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Preterm

QuestionAnswer
extremely preterm is... 25-27+6
very preterm is.. 25-32+6
preterm is.. 25-36+6
skeleton prominent with small narrow chest
skin pink/red due to lack of subcut fat, soft and velvety due to lanugo
ears little cartilage
skull bones soft, sutures and fontanelles wide
genitalia labia majora do not cover the minora, testes may be undescended
neurological responses absent or diminished
RDS Characteristics flared nostrils, intercostal retraction, end-expiratory grunting, tachypnoea, peripheral vasoconstriction
RDS Complications pheumothorax, infection or septicaemia, patent ductus arteriosus, intraventricular haemorrhage
hypothermia leads too... increased 02 and gluc consumption, decreased surfactant production
hyperthermia leads too... increased O2 consumption, fitting, renal failure, hepatic failure
neonatal response to cold non-shivering thermogenesis-oxidation of brown fat using 02 and gluc
list the seven types of feeding breast, cup, bottle, nasogastric, nasojejunal, gastrostomy, parenteral
describe necrotising entercolitis immature gut susceptable to infection causing bacteria to prolierate causing deep infection that can kill bowel tissue -> septicaemia
what tests would you carry out to diagnose infection resp function->blood gases and x-ray, FBC, CRP, Blood cultures, urine microscopy and culture, lumbar puncture, cullture from tips of indwelling catheters
what role does surfactant play reduces surface tension in the alveoli which encourages gaseouse exchange
Created by: KerriPatton on 2012-06-05



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