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pt eval a42-47
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what factors about the mother are evaluated before the baby is delivered
hx of pregnancy
age
smoking and substance abuse
nutrition
infection
htn
diabetes
fam hx
gestational age of a term infant
38-42 wks
when is an APGAR score routinely done
1 and
5 minutes
5 factors evaluated
color
hr
reflex irratability
muscle tone
resp effort
score of 0-3=
resuscitate
score of 4-6=
support- stimulate, warm, o2
score of 7-10=
monitor
a test that is recommended when a pneumothorax is suspected
transillumination
a pneumothorax or pneymomediastinum will cause the entire hemithorax to
light up
bright fiberoptic light is placed against the infants
chest in a darkened room
normal temp for an infant
36.5 c
normal hr for a term infanct
110-160 b/min (double from adult)
normal RR for a term infant
30-60 (double from adult)
normal bp for a term infant
60/40 (half of adult)
birth weight of term infant
>3000g= 3 kilos = 6 or 7 lbs
infant resp distress=
cyanosis
retractions
grunting
nasal flaring
capillary refill should be no longer than how many sec
3 seconds
2 types of method to determine gestational age
dubowitz method
new ballard score
normal score of 40 corresponds to __ weeks
40 weeks
blood glucose levels are important to
infants
term infants should have glucose values greater than
30
l/s ratio is used for
lung maturity info
2:1 ratio or higher indicates
good lung maturity
phosphatidylglycerol PG is a most reliable indicator of pulm maturity even with
diabetes
Phosphatidylcholine PC makes up the majority of the weight of
weight of surfactant
measures echaled carbon dioxide content using infrared absorption
capnography-
ECO2
ETCO2
PetCO2
petCO2 will read lower than the arterial
PC02
Paco2=
40 torr
PetCo2=
30 torr
ETCO2 normal value as a percent
3-5%
an increase in the Peco2 or Petco2 would indicate a
decrease in ventilation
a decrease in the peco2 or petco2 would indicate a
increase in ventilation or
decrease perfusion
low petco2 readings immediately following intubation would indicate that the ett is in the
esophagus
during CPR, the petco2 would
increase
purple=
poor
yellow=
normal
Author
Anonymous
ID
81174
Card Set
pt eval a42-47
Description
pt eval a42-47
Updated
2011-04-22T20:30:51Z
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