ORAL CARE
The best option for oral care, when available
What is Expressed Breast Milk?
Early Onset Sepsis criteria
What is First 72 hours of life?
NEMU method for placing feeding tube.
What is placement for feeding tube (Nose, ear, mid xiphoid, umbilicus)?
Pulmonary surfactant used to treat RDS in preterm infants.
What is Curosurf?
Infants < 1,000 grams and <28 weeks
What is extremely low birth weight infant?
This makes an infant a candidate for oral care.
What is NPO, Intubated, Enteral feeds only?
Late onset criteria
What is greater than 72 hours after birth?
Expressed breast milk verified by bedside RN.
What is patient label, name, DOB, date and time pumped?
Signs of Respiratory Distress in a neonate
What is grunting, nasal flaring, retractions, tachypnea?
Outer layer of epidermis that provides skin barrier & controls TEWL.
What is Stratum Corneum?
These are 3 Patient identifiers for expressed breast milk oral care.
What is Name, DOB, MRN#?
E. Coli and Group B streptococcus
What are the two most common bacteria in NICU?
Fresh Expressed breast milk expiration
What is 96 hours?
Alveoli collapsed with increased density on x-ray
What is atelectasis?
ELBW skin appearance
What is thin, permeable, gelatinous?
The steps in which you provide oral care on an intubated patient.
What is suction mouth & oropharynx, swab all of oral cavity, including ETT & Og tube?
NICU Septic workup labs.
What is Blood culture, m-diff, blood gas, CRP
Fortified expressed breast milk expiration.
What is 24 hours?
Term infants with ineffective clearance of amniotic fluid from lungs, seen shortly after birth.
What is Transient Tachypnea of the Newborn?
Humidification steps for ELBW infant
What is humidity initially @ 70-90-%, DOL 8 decrease to 50%?
Identify products that are not our standard of care in the NICU.
What is donor breast milk, and fortified EBM?
Early onset gram negative and gram-positive medications
What is Ampicillin & Gentamycin?
Clinical presentation abdominal distention with pneumatosis on x-ray
What is NEC?
Asymmetry of chest, and history of PPV
What is pneumothorax?
4 Risk factors for ELBW infants
What is Respiratory distress, infection, cold stress, IVH?