Please enable JavaScript.

Coggle requires JavaScript to display documents.

EOS Incubator (Caring Science NICU caring (Empirical :fountain_pen:…

- - - - skin-to-skin :smiley:
      - oral care with mom's milk : :smiley:
      - Breast feeding assistance :unlock:
      - Provide bedside pumping sections :star:
    - - NICU breast feeding class :pencil2:
      - Self-care :<3:
        
        Ask for help
        
        Sleep quality
        
        Hydration
      - Effective hand hygiene :check:
      - Stress :lock:
        
        Uncertainty
        
        Pain
        
        Finances
        
        Limited breast milk supply
        
        Lack of sleep
        
        Child care arrangement
        
        Doing-the-right-thing
        
        Child seperation
    - - Social worker
      - Neonatologist
      - Parents
      - Case manager
      - Respiratory therapist
      - Pharmacist
      - Lactation consultant
  - - - Make connections
- - - - Emperical therapy
        
        ampicillin
        
        low side effects
        
        gentamicin
        
        Nephrotoxicity :warning:
        
        Hearing loss :warning:
    - - Definitive therapy
        
        carbapenems for polymicrobial infections
        
        thrombophlebitis :warning:
        
        seizures (low risk) :warning:
        
        increased risk of fungemia : :warning:
        
        3rd generation cephalosporins for S.aureus
        
        fever :warning:
        
        emesis :warning:
        
        diarrhea :warning:
        
        increased liver enzymes :warning:
        
        cholelithisasis :warning:
        
        phlebitis :warning:
      - Laboratory Studies
        
        CSF
        
        positive blood culture
        
        CBC
        
        immature/total neutrophil ratio (I/T) > 0.2
        
        absolute neutrophil count (ANC): < 5000/mm3
        
        CRP> 10mg/L
        
        Chest XRay
        
        persistent focal changes with infiltrate process
        
        similar to respiratory distress syndrome (RDS)
  - - - Thermoneutral environment
      - Fluids/Electrolytes balance
      - Treat anemia with packed red blood cells
    - - Glucose homeostasis
      - Total parental nutrition (TPN)
    - - Maintain oxygen saturation
        
        supplemental oxygen
      - Apnea :red_flag:
        
        Acid base balance
        
        Intubation & artificial ventilation
        
        Continuous positive airway pressure (CPAP)
- - - - Foul smelling amniotic fluid
      - Maternal fever >100.4 F
- - - - Altered microbiome
- - - - leading cause in term infants
    - - most prevalent in premature infants
  - - - blood
        
        common
      - cerebrospinal fluid (CSF)
        
        culture-confirmed case: 0.01 to 0.02 per 1000 live births (CDC)
        
        rare