All about EOS
A tool used to calculate neonatal early-onset sepsis risk based on maternal intrapartum risk factors.
What is the EOS calculator?
You get an abnormal blood glucose reading, the timing for repeating the test.
What is within 5 minutes?
A 6 gm loading dose is indicated for this.
What is a BMI >35?
In a hemorrhage, this medication should be avoided if the patient has a history of asthma.
What is Hemabate?
The target range for maternal glucose levels during labor.
What is 70-110mg/dl?
Ordering a CBC, blood cultures, lumbar puncture, UA & UC, resp. & cardiac support, IV fluids & antibiotics are part of this treatment protocol.
What are the treatments for neonatal sepsis?
The correct dosage calculation of glucose gel for ALL infants.
What is 0.5ml per kg?
This antihypertensive therapy can be given if no IV access is available.
What is Procardia PO?
Q 15 min assessment and documentation of “H O T” fundal Height, blood Output, and fundal Tone is done with this hemorrhage device.
What is the JADA?
This category of diabetics requires more frequent monitoring.
What are pregestational diabetics?
Neonatal fever or low temperature, tachycardia/bradycardia, tachypnea, SOB, vomiting, diarrhea, jaundice, diminished activity, anorexia and seizures are possible signs of this.
What are the signs and symptoms of neonatal sepsis?
Infants at risk need to have the first glucose check done within this time frame.
What is after 1st feeding or within 30-60 minutes of life?
The time frame to start antihypertensive when severe range blood pressure is confirmed.
What is within one hour of the first elevated B/P?
The approximate minimal length of time it takes to reflect a change in blood values after a hemorrhage.
What is 4 hours?
The length of time you wait to recheck a maternal glucose level after starting an insulin drip.
What is 30 minutes?
ROM >18 hours, maternal fever > 100.6 X2, Maternal GBS Positive or Unknown, foul smelling fluid, and a gestational age of less than 37wks are all considered part of this.
What are some of the risk factors for initiating and EOS calculation?
A newborns first sugar was 35mg/dl and you gave the 1st dose of glucose gel per policy. It’s been an hour since the first check and your recheck is 23 mg/dl and the repeat is 21 mg/dl. You would do this next after notifying the MD.
What is call the NRT team and transfer the baby to NICU?
The optimal O2 Saturation to maintain placental perfusion in pregnancy.
What is 95% or greater?
Women who have prolonged labors or have been in the second stage of labor are at a greater risk for this.
What is a postpartum hemorrhage?
The name for a person who was told they were diabetic a year before they were pregnant but is not needing to take any medications.
What is a pregestational type 2 diabetic?
An EOS score and infant assessment was done for an infant at birth. Just before transferring to MBCU you note the infant to be tachypneic and tachycardia.
Move the infant into the next category of EOS.
You just got a report on a baby from the prior nurse. They gave the infant one dose of glucose gel. It’s been an hour and you recheck the blood sugar and it is 47 mg/dl. What is the number of consecutive blood sugar levels > than 45 mg/dl still needed to clear the baby.
What are two consecutive blood sugar levels > 45 mg/dl?
A blood pressure in this range is considered a hypertensive emergency.
What is a blood pressure of > 160/110?
While absolute numbers are important, a trend from baseline vital signs towards abnormal values is a more reliable way to.
What is an early identification of hemorrhage?
Name 3 risk factor for patients with maternal diabetes that were identified in your Elsevier reading.
What are Preeclampsia, premature delivery, difficulty maintaining glucose control, miscarriage, still birth, birth injury, infection, and DVT?