APGAR Scoring System

-

APGAR Scoring System

The APGAR Scoring System was developed by Dr. Virginia APGAR as a method of assessing the newborn’s adjustment to extrauterine life. It is taken at one minute and five minutes after birth. With depressed infants, repeat scoring every five minutes as needed. The one minute score indicates the necessity for resuscitation. The five minute score is more reliable in predicting mortality and neurologic deficits. The most important is the heart rate, then the respiratory rate, the muscle tone, reflex irritability and color follows in decreasing order. A heart rate below 100 signifies an asphyxiated baby and a heart rate above 160 signifies distress.APGAR Scoring System

 
Assess012
Appearance (Skin color)Blue all overBody pink, extremities bluePink all over
Pulse (Heart Rate)AbsentBelow 100Above 100
Grimace (Reflex Irritability)No ResponseGrimaceVigorous cry
Activity (Muscle Tone)FlaccidSome flexionActive motion
Respiration (Breathing)AbsentSlowGood crying

SCORE:

  • 7-10 Good adjustment, vigorous
  • Moderately depressed infant, needs airway clearance
  • Severely depressed infant, in need of resuscitation

 

Comments

Post a Comment

Popular posts from this blog

DEPRESSION- ENDOGENOUS & EXOGENOUS

-
Image
DEPRESSION- ENDOGENOUS & EXOGENOUS   1. Mr. chembe aged 30 years is brought to Chainama Hospital Ward X with history of profound sadness and suicidal ideations  for 2 weeks. On admission, the Doctor conducted a Mental State Examination and a diagnosis of Depresion is made  a)  Define Depression                                                                                          5 marks                                                                             b) Explain five (5) causes/predisposing factors of Depression                             25 marks c) outline  the differences between reactive and endogenous depression  20 marks d) Discuss how you are going to nurse Mr. chembe during his stay in hospital                                                                                                                           50 marks     Patient Case: Mr. Chembe at Chainama Hospital Ward X a) Define Depression (5 marks): Depression is a mood disorder characterize
Read more

SUBSATNCE ABUSE PRESENTATION 2.

-
  QUESTION  :  SUBSATNCE ABUSE Namwela Zanga aged 21 years has been brought to your mental health unit with history of  alcoholism for the past 3 years. He is reported to be regular consumer of a local beer brew. This has led to self-neglect and he can no longer eat his food. a)     Outline any five (5) theories of alcohol/substance abuse           20% b)     Outline five (5) Social effects of alcohol abuse                                 20% c)      Discuss the seven (7) phases of alcohol intoxication                    35% d)     Discuss five (5) ways of how alcohol abuse can be prevented  25% INTRODUCTION Worldwide substance use and abuse are significant problems for adolescents. They carry serious consequences such as assault and rape. Substance abuse involve use of psychological active substances which are potentially harmful to the individual. It i s generally agreed by most scientists that stress, conflicts and frustration are major factors in substance abuse. T
Read more

MANIA

-
Image
  Christabel Kabindama aged 23 yeras is brought to the psychiatric hospital amidst talking and shouting on top of her voice non-stop. She is accompanied by Mwaka Ng'ambi who said she is also unable to sleep and claims she owns Livingstone College of Nursing and have supper powers. After examinations a diagnosis of mania is made. DEFINE MANIA Mania is a mental condition with distinct period during which mood is abnormally and persistently elevated, expansive, or irritable. STATE THE PREDISPOSING FACTORS TO MANIA There is no specific known cause for mania. However, the predisposing factors are biopsychosocial in nature and includes the following: Biological factors Genetics. Mania is hereditary in nature. First degree relatives with these disorders are more likely to develop the mood disorder than people in the general population. Biochemistry. Research have shown that those with mania have too much of serotonin and epinephrine. Social factors Stressful life events, lack of social
Read more