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Published byBraulio Fairweather
Modified about 1 year ago
Nov 2007 ACoRN © Thermoregulation Sequence
Nov 2007ACoRN ©
Nov 2007ACoRN © A lerting signs C ore steps O rganization of care R esponse N ext steps Thermoregulation Sequence S pecific management
Nov 2007ACoRN © Alerting Signs
Nov 2007ACoRN © Hypothermia All newborns are at risk for temperature instabilityAll newborns are at risk for temperature instability Babies at increased risk for hypothermia include:Babies at increased risk for hypothermia include: –unwell –preterm, especially LBW (<2000g) and VLBW (<1500g) –SGA –open lesions –ambient temperature is < 23 o C or air drafts exist –being cared for by us!
Nov 2007ACoRN © Hypothermia Cold stress can cause: irritable (initially) / lethargicirritable (initially) / lethargic pale, mottledpale, mottled metabolic acidosismetabolic acidosis hypoglycemia / hyperglycemiahypoglycemia / hyperglycemia respiratory distress, apnea, tachypnearespiratory distress, apnea, tachypnea bradycardia / tachycardiabradycardia / tachycardia vasoconstriction, hypoxia, shockvasoconstriction, hypoxia, shock
Nov 2007ACoRN © Hyperthermia Causes include:Causes include: –iatrogenic –maternal epidural –maternal hyperthermia –infection –CNS disorders –administration of PgE 1 Babies with intrapartum or neonatal hyperthermia are at increased risk of neurodevelopmental complicationsBabies with intrapartum or neonatal hyperthermia are at increased risk of neurodevelopmental complications
Nov 2007ACoRN © Core Steps
Nov 2007ACoRN © Organization of Care and Response
Nov 2007ACoRN © Specific Management
Nov 2007ACoRN © Choosing initial incubator temperature in first 12 hours of age Birth weight (grams) Air temperature setting o C (double wall, humidified incubator) < (37.5) 750 to (37.0) 1000 to to to > Adapted from: Jaimovich DG, Vidyasagar D. Handbook Pediatric and Neonatal Transport Medicine (2d Edition). Philadelphia: Hanley & Belfus, Inc. 2002, p. 483 Initial incubator temperature
Nov 2007ACoRN © Heat loss
Nov 2007ACoRN © Heat loss prevention Conduction Pre-warm beddingPre-warm bedding Cover weigh scaleCover weigh scale Change wet bedding as soon as possible (eg oxyhoods)Change wet bedding as soon as possible (eg oxyhoods)Evaporation Use medium to high humidity in incubatorsUse medium to high humidity in incubators Place baby < 29 weeks gestation in plastic bagPlace baby < 29 weeks gestation in plastic bag Convection Ambient temperature ~ 25 o CAmbient temperature ~ 25 o C Avoid air drafts: air vents, open/swinging doorsAvoid air drafts: air vents, open/swinging doorsRadiation Flexed nested positionFlexed nested position Double wall incubatorDouble wall incubator
Nov 2007ACoRN © Keeping warm
Nov 2007ACoRN © Questions?
Teaching Aids: NNFNH-1 Hypothermia Significant problem in neonates at birth and beyond Mortality rate twice in hypothermic babies Contributes to significant.
Environmental Emergencies. Exposure to cold How the body loses heat Conduction Transfer of heat through direct contact Heat will flow from warmer to cooler.
Preterm Infants: Transition to Home and Follow-up Susan Bakewell-Sachs, PhD, RN, PNP-BC Susan Blackburn, PhD, RN, FAAN.
The problem Close to 4 million deaths occur in the first 28 days of life (the neonatal or newborn period) in the world each year; 40% of all under-five.
Nancy Pares, RN, MSN Metro Community College. Discuss pathophysiology and nursing process for high risk newborn.
EDU2EXP Exercise & Performance Environment and Exercise.
The Child with Infectious Disease Jan Bazner-Chandler RN, MSN, CNS, CPNP.
Cold Weather Emergencies: Hypothermia Q4.09 – October 2009Cold Weather Emergencies © Copyright 2009 Health & Safety Institute Region 8 CE March 2012.
Physiological Response of Newborn to Birth Chapter 23.
Neonatal Resuscitation Fatma Aletebi
© Food – a fact of life 2009 Food poisoning Extension/Foundation.
10. a) Explain, and if possible demonstrate, how to shelter if you are in difficulty when out walking. AND b) Explain how to deal with and avoid hypothermia.
Scott K. Powers Edward T. Howley Theory and Application to Fitness and Performance SEVENTH EDITION Chapter Copyright ©2009 The McGraw-Hill Companies, Inc.
CHAPTER Copyright 2004 Prentice Hall Publishing A division of Pearson Inc. Prehospital Emergency Care 7e Mistovich/Hafen/Karren Chapter 27 Obstetric and.
Physical Assessment and Newborn Stabilization: What You Can Do! Bette Johnson, CRNP, SCMC NICU Transport Coordinator Randa Bates, RN, NICU Transport Nurse.
NRP The Neonatal Resuscitation Program (NRP): An Initiative to Improve Care to Newborns at the Outset of Life.
Chapter 12 The Term Newborn. Objectives Briefly describe three normal reflexes of the neonate, including the approximate age of their disappearance. Demonstrate.
Alterations of Pulmonary Function in Children Chapter 34 Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc.
THERMOREGULATION Control of body temperature © 2008 Paul Billiet ODWSODWS.
Preventing Low Birthweight Infants Through Effective Clinical Collaboration Salt Lake Valley Health Department Audrey Stevenson PhD & Iliana MacDonald.
Group B Streptococcal Disease in Neonates Michael Addidle Clinical Microbiologist.
* This slide deck was prepared for adaption and local use by units/installation personnel when conducting cold injury and illness prevention training.
THERMOREGULATION Peri-operative Teaching June 2008 Dr Mohua Jain Specialist Anaesthetist.
Updates in Neonatal Resuscitation Stacie Bennett, M. D. East Bay Newborn Specialists Childrens Hospital Oakland.
Asthma Pharmacological Management In the Athletic Setting.
Anesthesia at the Extremes of Altitude and Environment Major Eric Weissend, M.D. Department of Anesthesiology Wilford Hall Medical Center Lackland AFB,
© 2011 National Safety Council 15-1 ENVIRONMENTAL EMERGENCIES LESSON 15.
Section 3 – Cold Stress and the Firefighter Explain the terms and concepts associated with cold weather factors and stress on firefighters. Understand.
Nasal Cannula Intermittent Mandatory Ventilation (NC-IMV)
1Elsevier items and derived items © 2007 by Saunders, an imprint of Elsevier, Inc. Chapter 16 First Aid, Emergency Care, and Disaster Management.
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