Student Presentations Flashcards
(34 cards)
Estimated 45% of deaths in children under 5 are what age?
neonate (1-28 days)
what is the time of highest risk of death?
first few weeks of life
according to the ‘live saving essential and extra newborn care” what is the highest priority?
providing warmth
axillary temp in the neonate should be what?
36.5- 37.5 C
providing a neutral thermal environment provides what?
stability and reduced adverse outcomes
18-42% of neonatal deaths worldwide are attributed to what?
reduction in body temperature
rapid heat loss in the neonate attributed to what?
large BSA
limited brown fat stores
vasomotor instability
immature thermoregulatory system
radiant heat loss example
cold incubator doors
evaporation heat loss example
insensible water loss from skin and resp tract
convection heat loss example
cold OR temp or incubator temp
conduction heat loss example
placement of neonate on cold OR table
2 highest forms of heat loss
radiation and convection
cold stress
36.0-36.6 C
hypothermia
< 36.0
28% increase in mortality and 11% in late onset sepsis associated with what temperature decrease?
every 1 degree C decrease
Factors associated with hypotehermia
Hypoglycemia •Respiratory distress •Hypoxia •Metabolic Acidosis •Failure to Gain Weight •Necrotizing Enterocolitis •Increases Oxygen Consumption •Neurological Compromise • Intraventricular Hemorrhage •Arrhythmias •Death
where is more hypothermia experienced for the neonate, ICU or OR
OR- attributed to delivery of gases (Sevo> des)
hyperthermia
> 37.5 C
causes of heat gain
•Maternal temperature •Phototherapy •Excessive Swaddling, Over-heating• Dehydration •Infection •Central Nervous System Disorder •Environmental Factors
signs of hyperthermia
- Tachycardia
- Apnea
- Seizures,
- Hypotension
- Dehydration
- Hypernatremia
what agency determines care plan for neonate
Agency for Healthcare Research and Quality
what areas should be avoided in skin temp placement?
Avoid Brown Fat areas
-scapula, mediastinum, axilla, retroperitoneal areas
where should skin temp probe be placed in prone or supine patient
-Place probe in outer abdominal region below ribs (supine) or upper flank, below ribs (prone)
considerations for placement of skin temp placement in axilla
place in axilla-arm must be down and skin temperature goal increased by 0.5 Celsius
