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