2012年8月7日 星期二

day1+2

admission from obs/postnatal:
warm in incubator
check baby's body
do gastric lavage(GL)+ Ear surface swab(ESS) *before bathing
first feeding should be done by nurse
bath only when body temp >37c
any PU and PM(meconium)
PU normal in 24hr
PM normal in 48hr
first milk formula should be prescribed by doctor
>2kg can inject BCG and Hb vaccine
weight with bracelet(0.02kg)
can cut cord clamp after 48hr

Discharge
only if over 2kg



Vaccine
check temp after 1hr after Hb vaccine
left clear, right not clear


temp normal range: 36.7-37.2
normal delivery: 39 weeks , 4 kg
normal AR:120-160
normal RR : 40-60


Spo2 Q4H change site, draw a start after site changed






doctor must prescribe milk formula for baby who have IV line
if no, MAT

Enf A+ is rtfm (ready to feed milk)

stool of reducing substance>> check the wellness of digestive system

IIPA=???

normal newborn will regain birth weight within one month

EBF= Exclusive breast feed

C/R=capillary refill

AFNT=anterior fontanelle non tend(normal)
anterior fontanelle diamond shape
posterior fontanelle triangle shape

cepholohemaoma>> induce by vaccum delivery

check heart mumur >> if have, need to do Echo

BAEP= ear examination, do it if SB high as it will affect brain function


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