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Term infant
Preterm infant
Post term infant
Term: 38 - 42 wks
pre: < 38 wks
post: > 42 wks
APGAR definition
appearance
pulse
grimace(reflex)
activity
respiratory effort
APGAR scoring
2: completly pink, HR >100, cough or sneeze, active motion and regular RR or strong cry
1: pink body extremeties blue, HR <100, grimace, some flextion, slow RR irregular or weak cry
0: blue all over, no pulse, no response, limp, no cry
Action based on APGAR score
0-3 RESUSCITATE
4-6 SUPPORT (stimulate, warm and gie O2)
7-10 Monitor
Normal temp for infant
36.5 C
Normal HR for infant
110-160
double adult normal
Normal RR for infant
30-60
double adult normal
Normal BP for infant
60/40 term
50/30 preterm
(1/2 adult normal)
S/S of IRDS
retractions
nasal flaring
grunting
What to do if you have refractory hypoxemia in an infant?
get a pre and post ductal ABG
if PaO2 is 15 higher than you have a patent ductus arteriosus with left to right shunt
recommend and echo to determine cause
Gestational age assessment
dubowitz and new ballard score(better)
for both a normal score of 40 correlates with 40 wks
Normal blood glucose for infants
term: 30
preterm: 20
normal amounts of sugar determine good brain function
lecithin/sphingomyelin (L/S) ratio
2:1 or higher
this helps to determine hyaline membran disease or IRDS
Normal ABG values for newborn
pH - 7.30
PaCO2 - < 50
PaO2 > 60
Author
nicoleg
ID
87517
Card Set
RRT
Description
APGAR
Updated
2011-05-24T19:41:11Z
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