early signs of deterioration in newborn
DESCRIPTION
Presentation conducted in NICU, Al Hadi HospitalTRANSCRIPT
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EARLY CLINICAL SIGNS OF DETERIORATION IN NEWBORNS
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Why Newborns are more susceptible to illness
• Change over from Intra-uterine to extra-uterine life
• Immature and slow responding Immune System• Poor Skin barrier• Umbilical Stump• Poor Blood brain barrier
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• Maternal History of GBS• PROM more than 18 hours• Maternal Fever• Maternal UTI• Chorioamnionitis
Infants at Risk
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Careful observation and appropriate action can save lives
• Proper training• Confident finding will lead to successful treatment• Identifying normal values at the earliest
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Newborn Early Warning Score
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Remember ABC My Nursery Temperature !!
• Air way Signs• Breathing Signs• Cardiac Signs• Metabolic Signs• Neurologic Signs• Temperature
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Air way, Breathing Signs
• Apnea• Tachypnea• Grunting• Shallow breathing• Inter coastal, sub coastal or
Supra-sternal recession
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Cardiac Signs
• Tachycardia• Bradycardia• Hypoxemia• Hypotension• Pallor• Poor capillary perfusion• Edema
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Metabolic Signs
• Hypoglycemia
• Hyperglycemia
• Metabolic acidosis
• Jaundice
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Neurologic Signs
• Lethargy
• Irritability
• Impairment of consciousness
• Hypotonia
• Buldging anterior fontanalle
• Seizure or any subtle movements
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Temperature Instability
• Hyperthermia
• Hypothermia
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Evaluation
• Know the Normal Values- most important!
• RR, HR, SPO2, Capillary Filling time, BP, Temperature, Blood Sugar
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References
• www.nhs.uk• American Nurse Today
Journal 2012 • Medscape Article 2012
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THANK YOU