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ENPC 5th edition Questions and Answers Latest Updates 2024( A+ GRADED 100% VERIFIED).
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ENPC 5th edition Questions and Answers Latest Updates 2024( A+ GRADED 100% VERIFIED).
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ENPC 5th editionNeonate characteristics: - ANS 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: - ANS Nose breather until 6 months
And muscle to breathe
Metabolic rate 2x adult (increased need for oxygen and glucose)
Toddler characteristics: - ANS Babinski réflex normal until walking
Plantar réflex at 2 years
And muscles to breathe
Most common cause of bradycardia in peds - ANS hypoxia
When to begin chest compressions in peds - ANS when HR is below 60 bpm
Suctioning the neonate - ANS increases the risk for decreased cerebral blood flow
decreased pulmonary oxygenation
bradycardia
suction mouth then nose
Neonate first minute emphasis - ANS ventilation not intubation
Lower glucose levels in Neonate - ANS associated with potential for brain injury
stress of respiratory and circulatory efforts metabolize existing glucose
D10 IV for glucose <40 mg/dL
normal heel stick at birth 30 mg/dL
normal heel stick at 24 h 45 mg/dL
Neonatal CHD - ANS 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 - ANS 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
Respiratory Distress in peds patient - ANS characterized by increased respiratory rate
increased heart rate
skin color changes
increased WOB (grunting, nasal flaring, head bobbing, accessory muscle use)
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