neonatal stabilisation
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| What are the main ways you can prevent disability in the neonate? | Measuring and maintaining oxygen saturation levels
ensure that capillary refill time is not above 2 seconds as this can indicate low blood pressure.
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| If capillary refill time is >2 seconds, what would be your treatment? | Insert umbilical catheter and administer fluids to increase circulation volume.
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| What position should the babies head be in when assessing the airway? | Neutral
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| What should you do to the oxygen before administering to the baby? | Warm and humidify it.
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| What is your first action when dealing with a sick neonate? | Assess whether help is required and ensure they have been called.
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| IF a baby is born extremely preterm then what is the best way to maintain the temperature? | Do not dry the baby and put in a poly bag up to its neck under a radiant heather.
If not radiant heat source available then wrap in warm dry towels
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| Why should a silver swaddler not be used to warm a newborn baby up? | Silver swaddlers reflect back body temperature. Since neonates cannot regulate their own temperature it may just make them colder.
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| If a baby remains blue after facial oxygen has been administered, what might be your differential diagnosis? | Cardiac abnormality
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| How often should vital signs be monitored in the sick neonate if continuous monitoring is not possible? | Every 15 minutes
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| What would be your differential diagnosis in a baby who is born at 30 weeks and is blue with a heart rate of >100bpm? | Respiratory distress syndrome, infection or hypoglycaemia.
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| What are the important actions you can take to help when transferring the neonate? | Obtain a maternal blood sample
Write a summary of maternal history
Write a summary of actions you have so far taken to stabilize the baby.
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| What actions can you take to help the parents before transferring the neonate? | Allow for photographs to be taken if appropriate.
Discuss fully all actions taken and why there is a need for transporting the baby
Provide mum and dad with information regarding important contact numbers and directions to suitable wards and car parks.
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| Why would you leave a nasogastric tube on free drainage? | Do decrease abdominal pressure where the may be a gastrointestinal malformation.
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| If a baby has a lot of mucousy secretions, what position should you assess their airway in? | On their side to allow secretions to drain.
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| At what rate should ventilation breathes be administered? | 30 breaths/mintue
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| Why would it be important to check blood sugar levels in a baby who is having breathing difficulties? | The extra effort used to breathe uses up glucose stores (as well as extra oxygen) and causes blood glucose levels to drop
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