GI, OH MY!
A baby with gastroschisis was just delivered. How would you protect the bowel defect?
Several correct answers:
What is place baby on right side, support bowel with blankets, place baby in plastic bag with warm NS, cinch bag above defect, place replogle, avoid PPV
What patient population falls under the IVH prevention bundle?
What is under 29 weeks?
A baby is born today (congrats!). The nurse knows that if the baby's blood glucose drops below this number ____ , glucose gel will be given, a stat serum glucose will be drawn and the baby will be automatically admitted to the NICU
What is Nitric Oxide?
This condition can cause too much blood flow into the babies lungs. It is caused by an opening between the aorta and the pulmonary artery
What is Patent Ductus Arteriousus (PDA)?
What finding on an Xray would indicate medical NEC (Necrotizing enterocolitis) vs surgical NEC
what is pneumatosis in the bowel wall vs free air?
Without this drug, newborns are more susceptible to serious bleeds, until their bodies are mature enough to produce in naturally.
what is vitamin K?
many correct answers
-premature, SGA Small for gestational age, LGA Large for gestational age, IDM Infant of diabetic mother, ill or septic, hypothermic
What piece of equipment is necessary when reinserting a trach?
What is an obturator
*Keep the obturator taped to the head of bed
This condition is often diagnosed after the PDA closes, and involves a narrowing of the main blood vessel that carries oxygen rich blood to the body
What is coarctation of the Aorta?
The classic "double bubble" on Xray is an indication of what condition?
what is duodenal atresia?
Cooling must be initiated within _____ hours of birth
What is 6?
The phototherapy spotlights must be at least ____ from the infant and should be measured every shift and when moving the infant.
What is 38 CM?
Which setting on the oscillator makes the chest wiggle?
What is amplitude?
A patient is born with Transposition of the Great Arteries, and does not have sufficient mixing of blood. A balloon septostomy will be done at the bedside. Where will you find the balloon septostomy supplies?
What is in the education closet across from the "doc box"? The key is behind the HUSC desk on a green band.
You have a PRE-Op TEF (tracheoesophageal Fistula) patient. How will you flush the replogle to assess patency?
What is with air?
*Do nut flush water into the esophageal pouch
*NICU preoperative and postoperative care policy
This tool measures regional hemoglobin oxygen saturation, which is a measure of the hemoglobin bound oxygen that remains (venous reserve) after tissues have used what they need
what is NIRS?
Fluids containing Calcium, Blood, TPN, Digoxin, Milrinone, and antibiotics can cause tissue necrosis if iPIVIE occurs. Antidote for these fluids is _____.
What is Hyaluronidase? (WYDASE)
What dose of Curosurf would you anticipate for the second and/or third dose?
1.25 ml/kg
A patient presents in SVT. Ice and vagal maneuvers fail. What is our first line medication for SVT?
What is adenosine?
*Be sure to reconstitute per code sheet. Give rapidly immediately followed by 3 ML NS flush
Post pyloric tubes are placed for continuous feedings past the level of the stomach. How frequently should the nurse flush the post pyloric feeding tube with water while the patient is on continuous feedings?
what is every 4-6 hours?
Hydrocephalus is a common finding in patients with Myelomeningocele. What is a common associated malformation?
What is Chiari II malformation?
also: aqueductal stenosis or posterior fossa abnormalities
Xray Interpretation
This line lies to the left of midline after taking a downward dip, T6-9
what is the UAC?
What value can you use to trend lung compliance on the jet ventilator?
what is the servo?
Name two cardiac conditions that are present in Tetralogy of Fallot
What is
-Ventricular Septal Defect (VSD)
-Overriding Aorta
-Pulmonary Stenosis
-Right Ventricular Hypertrophy