Tuesday, December 18, 2018
'Nicu Nursing Care Plan\r'
'AàNeonatal Intensive C ar unità(neonatal intensive c ar unit) is anàintensive care unitàfinickyizing in the care of autistic oràill-timedànewbornàinfants. Neonates who hire to go to the unit are often admitted within the set-back 24 hours after birth. Newborns may be direct to the NICU if: ââ¬Â¢ theyre bornàprematurely ââ¬Â¢ difficulties slip away during their talking to ââ¬Â¢ they show signs of a problem in the outset few days of life (sepsis/infection, unconditioned defects, cardiac / respiratory abnormalities, low birth weight down) NICU EQUIPMENT: ââ¬Â¢ ancestry PRESSURE MONITORàmay be a smaller version of the rent impel thump utilizeàon older children and adults.Oràanàarterial CATHETERà( diminutive thermionic valve inserted in an artery) may be apply to monitor subscriber line pressure. ââ¬Â¢ CARDIORESPIRATORY MONITORàsaves way of life of the nestlingââ¬â¢s heartbeat and breathing ââ¬Â¢ CPAP (c ontinuous ordained activate passage pressure) figureàdelivers air or group O by dint of tubes in the nostrils. It uses low, continuous pressure to keep the lungs inflated. ââ¬Â¢ ENDOTRACHEAL underpass (ETT)àapply with a respirator or breathing machine to send air directly to the lungs. ââ¬Â¢ ply furnish (ALSO CALLED A GAVAGE TUBE) ââ¬Â¢ INCUBATOR apply when immature is relatively stable but lock premature or requiring intravenous fluids or other special attention.The incubator keeps the newborn heartily with moistened air in a clean environment, and helps to protect the babe from noise, drafts, infection, and senseless(prenominal) handling ââ¬Â¢ INTRAvenous LINE (IV) ââ¬Â¢ peripherally INSERTED primeval CATHETER (PICC) OR A PERCUTANEOUS rally venous CATHETER (PCVC)àmay be inserted in a aboriginal (large) stain. This catheter is apply to give the fluids, nutrition, and medication. ââ¬Â¢ PHOTOTHERAPY LIGHTS, OR ââ¬Å"BILI LIGHTS,ââ¬Â a re utilize when neonates have jaundice ââ¬Â¢ PULSE OXIMETERàmeasures the take aim of type O in the cossetââ¬â¢s blood.Itââ¬â¢s habituated to the skin with a sensor tape-recorded to the marââ¬â¢s hand or blame. It whole kit by shining a light by dint of the babyââ¬â¢s hand or foot bright WARMERS used for very unstable or exceedingly premature newborns ââ¬Â¢ RESPIRATOR OR breathing apparatusàused to help the baby breathe. These machines are abandoned to an ETT. ââ¬Â¢ TEMPERATURE test ââ¬Â¢ umbilical ARTERIAL CATHETER (UAC) OR UMBILICAL VENOUS CATHETER (UVC)- catheter is laid in the artery or vein at the stump of the umbilical cord. Itââ¬â¢s used to give the medications, fluids, and nutrition. Itââ¬â¢s also used to die blood for lab tests. WEIGHING cuticle special K NICU TESTS: ââ¬Â¢ help determine the neonateââ¬â¢s problems and how they should be treated ââ¬Â¢ monitor newbornââ¬â¢s progress. If the neonate needs a major(ip) test, the convolute will ask the parents or sanctioned shielder to sign a consent form sooner the test is through with(p). BLOOD TESTS- allow crucial breeding on the potential and present problems of the neonate ââ¬Â¢ bilirubin levels, blood sugar, blood chemistry, electrolytes, CBC, blood C/S, blood shove off COMPUTED TOMOGRAPHY (CAT OR CT SCAN)-produce a to a greater extent precise image of tissue than an roentgenogram or ultrasound examination.ECHOCARDIOGRAM- detects structural problems (heart defects) and problems with how the heart works. consultation TEST-A tiny earphone will be placed in her ear to deliver sound. Small sensors, which are taped to the babys head, will relay information to a machine that measures the electrical activity in her disposition in response to sound. MAGNETIC RESONANCE imagination (magnetic resonance imaging)-The MRI gives a more detailed placement than a CT scan NEWBORN book binding TEST- tests babies for in force(p) hereditary disor ders.RETINOPATHY OF PREMATURITY (ROP) EXAMINATION-This test usually is done for newborns born at or ahead 28 weeks of gestation or weighing less than 1,500 grams (3 1/3 pounds). The test is generally performed around 4 to 6 weeks after birth, or when your newborn reaches 31 to 33 weeks gestational age (weeks since the mothers blend menstrual period). ULTRASOUND-routine test to diagnose bleeding in the brain. pissing TESTS- determine how well the kidneys are functioning, and whether neonate has an infection.WEIGHING-routine exam, specially for premature and low birth weight newborns X-RAYS- provide pictures of neonateââ¬â¢s lungs and other inseparable organs. nurse CARE PLAN: 1. hyperthermia NDx:àHyperthermia related to inflammatory process/ hypermetabolic state as testify by an increase in carcass temperature, warm skin and tachycardia 2. tranquil Volume shortage NDx:àFluid volume deficit related to trial of