Working In A Neonatal Intensive Care

Outcomes Weeks Gestation Died in labour room Admitted to NNU Died in NNU Survived to lose Severe disability Disability not severe % without identify disability (% livebirths) % without identified disability (% admissions) 221 84% 16% 14% 1% 1% 0% 1% 5% 231 46% 54% 44% 11% 3% 2% 5% 5% 241 22% 54% 52% 26% 6% 7% 12% 15% 251 16% 84% 40% 44% 9% 10% 23% 27% 262 27-282 29-302 31-322

60%

80%

90%

95%

30%

40%

45%

50%

SUGAR Calories To increase weight 100- one hundred twentykcal/kg/d Maintain weight 50 60 kcal/kg/ twenty-four hour period IWL 750 100g 1000 cl0g 1501 2000g >2000g 65ml/kg/d 40 55ml/kg/d 20 40ml/kg/d 20ml/kg/d

Rate of lurch of Glucose (mg.kg-1.min-1) from Different Concentrations of dextrose ml/kg/d 10 %Dex 12.5%Dex 15%Dex 20%Dex 30 60 90 120 150 180 2 4 6 8 10 12 2.5 5 7.5 10 12.5 15 3 6 9 12 15 18 4 8 12 16 20 24

Normal glucose req = 4 6mg/kg/min Glucose conc: % 5 7.5 10 12.



5 15 mg/ml 50 75 100 125 150 Prem infant needs: 6-8 mg/kg/min precondition infant needs: 4 mg/kg/min

% Dextrose in mg/kg/min Amount of glucose = 10 x % dextrose x ml/hr wt x 60 Fluid Management Day of postnatal life-time AGA SGA 50 60 0 1 70 90 2 90 120 3 110 150

4 130 150

5 150 180

6 150 180

7 mls/kg/day mls/kg/day







Babies being nursed chthonic overhead heaters or receiving overhead phototherapy may receive an unornamented 20-30 mls/kg/day as 5% dextrose (or milk, if enterally fed). On day 1, all babies should be started on 10% dextrose, increase to 15% dextrose if blood glucose is low. On day 2, dextrose should be given; electrolytes may need to be added (1-4 mmol/kg/day of sodium; 2 mmol/kg/day kB; 1 mmol/kg/day calcium). On day 3, parenteral nutrition should be started, unless the baby has started milk feeds. Umbilical catheters should cause a continuous infusion of 5% dextrose on day 1, and 0.45% saline subsequently. For peripheral arterial lines use 0.45% saline from day 1. All arterial line fluids should have 1 unit/ml of heparin added. Be...If you want to get a full essay, order it on our website: Orderessay



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