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Early Signs of Deterioration in Newborn
Early Signs of Deterioration in Newborn
Early Signs of Deterioration in Newborn
Early Signs of Deterioration in Newborn
Early Signs of Deterioration in Newborn
Early Signs of Deterioration in Newborn
Early Signs of Deterioration in Newborn
Early Signs of Deterioration in Newborn
Early Signs of Deterioration in Newborn
Early Signs of Deterioration in Newborn
Early Signs of Deterioration in Newborn
Early Signs of Deterioration in Newborn
Early Signs of Deterioration in Newborn
Early Signs of Deterioration in Newborn
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Early Signs of Deterioration in Newborn

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Presentation conducted in NICU, Al Hadi Hospital

Presentation conducted in NICU, Al Hadi Hospital

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  • 1. EARLY CLINICAL SIGNS OF DETERIORATION IN NEWBORNS
  • 2. Why Newborns are more susceptible to illness • Change over from Intra-uterine to extra-uterine life • Immature and slow responding Immune System • Poor Skin barrier • Umbilical Stump • Poor Blood brain barrier
  • 3. • Maternal History of GBS • PROM more than 18 hours • Maternal Fever • Maternal UTI • Chorioamnionitis Infants at Risk
  • 4. Careful observation and appropriate action can save lives • Proper training • Confident finding will lead to successful treatment • Identifying normal values at the earliest
  • 5. Newborn Early Warning Score
  • 6. Remember ABC My Nursery Temperature !! • Air way Signs • Breathing Signs • Cardiac Signs • Metabolic Signs • Neurologic Signs • Temperature
  • 7. Air way, Breathing Signs • Apnea • Tachypnea • Grunting • Shallow breathing • Inter coastal, sub coastal or Supra-sternal recession
  • 8. Cardiac Signs • Tachycardia • Bradycardia • Hypoxemia • Hypotension • Pallor • Poor capillary perfusion • Edema
  • 9. Metabolic Signs • Hypoglycemia • Hyperglycemia • Metabolic acidosis • Jaundice
  • 10. Neurologic Signs • Lethargy • Irritability • Impairment of consciousness • Hypotonia • Buldging anterior fontanalle • Seizure or any subtle movements
  • 11. Temperature Instability • Hyperthermia • Hypothermia
  • 12. Evaluation • Know the Normal Values- most important! • RR, HR, SPO2, Capillary Filling time, BP, Temperature, Blood Sugar
  • 13. References • www.nhs.uk • American Nurse Today Journal 2012 • Medscape Article 2012
  • 14. THANK YOU

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