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Teaching Aids: NNF DS- 1 Danger Signs in Newborn.

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Presentation on theme: "Teaching Aids: NNF DS- 1 Danger Signs in Newborn."— Presentation transcript:

1 Teaching Aids: NNF DS- 1 Danger Signs in Newborn

2 Teaching Aids: NNF DS- 2 Sick newborn Early detection, prompt treatment and referral (if required) are necessary to prevent high mortality

3 Teaching Aids: NNF DS- 3 Problems in early diagnosis of sick newborn  Non-specific signs  Difficulties in preterm and LBW babies

4 Teaching Aids: NNF DS- 4 Lethargy and poor sucking  In a term baby who was feeding earlier  indicates neonatal illness (as perceived by mother)  In a preterm baby  needs careful assessment because it may be due to cold stress or immaturity

5 Teaching Aids: NNF DS- 5 Capillary refill time (CRT)  Indicates tissue perfusion  Normal CRT < 3 seconds  Prolonged CRT > 3 seconds *  Use 10ml/kg normal saline bolus * Hypotension, hypothermia, acidosis

6 Teaching Aids: NNF DS- 6 Capillary refill time (CRT)

7 Teaching Aids: NNF DS- 7 Respiratory problems  RR > 60 / min*  Retractions  Grunt  Central cyanosis  Apnea *Rate should be counted in a quiet state and not immediately after feed

8 Teaching Aids: NNF DS- 8 RETRACTIONS

9 Teaching Aids: NNF DS- 9 Body temperature in newborn infant ( o C) Normal range Cold stress Moderate hypothermia Severe hypothermia Outlook grave, skilled care urgently needed Danger, warm baby Cause for concern 37.5 o 36.5 o 36.0 o 32.0 o

10 Teaching Aids: NNF DS- 10 Failure to pass meconium and urine Failure to pass meconium Majority pass within 24 hrs  Delayed passage  May have passed in –utero  Lubricated per-rectal thermometer may be therapeutic  Suspect obstruction Failure to pass urine Majority pass within 48 hrs  Delayed passage  Exclude obstructive uropathy or renal agenesis

11 Teaching Aids: NNF DS- 11 Causes of vomiting*  Ingestion of meconium stained amniotic fluid  Systemic illness  Congestive cardiac failure  Raised ICP – IVH, asphyxia  Metabolic disorders (CAH, galactosemia) *Persistent, projectile or bile stained - r / o intestinal obstruction

12 Teaching Aids: NNF DS- 12 Causes of diarrhea  Infective diarrhea* (often non breast fed baby)  Maternal ingestion of drugs (ampicillin, laxatives)  Metabolic disorders  Thyrotoxicosis  Maternal drug addiction *Infective diarrhea needs treatment with systemic antibiotics

13 Teaching Aids: NNF DS- 13 Cyanosis Peripheral  Normal at birth  Seen in extremities due to cold Central  Always needs appropriate referral  Seen on lips and mucosa  Indicates cardiac or pulmonary disease

14 Teaching Aids: NNF DS- 14 Peripheral cyanosis

15 Teaching Aids: NNF DS- 15 Central cyanosis

16 Teaching Aids: NNF DS- 16 Yellow Palms & Soles

17 Teaching Aids: NNF DS- 17 Yellow staining of soles

18 Teaching Aids: NNF DS- 18 Tracheo-esophageal fistula  Excessive drooling; choking; cyanosis during feeds; respiratory distress  Failure to pass red rubber catheter beyond 8 to 10 cm from mouth

19 Teaching Aids: NNF DS- 19 Tracheo-esophageal fistula

20 Teaching Aids: NNF DS- 20 Suspect cardiac disease  Cyanosis  Tachycardia  Murmur  Hepatomegaly  Shock  Cardiomegaly

21 Teaching Aids: NNF DS- 21 Abnormal weight loss pattern  > 10 percent of birth weight in term  > 15 percent in preterm  > 5 percent acute weight loss

22 Teaching Aids: NNF DS- 22 Danger signs : Summary  Lethargy  Hypothermia  Respiratory distress  Cyanosis  Convulsion  Abd. distension  Bleeding  Yellow palms/ soles  Excessive wt. loss  Vomiting  Diarrhea


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