Assessment and Care of Common Problems
-Surfactant. Put down ET tube.
-Nursing interventions: Assess for apnea spells. (20 seconds) Check for cyanosis. Check for RR, nasal flaring. Assess cough reflex. Check ventilator settings. Checking nasal canula/CPAP. Suctioning (~3 seconds).
•Problems with thermoregulation:
•Assessment: Thin skin, limp body, lethargic, 98º axillary, first sign of a low temperature is respiratory distressss*.
-Nursing interventions: Neutral thermal environment, weaning to open crib.
•Problems with fluid and electrolyte balance:
•Assessment: Will not maintain water in skin (insensible water loss)
-Nursing interventions: dilute, keep area humidified, weigh diapers (1g=1mL), check mucous membranes, UAUV central line (aseptic techniques, watch med doses, check connections, check tubing, buretrol
• Problems with the skin: press the nose to check for jaundice, mottling (tells that baby is cold), skin is paper thin so be careful with tape!
• Problems with infection 3-10 x greater than full term
• Problems with pain:
-Feet very sensitive due to blood sticks, use sweeties to calm them down