NUR1 239 Lecture Notes - Lecture 12: Long Bone, Urinary Tract Infection, Hypovolemia

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10 May 2016
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Pmh (past medical history), meds, drugs, alcohol, smoking. Group b strep (gbs), 4h after (risk for septic) Mode of delivery (stat c/s for fetal distress) Apgar score (hr, resp, tone, reflex irritability, color) Vaccines: vit k (if they are vit k deficiency and bleed out, just as preventive) Jaundice (50% of baby will have it, after 24h, more normal) **in first 24h (sepsis) dangerous take bilirubin lever*, high level (more sleepy. Stooling (1st meconium, in first 24-48h), if not look for problem (obstruction, imperforated) *cystic fibroses (na+ & cl transport, stool get impacted= ball obstruction) *malobstruction (problem with neuro not formed, rectum or colon are not relaxed and bloc) Stenosis of estomic (not at birth, after 1 month) Head-to-toe approach (do it on the mom if possible**) General state about baby: they are all well until they are not well. Wash hands in front of pt and family.

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