Lungs
What controls oxygenation on the oscillator?
MAP and O2
What blood products can we give in the NICU?
PRBC, FFP (plasma), platelets, cryo, albumin
How long do we cool babies for HIE?
72 hrs typical but can do late cooling for 96 hrs
What is one way to prevent ICU delirium?
What controls ventilation on the oscillator?
What is a s/s of DIC?
hemorrhage, oozing, petechia
As a bedside nurse, what can you do to help prevent IVH?
keep head midline for 72 hours if baby <30 weeks
What are the safe ranges of administration for dopa in our NICU?
5-20mcg/kg/min, titratable by RN
3 is for renal perfusion
What are your anticipated HFOV changes based on this gas?
pH 7.19
CO2 68
bicarb 22
increase delta P or decrease Hertz
What can cause a baby to go into shock?
infection, hemorrhage, tension pneumo, heart conditions (cardiogenic), abruption, twin to twin transfer etc
What is the goal temperature to maintain for cooling?
33.5
What must happen before Seroquel is given?
EKG
What three drugs do we give in the NICU for PAH?
Sildenafil, Bosentan, Remodulin
Your patient is on ECMO, what must also happen with every set of cares when you suction?
Sigh Bag
Why do we start cooling?
prevent further inflammation, cell death, decrease metabolism of baby, prevent or decrease seizure, decrease perfusion in brain
What are the labs needed for nitric?
Methemoglobin!
What is required before a baby on oxygen can be discharged?
-CPR showed to parents, BSTH, equipment dropped off and education done with parents, medicine acquired (nebs!), parents independently care for baby, scenarios with RN about possible events
We are starting low concentration dopa (0.8mg/ml) on your baby that is 1.3kg, what is the rate if your dopa is at 8mcg/kg/min?
0.78ml/hr
During cooling, what is a level we monitor closely to ensure proper neuroprotection ?
Sodium - want it at 140
For any full term infant admitted for sepsis, what should you also consider?
Metabolic condition