Скачать или смотреть Very pre term baby and very respiratory distress

👶 Very Preterm Baby Management
(32 weeks gestation)
🚨 1. Immediate Care at Birth
✔ Warmth: Radiant warmer / plastic wrap
✔ Clear airway gently (no deep suction)
✔ Assess breathing, heart rate, color
✔ CPAP if breathing but distressed
✔ Bag & mask ventilation if apnoea
✔ Early surfactant if RDS
🌡️ 2. Temperature Control
Target temp: 36.5–37.5°C
Use:
Incubator
Cap & socks
Avoid cold stress
🫁 3. Respiratory Management
Common problem: RDS
✔ CPAP first
✔ Mechanical ventilation if severe
✔ Oxygen carefully (SpO₂ target 90–95%)
✔ Avoid high oxygen → prevents ROP
💉 4. Circulation & Fluids
✔ IV access (UVC / peripheral line)
✔ Fluids: 60–80 mL/kg/day (Day 1)
✔ Monitor:
Urine output
Electrolytes
Blood pressure
🍼 5. Feeding & Nutrition
❌ No oral feeding initially
✔ Start TPN early
✔ Minimal enteral feeding (trophic feed):
Mother’s milk preferred
NG/OG tube feeding
✔ Gradually increase feeds
🧠 6. Infection Prevention
Very high risk of sepsis!
✔ Hand hygiene
✔ Aseptic technique
✔ Empirical antibiotics if needed
✔ Monitor:
CRP
Blood culture
Temperature instability
🧬 7. Monitoring
✔ Blood glucose (risk of hypoglycemia)
✔ Calcium levels
✔ Weight daily
✔ Head circumference weekly
✔ Cranial ultrasound (IVH screening)
🩸 8. Common Complications
⚠️ Respiratory distress syndrome
⚠️ Sepsis
⚠️ NEC
⚠️ IVH
⚠️ PDA
⚠️ ROP
⚠️ Hypothermia
⚠️ Apnoea of prematurity
💉 9. Medications (As Needed)
✔ Caffeine for apnoea
✔ Surfactant
✔ Antibiotics
✔ Vitamin D
✔ Iron (later)
❤️ 10. Developmental Care
✔ Minimal handling
✔ Noise & light control
✔ Kangaroo mother care (when stable)
📝 One-line exam answer
Very preterm baby management includes thermal care, respiratory support, IV fluids, infection prevention, careful feeding, and continuous monitoring in NICU.
If you want, I can also give:
Flow chart for NICU exam