Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

Care of preterm babies

21,663 views

Published on

ptrterm baby...nursing care

  • Dating direct: ❶❶❶ http://bit.ly/2F90ZZC ❶❶❶
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • Dating for everyone is here: ❶❶❶ http://bit.ly/2F90ZZC ❶❶❶
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • Get paid to post comments on Facebook - $25 per hour ●●● http://t.cn/AieXipTS
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • Who Else Wants To Cure Their Acne, Regain Their Natural Inner Balance and Achieve LASTING Clear Skin? Click Here ➤➤ http://t.cn/AiWGkfA8
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here

Care of preterm babies

  1. 1. CARE OF PRETERM BABIES PRESENTED BY AMRUTHA R 1STYR MSc nsg
  2. 2.  <2500GMS  TYPES  VLBW  ELBW
  3. 3.  PRETERMS  IUGR
  4. 4.  DEFINITION  A baby born before 37 completed weeks of gestation irrespective of birth weight.
  5. 5.  Maternal factors  socio economic factors  Pregnancy related factors  Medical conditions  Anatomic issues  Behavioral factors  Infections
  6. 6.  SMALL AND SCRAWNY  PROPORTIONALLY LARGE HEAD TO BODY  TRANSLUCENT SKIN  VISIBLE BLOOD VESSELS
  7. 7.  FINE LANUGO HAIR  SOFT PLIABLE EAR CARTILAGE  SOFT BONES  CLOSED EYES
  8. 8.  FEW SCROTAL RUGAE AND UNDECENDEDTESTIS  PROMINENT LABIA AND CLITTORIS  INACTIVE AND LISTLESS  EXTENDED EXTRIMITIES  PARTIALLY DEVELOPED REFLUX ACTIVITIES
  9. 9.  ABSENTWEAK OR INEFECTIVE SUCKING  INABILITY TO MAINTAIN BODY TEMPERATURE  LIMITED ABILITY TO EXCRETE SOLUTES IN URINE  INCREASED SUSCEPTIBILITYTO INFECTION  PLIABLE THORAX IMMATURE LUNG TISSUE
  10. 10.  IMMATURE REGULATORY CENTRE  MORE SUSCEPT IBLE TO HYPOGLYCEMIA AND HYPER BILIRUBINEMIA
  11. 11.  POOR CONTROL OF BODY TEMPERATURE  RESPIRATORY DIFFICULTY  SUSCEPTIBILITY TO INFECTION
  12. 12.  DIFFICULTIES WITH NUTRITION  IMMATURITY IN RENAL FUNCTION
  13. 13.  HYPOTHERMIA  BREATHING DIFFICULTY  APNOEA  RDS
  14. 14.  INTRA VENTRICULAR HAEMORRHAGE  FEEDING DIFFICULTIES  HYPOGLYCEMIA  METABOLIC ACIDOSIS
  15. 15.  HYPERBILIRUBINEMIA  ROP  FLUID AND ELECTROLYTE IMBALANCES  NECROTISING ENTEROCOLITIS
  16. 16.  ANEMIA  BPD  INFECTIONS
  17. 17.  INTELLECTUAL DISABILITIES  CEREBRAL PALSY  VISIONAND HEARING LOSS
  18. 18.  CARE AT BIRTH  APPROPRIATE PLACE OF CARE  THERMAL PROTECTION
  19. 19.  FLUIDS AND FEEDS  MONITORING AND EARLY DETECTION OF COMPLICATIONS  APPROPRIATE MANAGEMENT
  20. 20.  Elective intubation of extremely LBW babies (< 1000g) is practised in some centers to support breathing and for prophy lactic administration of exogenous surfactant.
  21. 21.  The baby should be promptly dried, kept effectively covered andWarm.  Vitamin K 0.5 mg should be given intramuscularly.
  22. 22.  ETTUBE  VENTILATOR  C PAP  02 SUPPLEMENTATION
  23. 23.  MUMMIFICATION  KMC  NESTING  DELAY BATH  WARMER
  24. 24.  <30– IV FLUIDS, NG ,KATORI, BREAST FEEDS  30—34 NG ,KATORI, BREAST FEEDS  >34 KATORI, BREAST FEEDS
  25. 25.  PROTEIN  10% of daily calories should be derived from proteins.  • Recommended allowance for LBW neonates is 3-4 gms/kg/day  BREAST FEEDING
  26. 26.  Carbohydrates  • Should provide 40% energy.  • Recommended allowance is 10-15 gms/kg/day.  Fats  • Should provide 50% of total energy.  • Recommended allowance is 5.4- 7.2 gms/kg/day
  27. 27.  • Recommendations are 2.5 to 3.5 meq/ kg/ day each.  • Mature Human milk contains 1.1 meq/100 kcal of sodium and premature milk contains 1.9 meq /100 kcal which is often insufficient forVLBW infants.
  28. 28.  VitaminA- An intake of 1500 IU/kg/day is recommended for preterms.  It may promote epithelial repair and minimize fibrosis in preterm  babies with CLD.  •Vitamin D-Vit. D at 400 IU/day maintains adequateVit D status and prevents Rickets.
  29. 29.  •Vitamin E-Vit. E is recommended for preterm infants in 6 to 12  IU/kg/day. One ml of Evion (E-Merck) contains 50 IU.  •Vitamin K-Vit K is required for hepatic synthesis of coagulation  factors II,VII, IX, & X. Administration at birth of 0.5 to 1.0 mg i.m.Vit K can prevent HDN.
  30. 30.  EBM  DONOR HUMAN MILK  FORMULA FEEDS
  31. 31.  NG/OGT  FREQUENCY  POSITIONING
  32. 32.  VITAMIN D  Ca and Ph  ZINC  IRON
  33. 33.  HAEMORRHAGE  WATERAND FLUID LOSS  RDS  HYPOGLYCEMIA
  34. 34.  INFECTION PREVENTION PROTOCOL  IMMUNISATION  5 CLEANS
  35. 35.  CLEAN HAND  CLEAN CORD  CLEAN CORD CLAMP  CLEAN SURFACE  CLEAN PROCEDURESN
  36. 36.  CORTICOSTEROIDS  SYNTHETIC SURFACTANT  VIT K  ANTIBIOTICS
  37. 37.  Vital signs  Activity and behaviour.  Color; Pink, pale, grey, blue, yellow.  Tissue perfusion  Fluids, electrolytes and ABG's.
  38. 38.  Tolerance of feeds;Vomiting, gastric residuals, abdominal girth.  Look for development of RDS, apneic attacks, sepsis, PDA, NEC, IVH  Weight gain
  39. 39.  Immunisation  Danger signs

×