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Neonatal Stabilisati

neonatal stabilisation

QuestionAnswer
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.
If capillary refill time is >2 seconds, what would be your treatment? Insert umbilical catheter and administer fluids to increase circulation volume.
What position should the babies head be in when assessing the airway? Neutral
What should you do to the oxygen before administering to the baby? Warm and humidify it.
What is your first action when dealing with a sick neonate? Assess whether help is required and ensure they have been called.
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
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.
If a baby remains blue after facial oxygen has been administered, what might be your differential diagnosis? Cardiac abnormality
How often should vital signs be monitored in the sick neonate if continuous monitoring is not possible? Every 15 minutes
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.
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.
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.
Why would you leave a nasogastric tube on free drainage? Do decrease abdominal pressure where the may be a gastrointestinal malformation.
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.
At what rate should ventilation breathes be administered? 30 breaths/mintue
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
Created by: becs89
 

 



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