Student Presentations Flashcards

(34 cards)

1
Q

Estimated 45% of deaths in children under 5 are what age?

A

neonate (1-28 days)

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2
Q

what is the time of highest risk of death?

A

first few weeks of life

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3
Q

according to the ‘live saving essential and extra newborn care” what is the highest priority?

A

providing warmth

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4
Q

axillary temp in the neonate should be what?

A

36.5- 37.5 C

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5
Q

providing a neutral thermal environment provides what?

A

stability and reduced adverse outcomes

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6
Q

18-42% of neonatal deaths worldwide are attributed to what?

A

reduction in body temperature

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7
Q

rapid heat loss in the neonate attributed to what?

A

large BSA
limited brown fat stores
vasomotor instability
immature thermoregulatory system

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8
Q

radiant heat loss example

A

cold incubator doors

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9
Q

evaporation heat loss example

A

insensible water loss from skin and resp tract

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10
Q

convection heat loss example

A

cold OR temp or incubator temp

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11
Q

conduction heat loss example

A

placement of neonate on cold OR table

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12
Q

2 highest forms of heat loss

A

radiation and convection

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13
Q

cold stress

A

36.0-36.6 C

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14
Q

hypothermia

A

< 36.0

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15
Q

28% increase in mortality and 11% in late onset sepsis associated with what temperature decrease?

A

every 1 degree C decrease

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16
Q

Factors associated with hypotehermia

A
Hypoglycemia
•Respiratory distress
•Hypoxia
•Metabolic Acidosis
•Failure to Gain Weight
•Necrotizing Enterocolitis
•Increases Oxygen Consumption 
•Neurological Compromise
• Intraventricular Hemorrhage
•Arrhythmias
•Death
17
Q

where is more hypothermia experienced for the neonate, ICU or OR

A

OR- attributed to delivery of gases (Sevo> des)

18
Q

hyperthermia

19
Q

causes of heat gain

A
•Maternal temperature
•Phototherapy
•Excessive Swaddling, Over-heating•
Dehydration
•Infection
•Central Nervous System Disorder
•Environmental Factors
20
Q

signs of hyperthermia

A
  • Tachycardia
  • Apnea
  • Seizures,
  • Hypotension
  • Dehydration
  • Hypernatremia
21
Q

what agency determines care plan for neonate

A

Agency for Healthcare Research and Quality

22
Q

what areas should be avoided in skin temp placement?

A

Avoid Brown Fat areas

-scapula, mediastinum, axilla, retroperitoneal areas

23
Q

where should skin temp probe be placed in prone or supine patient

A

-Place probe in outer abdominal region below ribs (supine) or upper flank, below ribs (prone)

24
Q

considerations for placement of skin temp placement in axilla

A

place in axilla-arm must be down and skin temperature goal increased by 0.5 Celsius

25
what should incubator be prewarmed to?
35 C
26
what should the NICU room and OR be prewarmed to?
75-82.4 F
27
is it a good idea to turn alarms off for the cases?
duh
28
Obesity prevalence is ____ in women of childbearing age
40-50%
29
Increased incidence greater in obese vs normal-weight:
Dysfunctional labor leading to instrumentation C/S PP hemorrhage
30
Healthcare cost is _x greater than for healthy parturients
5
31
•Comorbidities and adverse events with obesity and pregnancy
* HTN * DM * Preeclampsia * Pulmonary issues * Difficult neuraxial * Inadequate analgesia * Airway issues * C/S (Estimated to reach 19 – 40%)
32
An obese patient admitted to L & D clinic inquires about early epidural placement, the following statement by the provider demonstrates accurate knowledge on timing of epidural placement:
c. We should weigh the risks versus benefits and make that decision based on what is best for your situation.
33
The following are associated comorbidities and adverse events in the combination of pregnancy and obesity: Select two
difficult neuroaxial and DM
34
Among various healthcare institutions, which of the following describes the policy on timing of epidurals
D. Policies vary from one institution to another