infec- from hand- hand wash 2 min do not touch nose head.

. cloth - autoclave gauze keep in warmer . inj iv- inj from or in bottle spirit clean.inj preparation giving no touch needle syringe , 3 way , gelco opening .in tray gelco cap syringe needle no touch. catheter- new . pipe- korsolex. humidifiers flow meters- korsolex pack in autoclave paper feed(autoclave paper wati spoon new syringe feed ) temp why diagnose act sudhimol ,suppol, iv parectmol,sponge disease report if order gelco out, inj wrong fever after inj check change gelco , syringe iv iv fast fever after iv stop iv , lap, cover,sudhimol, no sponge

lung-p oxy no cry lung rea blank see cry aw resp act red no mov 1 red2 red tone rr inc + ++ +++ +++ ++++ ++++ slow slow rise inc + ++ +++ red reduce no distress sc ic ss nf grunt abd bcbs gasp sat col ext irritable irr, fd red weak suc change + ++ ++++ inc pr red rea act pv red warmth mov aw tone betn sat issues

drowsy no st aw no st aw no st aw blood flow why dehydration bleed, leak weak heart blood vessel tone

vr vr yesno

gd if ir 1 r 2r fatigue 3r 4r fast red

diff slow slow freq fast

ox in can

pulse vol reduce. war cft bp, urine

diag eye head tongue skin swelling heart sound , echo

act ns 20 in 5- 10 min ns dobut milrinone adrenaline dopamine only warm- chec warm probe, set, heat

activity reaction less, increase pr, giddiness red mov , tone red when quiet, inc pr, fd red aw but irr ,sat probe need to fix, pv red, foot cold, sat number graph delay on off, leg cold , cft red slow sat less bp urine less freq stay awake red but can wake ,mottling. pain response , ls

sat immed prob adj no, grap slow freq fast

col

pr + ++ +++

pv

bp

ur

act red no

mov red

tone 1r quie 2 r fatig 3r 4r

reaction no

awake

respon

r rr mot plae

++++ red

1 red 2r 3r thread ls

aw irrit

ex gidd fd red no fd

1r 2r 3r

r rr

red but aw pain rl, ns ,adult set, sy 20 ml, 3 way act mannitol rx iv rl fast 20/kg/20/20 30 min check dehyd , vom, stool, urine. act reaction less mov red , irritable, feed less because irritable tone red , drowsy , no feed try vr shake , secretion, no stay awake pain res resp irr ventls bcbs gasp response ex start fd leave drowsy st aw less no st aw sleep cont no fd try voice shake pain no et sos vent bcbs gsp sec ++ sos et +++ sos suction inj as per plan resp sec

dehy-vom st , no iv fd brain brain disease swelling convulsion lung, blood flow serious kid, liv serious blood low hb bsl calcium na abg act red

dia- hd eye tong skin u bp

diag ct scan,fundus,csf.

bun creatine sgpt glucometer .bsl. ca na abg mov tone reac less irr no aw d 25

red+ rr rrr rrr rrrr

red + rr rr rrrr

convulsion

brain disease ,fever low bsl calcium, na

fever rx feed iv , oral calcium diag reduced urine bun creatine

suction inj lorazepam gardinal dilution ml , calcium, d 25 2- 5, glucometer

kidney why dehydration- vom, feed less kidney swelling blood flow- colour liver infection abd infection

act complain moniter chart rep see urine time yellow, vomit moniter chart- order ranitidine, ondem , rt pain, distent, vom, st, umb stretch

blood-why low hb platelet

prec

diag palm white , red spots, bleed , black stool, rt aspirate red

read

act

why bsl na k abg ca a diag-feed gap increased gd mo/t/aw-rep moniter chart-ord-rx cause if movement tone/awake problem urgent rep- bsl iv d25 2- 5 5 ml, feed oral lesion, irritable, pain, distress- fatigue, stay suck strength less iv fluid order, rx cause awake, reduced tone, secretion fatigue , time less ls activity movement sudden stop no response no respiration , bcbs gasp col change ,sat fast low position ambu or mouth to mouth other person start suc fix oxy bell et ready . check central pulse 10 sec brachial in infants, child- neck no pulse in 10 sec - compress 15/2 30/2 if alone ecg moniter pulse elec act flat ecg ambu comp 15 or 30 2- adrenaline 1-20 0.2 ml/kg 5 cycles of ambu comp- check rythum pulse adrenaline every 5 min v tac, v-fib ambu compression- defib 2 j/kg-5 cycles- check rythum if v tac v fib- 4 j- adrenaline- 5 cycles check rythum pulse- 4 j amiodarone lingo, magnesium for torsedes why hypoxia oxygen ambu hypovolumia- ns sudden inj neb esp stridor inc reduce potassium- sodabicarb conv , lung- sec,grunt low bsl= d 25 2-5 flow giddiness,difficult sat, low pv , w cft, low bp tamponade- pericardiocentisis brain- low tone , kid - potassium, chest air icd , cold- warmer liv- bsl low,no awake , blood- very low hb trauma toxin bsl iv,calcium , na k , septic , temp drop , oxy empty on vent ready ( generator- diesel key check )(central oxygen regulator ready, full )(ward reg pressure)et scope light , gloves,ambu mask check on baby , pipe sticking, (suction wire canula new cath, check bowl)stetho, lma, jr , canula, torch vent stop ambu ups light problem no light ,vent stop, sat stop if ups check start light- good resp sat rise- canula, poor resp rate, rise sat- ambu. secretion suction no touch tip - see sat rise ae sat rise less, alarm low pressure, low min vol ambu and check ambu rise coordination 1)no rise with ambu et out- ambu mask lma- new et(irritable movement loose sticking) 2)rise with ambu yes- see sat rising a)sat rising alarm yes oxy cylinder pressure low-correct oxy cyl press goog- check leak alarm no partial block rt poor- adjust-imp et position no imp-suc-imp lung lt poorno imp- change et blood flow both poor suck - imp no imp pip peep x- flow- ns warmer dobut sos et chan b)sat not increasing complete block ae both poor suction blood flow- goodrise ae both ns warmer imp- sos et change no imp remove et ambu mask lma- new et

act reac less mov red irritable fd red- leave irrit

lung inc rr rise sc cough wheeze crepts inc rr rise ic ss ae feed poor suck tone red in bet drowsy fatigue, rise reducing sat diff nf ox inc , suc red

no st aw,vr abd sat slow col grunt freq sat, colour bcbs

blood flow inc pr giddiness inc pr inc pr aw but irr , fd poor sat probe adjust, pv red ,foot cold sat number graph delay on off leg cold cft red slow sat bp urine less, tone red in bet freq, tone red stay awake red but can wakemottling. pain response , ls

cns head ache vomit headache drowsy fd no try , tone red

vr

shake , secretion, no stay awake pain res resp irr ventls bcbs gasp