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This document summarizes a NICU worksheet for a premature male infant born at 27 weeks and 5 days gestation weighing 1.115kg. The infant was admitted to the NICU for prematurity and respiratory distress syndrome and was treated with caffeine and CPAP. Complications included anemia which was treated with transfusions, and a patent ductus arteriosus. Feeding protocols involved bottle feeding with fortified formula every 3 hours, which the infant tolerated well. The infant's weight showed steady growth in the positive direction. Discharge was planned for when the infant could maintain temperature and feedings and showed no signs of desaturation, bradycardia or apnea.
This document summarizes a NICU worksheet for a premature male infant born at 27 weeks and 5 days gestation weighing 1.115kg. The infant was admitted to the NICU for prematurity and respiratory distress syndrome and was treated with caffeine and CPAP. Complications included anemia which was treated with transfusions, and a patent ductus arteriosus. Feeding protocols involved bottle feeding with fortified formula every 3 hours, which the infant tolerated well. The infant's weight showed steady growth in the positive direction. Discharge was planned for when the infant could maintain temperature and feedings and showed no signs of desaturation, bradycardia or apnea.
This document summarizes a NICU worksheet for a premature male infant born at 27 weeks and 5 days gestation weighing 1.115kg. The infant was admitted to the NICU for prematurity and respiratory distress syndrome and was treated with caffeine and CPAP. Complications included anemia which was treated with transfusions, and a patent ductus arteriosus. Feeding protocols involved bottle feeding with fortified formula every 3 hours, which the infant tolerated well. The infant's weight showed steady growth in the positive direction. Discharge was planned for when the infant could maintain temperature and feedings and showed no signs of desaturation, bradycardia or apnea.
Student____Shawn Hekkanen__________ Date____2/1/2016_________ Instructor___Danielle Beasley________________ M/F_Male_Gestational Age at birth:___27.512weeks_________BW:_1.115kg_____ Length at birth: 36cm__Current Wt.:__1.99kg____ APGARs: 1min: 6__5 min:__7__ Vital Signs: T:__98.1 F___ HR:_177_____ RR:__52_____ BP__75/43____ O2 SAT:__100____Oxygen/Type____room air_______________________ Blood type/Coombs:___O positive_________ 1. Indicate the diagnosis/reason the neonate was admitted to the NICU and define treatments for the diagnosis: Admitted for prematurity, respiratory distress syndromecaffeine, possible sepsis-was not septic but at risk d/t having NEC risk factors. CPAP w/ RAM cannula until 32 weeks. Bilirubin test. 2. Identify the complications associated with prematurity in the infant you are caring for. Aenemia-received transfusion of PRBCs, iron multivitamin supplement, iron is not in natural breast milk but infant primarily on formula Patent Ductus Arteriosus with positive murmur, not symptomatic, likely to close without surgical intervention Respiratory Distress Syndrome- CPAP to room air by 32 weeks, caffeine 3. Review the medications pertaining to the premature infant you are caring for. Describe use, usual dosage, side effects, and nursing considerations. (Examples: Ampicillin, Gentamicin, Indocin, Curosurf, Survanta, Caffeine Citrate, Morphine, and Methadone.) caffeine citrate= 0.25mL/kg, prevent apnea and bradycardic episodes, discontinued 1/17; tachycardia side effect, irritability, CNS stimulation, GI upset, glucose fluctuations, increased renal activity. Nurse to monitor vital signs, sleeping patterns. multivitamin w/ iron oral liquid 0.5mL daily (could cause constipation, dark stool, ensure adequate hydration, nurse only puts multivitamin in last 5mL of feeding due to poor taste.
USF College of Nursing NUR 4467L
Special Care Nursery or NICU Worksheet 4. Document the infants weight from the growth chart including the percentile and range. Examine and interpret the trend in weight gain or loss. Current: 1.99kg, 34.57weeks, 18.18% Birth: 27.5 weeks gestational age, 1.115kg, 12/7 birth, 67.15% Lost weight initially until 12/12, and continuously stable positive growth curve since 12/14, 1.075kg. 5. Explain the feeding protocol for your patient. Include the method of feeding, content of feedings (breast milk, formula, fortified?), guidelines for feeding, and infants tolerance to feedings. Bottle feeding with formula, Similac Neosure 22cal/fl oz. Mother drops off breast milk intermittently and unreliably. Feedings every 3 hours, 40mL ad lib(allowed to take more), tolerates feedings well, no emesis, gulps feedings, frequent burpings due to swallowing air during gulping, adjust bottle angle to slow down feeding 6. Why are abdominal girths important to monitor in the care of NICU babies? Necrotizing Enterocolitis (NEC), intestinal lining fails. Higher risks include prematurity, formula feeding, transfusion, department outbreaks of NEC. A primary sign is abdominal bloating. Often surgical intervention. Can be fatal. 7. How is maternal-infant bonding encouraged in the NICU? Cite examples observed in the care of your patient. Single rooms, breast feeding promoted with consultations and encouragement, 24/7 visiting and parents are encouraged to have full involvement with care and training while hospitalized, rocking chairs, toys, furnishings are homey and comfortable, swings and mobiles and other gadgets available, 8. What is family/social situation? Indicate strategies and support services utilized. Premature infant is child number 8 with married man and woman, oldest 17 years old, next youngest is 3 years old, all children by same father, 34 year old mom, mom works, dad works, all children in school, very involved family, visiting
USF College of Nursing NUR 4467L
Special Care Nursery or NICU Worksheet infant daily after work day. No prior history of premature births. 9. What is the anticipated length of stay? Identify actual or potential discharge planning needs. Due for discharge Thursday, 1/28. Original anticipated LOS was the original due date but going home early if maintains temperature, performs all feedings by mouth every three hours, no episodes of oxygen desaturation, no bradycardic episodes, no apneas, parents to watch safe baby video and safe car seat video, 90 minutes car seat test was already passed, hearing screen after moved into crib unit already passed, 2 weeks from now eye exam, cardiology follow-up for PDA w/ echocardiogram