pt eval a42-47

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Anonymous
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81174
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pt eval a42-47
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2011-04-22 16:30:51
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pt eval a42-47
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  1. what factors about the mother are evaluated before the baby is delivered
    • hx of pregnancy
    • age
    • smoking and substance abuse
    • nutrition
    • infection
    • htn
    • diabetes
    • fam hx
  2. gestational age of a term infant
    38-42 wks
  3. when is an APGAR score routinely done
    • 1 and
    • 5 minutes
  4. 5 factors evaluated
    • color
    • hr
    • reflex irratability
    • muscle tone
    • resp effort
  5. score of 0-3=
    resuscitate
  6. score of 4-6=
    support- stimulate, warm, o2
  7. score of 7-10=
    monitor
  8. a test that is recommended when a pneumothorax is suspected
    transillumination
  9. a pneumothorax or pneymomediastinum will cause the entire hemithorax to
    light up
  10. bright fiberoptic light is placed against the infants
    chest in a darkened room
  11. normal temp for an infant
    36.5 c
  12. normal hr for a term infanct
    110-160 b/min (double from adult)
  13. normal RR for a term infant
    30-60 (double from adult)
  14. normal bp for a term infant
    60/40 (half of adult)
  15. birth weight of term infant
    >3000g= 3 kilos = 6 or 7 lbs
  16. infant resp distress=
    • cyanosis
    • retractions
    • grunting
    • nasal flaring
  17. capillary refill should be no longer than how many sec
    3 seconds
  18. 2 types of method to determine gestational age
    • dubowitz method
    • new ballard score
  19. normal score of 40 corresponds to __ weeks
    40 weeks
  20. blood glucose levels are important to
    infants
  21. term infants should have glucose values greater than
    30
  22. l/s ratio is used for
    lung maturity info
  23. 2:1 ratio or higher indicates
    good lung maturity
  24. phosphatidylglycerol PG is a most reliable indicator of pulm maturity even with
    diabetes
  25. Phosphatidylcholine PC makes up the majority of the weight of
    weight of surfactant
  26. measures echaled carbon dioxide content using infrared absorption
    • capnography-
    • ECO2
    • ETCO2
    • PetCO2
  27. petCO2 will read lower than the arterial
    PC02
  28. Paco2=
    40 torr
  29. PetCo2=
    30 torr
  30. ETCO2 normal value as a percent
    3-5%
  31. an increase in the Peco2 or Petco2 would indicate a
    decrease in ventilation
  32. a decrease in the peco2 or petco2 would indicate a
    • increase in ventilation or
    • decrease perfusion
  33. low petco2 readings immediately following intubation would indicate that the ett is in the
    esophagus
  34. during CPR, the petco2 would
    increase
  35. purple=
    poor
  36. yellow=
    normal

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