NEONATAL HYPOTHERMIA

-

 NEONATAL HYPOTHERMIA

 This is a condition in which the neonates body temperature falls below 36*C .the baby losses heat through radiation,conduction, convection and evaporation.

 PREDISPOSING FACTORS

ü Prematurity

ü Asphyxia neonatorum

ü  Maternal diabetes mellitus

ü Respiratory distress syndrome

ü  Cold environment

CLINICAL FEATURES

ü Rectal temperatures is below 36*C

ü Baby feels cold on touch

ü Paleness of extremeties and face

ü Very weak cry

ü Low respiration rate

ü Baby not eager to feed (poor feeding)

NURSING MANAGEMENT

ü Nurse the baby in a warm environment in a resuscitaire or wrap it in warm clothings

ü Feed the baby with expressed breast milk via NG tube

ü Give the baby extra glucose e.g. dextrose

ü Closely observe the baby for signs of hypoglycaemia and if present, give 10% dextrose

ü Check for and treat convulsions with anticonvulsants

 PREVENTION

ü Delivery  should be conducted in a room temperature

ü Put the baby on resuscitaire or in incubator to compensate heat loss to the environment.

ü Baby should not be bathed within 1hr of life but top-tailing can be done after one hour.

ü Encourage skin to skin contact (kangaroo method) when carrying the baby.

COMPLICATIONS

ü Convulsions

ü Hypoglycaemia

ü Brain damage

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