Labs
A neonate has a suspected infection. You can expect these labs to be ordered.
What is CRP, CBC and blood culture?
The number one way to prevent the spread of infection
What is hand hygiene?
Seen 24-72 hours after delivery when a mother uses illicit substances
What is neonatal abstinence syndrome?
The swishing sound heard when assessing the heartrate of a neonate with a PDA
What is a murmur?
The four mechanisms of heat loss
What are Conduction, Evaporation, Convection, and Radiation?
The normal glucose range for a neonate
What is 45-150?
The proper way to clean a hub before giving a medication on a central line
What is scrub for 15 seconds and let dry for 30 seconds with chlorohexidine?
The two most common medications given for suspected infection in a neonate
What is ampicillin and gentamicin?
painless, bright red vaginal bleeding
What is placenta previa -placenta extends near, partially over, or beyond/covering the cervical os -avoid digital and speculum exam
Safety check done before administration of anesthesia and start of procedure
What is a time-out?
Normal blood gas values (pH, PCO2, HCO3)
What is pH 7.35-7.45, PCO2 35-45, HCO3 22-26?
Prior to the start of antibiotic on a suspected sepsis patient what Lab test should be performed?
What is Blood Cultures?
Gives the baby’s body a boost to fight the virus if a mother has the active disease or her status is unknown. Works best if the baby receives this injection within the 1st 12 hours of life and the infant should be bathed prior to administration.
What is H-BIG Vaccine?
Cessation of breathing for 5-10 seconds with no other changes followed by 10-15 seconds of rapid breathing
What is periodic breathing?
Late fetal hypoxia, maternal hypotension, prolonged umbilical cord compression
What are the causes of bradycardia?
Heartbeat less than 110bpm for a 10-minute period or longer.
4-8mEq/L is the serum therapeutic range for
What is magnesium sulfate?
One of the most common causes of neonatal sepsis
What is group B strep infection?
Oliguria - uncontrolled vasodilation and permeability -Infection- induced hypotension - SBP of < 90mmHg or decrease of > 40 mmHg from baseline -elevated Lactate levels -decreased capillary refill, mottling
What is signs and symptoms of severe sepsis?
You are concerned about this diagnosis when you see a postpartum patient with shortness of breath, JVD, and pulmonary edema on CXR
What is peripartum cardiomyopathy? -dilated cardiomyopathy, can happen at any stage of gestation -sx of CHF, treat similarly
The 4 pre-birth questions for NRP include these
What is the gestational age, Is the amniotic fluid clear, Are there additional risk factors, What is umbilical cord management plan?
AST>70 ( 2times normal level)
PLT<100
LDH>600
What is HELLP syndrome?
The most common pathogens in obstetric sepsis cases.
1. E. Coli
2. GBS
3. GAS
This is used to stimulate erythropoiesis and decrease the need for blood transfusions in high-risk preterm neonates
What is Epogen/Epoetin?
Alveoli collapse each time the infant exhales and lungs become noncompliant and resist expansion in the absence of this substance
What is surfactant?
Intrauterine resuscitation measures
What is lateral positioning, IV fluid bolus, discontinue oxytocin, administer oxygen at 10L/min with face mask, modifying pushing, etc.?