Thermoregulation
BAT
What is Brown Adipose Tissue?
Caloric needs
What are difficult to meet in premature infants?
Acute inflammatory disease of the bowel
What is necrotizing enterocolitis?
Prewarm all surfaces
What is prevention of heat loss?
RDS/ Apnea
What is a risk related to premature respiratory system?
NTF
What is neutral thermal environment?
Start with IV fluids or TPN
What are nutritional interventions for high risk infants?
Dark skin over the abdomen with visible bowel loops
What are signs of NEC?
Decreased peripheral perfusion
What is a symptom of cold stress?
Hypothermia
What is a risk related to poor thermoregulation?
Thin skin, lack of flexion
What are factors contributing to thermoregulation difficulties
Check gastric residuals
Nursing assessment for feeding preterm infant
NPO, NG tube for decompression, antibiotics
What are treatments for NEC?
Metabolic Acidosis
What is a late sign of cold stress?
NEC
What is a risk related to GI immaturity?
Can result from cold stress and leads to pulmonary congestion and hypoxia
What is the Patent ductus arteriosus?
Breast milk with human milk fortifier
What is the best milk for premature infants?
Sepsis, ROM greater than 36 hours
What are risk factors for NEC?
Use plastic wrap
What is a way to prevent heat loss for VLBW infants
Sepsis
What is a risk related to poor immune system?
40-45 mg/DL
What is hypoglycemia?
Do not bottle feed for more than 15 minutes
What is a nursing intervention for feeding a premature infant?
Measure abdominal girth
What is a daily assessment for NEC?
Putting a cap on the baby
What prevents heat loss by radiation?
Baby desaturates during feeding
what is a risk related to premature lungs and GI system?