David E. Hertz's Care of the Newborn: A Handbook for Primary Care PDF

By David E. Hertz

This instruction manual is a accomplished, concise, and available consultant to the care of infant babies, either fit and unwell. It offers the basic middle of sensible wisdom that pediatricians, family members practitioners, citizens, neonatal nurse practitioners, and clinical scholars have to carry optimum care to all neonates. The publication should be simply learn in the course of a one-month neonatal rotation and used for speedy reference.

Normal child care, neonatal affliction strategies, and neonatal strategies are mentioned and illustrated in a simple demeanour. The appendix presents a child formulary. The publication additionally incorporates a bankruptcy on taking care of the kinfolk mourning a perinatal loss.

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Additional resources for Care of the Newborn: A Handbook for Primary Care

Example text

Volume expansion Normal saline Ringer’s lactate O-negative RBCs 10 mL/kg IV B. Postresuscitation phase and stabilization Medication Concentration Dose/Route Rate/Precautions/Caveats a. 5 meq/mL 2 meq/kg IV b. 1 mg/kg IV, IM, SQ c. D10W (10% glucose) 2 mL/kg IV Slow infusion (1 meq/kg/min) Give only after effective ventilation has been established Maternal narcotics within 4 h of delivery Do not give if maternal narcotic abuse is suspected Follow with continuous IV glucose infusion Slow infusion (1 mg/kg/min) Watch for respiratory depression For hypotension unresponsive to volume expansion For surfactant deficiency with hyaline membrane disease; perhaps meconium aspiration, persistent pulmonary hypertension, and congenital diaphragmatic hernia Risks: apnea, hypertonia, seizures, hyperthermia Glucose d.

The efficacy of epinephrine is not enhanced with alkalinization. Special circumstances in the deliver y room. Greater than 95% of newly born infants who require resuscitation in the delivery room will respond to appropriate airway management and the initiation of effective positive-pressure ventilation. A small number of babies, however, will remain apneic, bradycardic, and cyanotic even after receiving chest compressions and epinephrine. For these infants, further resuscitative efforts will depend on their clinical presentation (Fig.

For infants whose mothers have used narcotics chronically, naloxone may be contraindicated because of the potential risk for acute withdrawal symptoms in the infant. Additionally, newly born infants who receive naloxone should be monitored for recurrent respiratory depression because the duration of naloxone action may be shorter than the duration of the narcotic effect. Cardiorespiratory monitoring in the transitional or special care nursery for a minimum of 4 hours is advisable in these infants.

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