ENPC Latest edition 2023.
Neonate characteristics: - ANSWER Birth to 4 weeks
If preterm neonate until original due date plus 28 days
Loses 5-10% weight by 3-4th day of life
Flexion normal posture
Limited glycogen store
Nose breathers
Infant characteristics: - ANSWER Nose breather until 6mo...
neonate characteristics birth to 4 weeks if preterm neonate until original due date plus 28 days loses 5 10 weight by 3 4th day of life flexion normal posture limited glyco
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ENPC Latest edition 2023.
Neonate characteristics: - ANSWER Birth to 4 weeks
If preterm neonate until original due date plus 28 days
Loses 5-10% weight by 3-4th day of life
Flexion normal posture
Limited glycogen store
Nose breathers
Infant characteristics: - ANSWER Nose breather until 6months
And muscle to breathe
Metabolic rate 2x adult (increased need for oxygen and glucose)
Toddler characteristics: - ANSWER Babinski réflex normal until walking
Plantar réflex at 2 years
And muscles to breathe
Most common cause of bradycardia in peds - ANSWER hypoxia
When to begin chest compressions in peds - ANSWER when HR is below 60bpm
Suctioning the neonate - ANSWER increases the risk for decreased cerebral blood flow
decreased pulmonary oxygenation
bradycardia
suction mouth then nose
Neonate first minute emphasis - ANSWER ventilation not intubation
Lower glucose levels in Neonate - ANSWER associated with potential for brain injury
stress of respiratory and circulatory efforts metabolize existing glucose
D10 IV for glucose <40mg/dL
normal heel stick at birth 30 mg/dL
normal heel stick at 24h 45 mg/dL
Neonatal CHD - ANSWER compare pulse ox from right hand to either foot (difference
>3% suggest dx)
considered in infant presenting with respiratory distress or shock (with absence of fever)
s/s include shock, cyanosis, tachypnea, or pulmonary edema
Neonatal cyanosis - ANSWER look inside the mouth at gum line for purple/blue color of
tongue and gums - central
look for hands and feet to change color - peripheral
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