Pediatrics: Newborn Assessment

32-38 cm

Dysplasia of Hips

Status Epilepticus= medical emergency

Needle puncture of the amniotic sac to withdraw amniotic fluid for analysis
Antepartum test that determines gender, lung maturity, neural tube defects or chromosomal abnormalities

A technique associated with prenatal diagnosis in which a small sample of the fetal portion of the placenta is removed for analysis to detect certain genetic and congenital defects in the fetus.

Drug withdrawal occurring in newborn infants whose mothers were frequent drug users during pregnancy
Score uses 21 symptoms
less than 5 = mild
5-8 = average
8-12 = severe
greater than 12 = critical

gown
mask
goggles
gloves

gloves
goggles
gown
mask

HA
Dizziness
Nausea
Weakness
Excessive Sweating
*remember hyponatremia can also be present*

Ductus Arteriosus
Foramen Ovale

opening between right and left atria

connects the pulmonary artery to the aorta, bypassing the lungs

stimulating the skin in an area opposite to the painful site

Anticonvulsants (maintenance)
Topiramate
Valporic Acid
Phenytoin

Antianxiety Benzo (acute tx)
Lorazepam
Diazepam

Spiderman!
-Sepsis, scarlet fever, streptococcal pharyngitis
-Parvovirus, pneumonia, pertussis
-Influenza
-Diptheria
-Epiglottitis
-Rubella
-Mumps, meningitis, mycoplasma or meningeal pneumonia
-AdeNovirus

(Private room and mask)

MRS WEE
*M* = Multidrug Resistant Organism
*R* = Respiratory Infection
*S* = Skin Infections
*W* = Wound Infections
*E* = Enteric Infection (Clostridium Difficile)
*E* = Eye Infections (Conjunctivitis)

MTVVS
*M* = Measles
*T* = TB
*V* = Varicella
*V* = Variola (smallpox)
*S* = SARS

1.5 ml/kg/hr

divide by 5, multiply by 9, Add 32

subtract 32, multiply by 5, divide by 9

RR

Preventable by initiating early breastfeeding and frequent
feedings (even at night!) to ensure breasts are emptied fully

Oxybutynin

Dicyclomine

Scopolamine

vasodilator

Ditch
Drugs >>> laxatives, dialectics, corticosteroids
Inadequate K+ >>> NPO, eating disorders, alcoholics
Too much water
Cushing's syndrome
Heavy fluid loss

Final stage (Erikson) People in late adulthood either achieve a sense of integrity of the self by accepting the lives they have lived or yield to despair that their lives cannot be relived

M: 14-18
F: 12-16
iron-containing protein in red blood cells that carries oxygen for delivery to cells

dehydration and polycythemia

anemia

M: 42-52
F: 37-47
-The % of a given volume of whole blood that is occupied by erythrocytes

Polycythemia Vera

anemia

4.5-5.0 million

5,000-10,000

leukocytosis
infection

Leukopenia
Immunosuppression

150,000-400,000
smallest cell in the body to help body clot

clotting

bleeding

Glomerular filtration rate (measured to document stages of kidney disease)
Greater than 90= normal
less than 30= kidney damage
less than 15= kidney failure

-blood urea nitrogen
-Toxins kidneys get rid of
-10-20
-if elevated there is a build up of toxins which means kidney damage

-Toxins kidneys get rid of
-0.6-1.2
-if elevated there is a build up of toxins which means kidney damage

-6.4-8.3
-low protein means malnourished/liver not working properly

-3.5-5
-liver makes albumin(protein molecule in the blood)
low albumin means liver not working properly
-Albumin is very important for our body, it helps blood hold on to water

-liver should metabolize and get rid of
-if elevated liver is not working properly= liver damage

*ALT* 4-36
*AST* 0-35
*ALP* 30-120
produced by liver, elevated when liver is not working properly

-liver should metabolize and get rid of
-if elevated liver is not working properly=liver damage

yes
if liver is not working properly, pt at risk for bleeding

intrinsic and extrinsic cascade

Activated partial thromboplastin time (aPTT)
○ Tests the intrinsic coagulation cascade
○ Not on anticoagulants: 30 - 40 seconds
○ On Heparin, 'therapeutic aPTT' is 1.5-2.5x
normal.

Prothrombin Time (PT)
○ Tests the extrinsic coagulation cascade
○ 10 - 12 seconds

International Normalized Ratio (INR)
○ It is calculated from a PT and is used to
monitor how well warfarin is working.
○ Not on anticoagulants: 0.9-1.2
○ Taking warfarin, 'therapeutic INR - 2-3

-Protein found in cardiac skeletal muscles.
-If there is damage to the heart muscle the protein gets released out into bloodstream.
-elevated results =damage to heart (MI)
-Normal = 0-0.4

-brain natriuretic peptide
-When there is fluid retention, the heart
senses the need to pump harder to move
fluid forward, and releases BNP.
-Test for CHF
-Normal <100

<200 mg/dL

high density lipoproteins (healthy type of cholesterol)
>55

low density lipoprotein (bad cholesterol)
<130

<160

7.35-7.45

base 22-26
Metabolic

carbon dioxide 45-35
Respiratory

is it acidotic or alkalotic?
if PH is greater than 7.4 its alkalosis
if PH is less than 7.4 its acidosis

is it metabolic or respiratory?
what ever matches up with pH

is it compensated or uncompensated?
look at either the bicarb or CO2(the opposite from step 2) is it opposite in trying to help compensate??

to check for fully or partial compensation check the pH. if normal its fully if abnormal its partial

reach for objects

sit without support

creep on hands and knee
follow simple commands

Dura peeled off skull
Rapid expansion of arterial blood between dura mater & skull

Dura attached to skull
slow expansion of blood under the dura mater

for labor induction with a client experiencing fetal demise. Cone shaped substance made from sterile dried seaweed. Dilation is initiated with the insertion of laminaria into the cervix 12 to 24 hours before procedure into the cervical canal to absorb the cervical secretion. the laminaria expands and aids in the effacement and dilation of the cervix

Infant who died in mother's womb before labor

IV calcium.
removal of thyroid gland can cause hyposecretion of parathormone that leads to calcium deficiency.

dysphagia, aspiration, constipation, and risk of choking

(TRAP)
Tremor
Rigidity
Akinesia/Ataxia
Postural instability

inability to initiate movement

lack of muscle coordination

to decrease ammonia levels. to have increased bowel movements to excrete the ammonia

fine downy hair of newborn infant

small raised white spots on nose, chin, and forehead

areas of deep bluish-gray pigmentation most commonly on the sacral aspect of a newborn

cheesy substance covering the skin of the fetus

acetylcysteine

Flumazenil

Methylene blue

digoxin immune FAB

Fomepizole

Protamine sulfate

Deferoxamine

Succimer

Calcium Gluconate

Naloxone (Narcan)

Phytonadione (vitamin K)

Decreased testosterone, which results in low sex drive

beta blocker

Suction control chamber(connected to suction)
No tidaling
Monitor level, replace with sterile water as needed
Gentle bubbling

Water seal chamber
Tidaling fluid level moves up and down
Intermittent bubbling

Drainage collection chamber(connected to patient)
No tidaling
normal serosanguinous(pink) drainage
No bubbling

the rise and fall of fluid within a closed-chest drainage system with inhalation and exhalation

a medical condition associated with obesity, diabetes, high cholesterol, and hypertension

airborne only

transmitted through infected water and soil, requires standard precations