ch01 - ParamedicCare:Principles& Practice Volume5...

Info iconThis preview shows pages 1–18. Sign up to view the full content.

View Full Document Right Arrow Icon
    Practice  Volume 5 Special Considerations
Background image of page 1

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
    Chapter 1 Neonatology
Background image of page 2
    Topics Newborns and Neonates High-Risk Newborn Patients APGAR Scoring Newborn Resuscitation Special Situations
Background image of page 3

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
    Introduction Neonate An infant from the time of birth to one  month of age Newborn A baby in the first few hours of its life, also  known as newly born infant
Background image of page 4
    Term newborn
Background image of page 5

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
    Epidemiology Approximately 6% of field deliveries  require life support. The incidence of complications  increases as the birth weight decreases. Approximately 80% of newborns  weighing 1500 g (3 pounds, 5 ounces)  at birth require resuscitation.
Background image of page 6
    Antepartum and Intrapartum Determine at-risk newborns by  considering antepartum and intrapartum  factors that may indicate delivery  complications. Antepartum—before the onset of labor Intrapartum—occurring during childbirth
Background image of page 7

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
    Risk Factors
Background image of page 8
    Pathophysiology Dramatic changes occur within the  newborn to prepare it for extrauterine  life. Fluid in the fetal lungs will be forced  out of the lungs during delivery by  compression of the chest and by entry  of air into the lungs.
Background image of page 9

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
    Factors That Stimulate the  Baby’s First Breath Mild acidosis Initiation of stretch reflexes in the lungs Hypoxia Hypothermia
Background image of page 10
    Hemodynamic changes in the  newborn at birth
Background image of page 11

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
    Non-Cardiac Congenital  Anomalies Diaphragmatic hernia Meningomyelocele Omphalocele Choanal atresia Cleft palate Cleft lip Pierre Robin syndrome
Background image of page 12
    Diaphragmatic Hernia Protrusion of abdominal contents into the  thoracic cavity through an opening in the  diaphragm BVM ventilation can cause gastric distention,  which can push more contents into the  thorax, or allow the stomach to protrude into  the thorax, decreasing ventilator capacity Do not BVM. Immediately intubate
Background image of page 13

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
    Meningomyelocele* Herneation off the spinal cord and  surrounding membranes through a  defect in the spinal column Position the newborn prone or on their  side, and resuscitate them in this  position Cover the spinal defect with warm  sterile gauze ( in plastic)
Background image of page 14
    Omphalocele Herniation of umbilicus
Background image of page 15

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
    Choanal Atresia Closure of the passage between thee  nose and the pharynx by a bony or  memranous structure Can cause upper airway obstruction or  respiratory distress Use an opa if necessary to ventilate
Background image of page 16
    Cleft Palate and Cleft lip Cleft palate - fissure in the roof of the  mouth, forming a passageway between  oral and nasal cavities  Cleft lip - verticle fissure in the upper lip Ventilation may be difficult via BVM. 
Background image of page 17

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Image of page 18
This is the end of the preview. Sign up to access the rest of the document.

Page1 / 104

ch01 - ParamedicCare:Principles& Practice Volume5...

This preview shows document pages 1 - 18. Sign up to view the full document.

View Full Document Right Arrow Icon
Ask a homework question - tutors are online