question | Answer |
---|---|
what are risk factors for NEC | preemie, formula fed, hypoxia |
what are symptoms of NEC and when do they occur | abdominal distension, abdominal erythema, vomiting, bloody stools, high residual, temperature instability, apnea, irritability, lethargy Occur 3 days to 2-3 weeks after birth |
what are key factors in treating NEC | early recognition and prompt treatment Neutropenia, thrombocytopenia, metabolic acidosis X-ray monitoring (q6hrs) for perforation, gas in portal vein, abdomen, or intestinal wall |
explain medical management | nasogastric decompression, bowel rest, IV alimentation, antibiotics, transfusion |
what is goal of surgery | preservation of bowel length, indicated if there is signs of peritonitis, perforation, infarction or clinically declining despite aggressive treatment |
what are possible complications | bowel strictures, malabsorption, short bowel syndrome, cholestatic liver disease, neurodevelopmental disorder |