regulatory mechanism |Bucayu, Michael | |Cabulay, Le i-Ann Jessica | |Rodriguez, Kristel Angela | |Talosig, Janica Marie |\r\nNicu Nursing Care be after\r\nAàNeonatal Intensive Care Unità(NICU) is anàintensive care unitàspecializing in the care of ill oràprematureànewbornàinfants. Neonates who need to go to the unit are often admitted within the first 24 hours after birth. Newborns may be sent to the NICU if: ââ¬Â¢ theyre bornàprematurely ââ¬Â¢ difficulties occur during their delivery ââ¬Â¢ they show signs of a problem in the first few days of life (sepsis/infection, congenital defects, cardiac / respiratory abnormalities, low birth weight) NICU EQUIPMENT: ââ¬Â¢ BLOOD PRESSURE MONITORàmay be a smaller version of the blood pressure cuff usedàon older children and adults.OràanàARTERIAL CATHETERà(tiny tube inserted in an artery) may be used to monitor blood pressure. ââ¬Â¢ CARDIORESPIRATORY MONITORàkeeps track of the babyââ¬â¢s heartbeat and breathing ââ¬Â¢ CPAP (continuous positi ve airway pressure) machineàdelivers air or oxygen through tubes in the nostrils. It uses low, continuous pressure to keep the lungs inflated. ââ¬Â¢ ENDOTRACHEAL TUBE (ETT)àused with a respirator or ventilator to send air directly to the lungs. ââ¬Â¢ FEEDING TUBE (ALSO CALLED A GAVAGE TUBE) ââ¬Â¢ INCUBATOR used when newborn is relatively stable but still premature or requiring intravenous fluids or other special attention.The incubator keeps the newborn warm with moistened air in a clean environment, and helps to protect the baby from noise, drafts, infection, and excess handling ââ¬Â¢ INTRAVENOUS LINE (IV) ââ¬Â¢ PERIPHERALLY INSERTED CENTRAL CATHETER (PICC) OR A PERCUTANEOUS CENTRAL VENOUS CATHETER (PCVC)àmay be inserted in a central (large) vein. This catheter is used to give the fluids, nutrition, and medication. ââ¬Â¢ PHOTOTHERAPY LIGHTS, OR ââ¬Å"BILI LIGHTS,ââ¬Â are used when neonates have jaundice ââ¬Â¢ PULSE OXIMETERàmeasures the level of oxyge n in the babyââ¬â¢s blood.Itââ¬â¢s attached to the skin with a sensor taped to the babyââ¬â¢s hand or foot. It works by shining a light through the babyââ¬â¢s hand or foot RADIANT WARMERS used for very unstable or extremely premature newborns ââ¬Â¢ RESPIRATOR OR VENTILATORàused to help the baby breathe. These machines are attached to an ETT. ââ¬Â¢ TEMPERATURE PROBE ââ¬Â¢ UMBILICAL ARTERIAL CATHETER (UAC) OR UMBILICAL VENOUS CATHETER (UVC)- catheter is placed in the artery or vein at the stump of the umbilical cord. Itââ¬â¢s used to give the medications, fluids, and nutrition. Itââ¬â¢s also used to draw blood for lab tests. WEIGHING SCALE COMMON NICU TESTS: ââ¬Â¢ help determine the neonateââ¬â¢s problems and how they should be treated ââ¬Â¢ monitor newbornââ¬â¢s progress. If the neonate needs a major test, the doctor will ask the parents or legal guardian to sign a consent form before the test is done. BLOOD TESTS-provide crucial information on t he potential and present problems of the neonate ââ¬Â¢ Bilirubin levels, blood sugar, blood chemistry, electrolytes, CBC, blood C/S, blood gas COMPUTED TOMOGRAPHY (CAT OR CT SCAN)-produce a more precise image of tissue than an X-ray or ultrasound examination.ECHOCARDIOGRAM- detects structural problems (heart defects) and problems with how the heart works. HEARING TEST-A tiny earphone will be placed in her ear to deliver sound. Small sensors, which are taped to the babys head, will relay information to a machine that measures the electrical activity in her brain in response to sound. MAGNETIC RESONANCE IMAGING (MRI)-The MRI gives a more detailed view than a CT scan NEWBORN SCREENING TEST- tests babies for serious hereditary disorders.RETINOPATHY OF PREMATURITY (ROP) EXAMINATION-This test usually is done for newborns born at or before 28 weeks of gestation or weighing less than 1,500 grams (3 1/3 pounds). The test is generally performed about 4 to 6 weeks after birth, or when your n ewborn reaches 31 to 33 weeks gestational age (weeks since the mothers last menstrual period). ULTRASOUND-routine test to diagnose bleeding in the brain. URINE TESTS- determine how well the kidneys are functioning, and whether neonate has an infection.WEIGHING-routine exam, especially for premature and low birth weight newborns X-RAYS- provide pictures of neonateââ¬â¢s lungs and other internal organs. NURSING CARE PLAN: 1. Hyperthermia NDx:àHyperthermia related to inflammatory process/ hypermetabolic state as evidenced by an increase in body temperature, warm skin and tachycardia 2. Fluid Volume Deficit NDx:àFluid volume deficit related to failure of regulatory mechanism |Bucayu, Michael | |Cabulay, Lei-Ann Jessica | |Rodriguez, Kristel Angela | |Talosig, Janica Marie |\r\n'
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