Thermoregulation
What degrees C is normothermia?
What is 36.5–37.5°C?
Examples (2) of evaporative heat loss
What are wet skin and hair after birth or after a bath, wet clothes and skin after emesis, wet diaper, or insensible water loss from lungs and skin?
Should an ELBW be re-warmed slowly or quickly if their temperature is < 36.5 degrees?
What is slowly?
Proper technique for removing adhesive from the skin
What is peeling back parallel to the skin surface, stretching the Tegaderm to release adherence, or holding the skin next to the adhesive?
What should be used to clean for diaper changes?
What is use water wipes, saline wipes, or sterile water and gauze?
Signs (3) of hyperthermia in an ELBW
What is vasodilation, which presents symptoms of tachypnea, tachycardia, and irritability?
What is an example of convective heat loss?
What are drafts of air from open doors, drafts from air conditioners, drafts from "popping the top," or drafts from someone walking by the infant?
How frequently must an ELBW's temps in an isolette be monitored and why?
What is Q1 hour and to prevent potential hypo- or hyperthermia?
What products can be used to help remove adhesive?
What is mineral oil, petroleum ointment, or silicone barrier films (e.g. Cavilon)?
For an infant born < 32 weeks, when do they receive their first bath?
What is after 7 days of life?
Signs (3) of hypothermia in an ELBW
What are vasoconstriction, respiratory distress, po feeding, hypoglycemia, lethargy, apnea, and bradycardia?
What type of heat loss is caused by placing an infant on a cold scale?
What is conductive heat loss?
What temperature range is considered cold stress?
What is 36°C–36.4°C?
What can be under essential devices (eg, monitor leads, feeding tubes, thermal probes) to protect the skin from adhesive injury?
What are water vapor permeable, low adhesive dressings? (e.g. Mepitel/silicone based)
For an infant who is < 32 weeks but is 2 weeks old, what is their bathing schedule and what are they bathed with?
What is 2x/week (M/Th) and sterile water?
Name 3 factors contributing to the vulnerability of an ELBW infant to thermal stress
What are limited stores of brown fat, greater surface area to weight ratio, and immature skin integrity? (Other options: Vasomotor factors, oxygen consumption, or immature CNS delays response to cold stress)
What type of heat loss in an ELBW infant < 28 weeks is most significant?
What is evaporation?
What is the largest cause of hyperthermia (> 37.5°C)?
What are environmental factors? (Over-swaddling or misuse of equipment)
Where can you find commonly used small baby skin car supplies in the unit?
What is the small baby cart in Emerald Zone?
After a procedure is performed where an antiseptic is applied, what should you do?
What is wipe the skin with sterile water or saline?
Preterm infants can lose as much as ____ times more water/kg of body weight compared with term neonates
What is 15 times?
What type of heat loss in an ELBW infant > 28 weeks is most significant?
What is radiation?
What medication for CHD can cause hyperthermia?
What is PGE?
A term infant has approximately 15 layers of stratum corneum (the outermost layer of skin). A preterm infant at 28 weeks’ gestation has how many layers?
What is 2-3 layers?
What can soap or adhesive remover do to the ELBW's skin?
What is change the pH (causing harm)?