PHAR 454 Lecture Notes - Lecture 2: Exchange Transfusion, Gangrene, Cotton Swab
23 Jan 2017
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>392,000 babies are born in canada each year. > 80% of infants are born at full term gestation are normal birth weight and have no obvious congenital defect. Preserve function and physiology transition from fetal neonatal state. Stabilize and assess systems which may have sustained injury. Baby dries, skin to skin contact with mom. Assessed at 1 and 5 minutes after birth. Clinical tool to identify neonates who may require resuscitation. ***does not predict intelligence or long term outcome. Initial void and stool check to see if digestive tract is working. Prevents vitamin k deficient bleeding in the newborn. Inadequate activity of vitamin k dependent coagulation factors. Vit k is hard to e through breastfeeding plus low levels at birth. Bleeding in first week of life (often in cns) If the(cid:455)"(cid:396)e goi(cid:374)g to (cid:271)leed, the(cid:455)"(cid:396)e goi(cid:374)g to ha(cid:448)e a he(cid:373)o(cid:396)(cid:396)hagi(cid:272) st(cid:396)oke. Vitamin k 1 mg im/sc x 1 dose.
