Caffeine has a longer half life (QD dosing) and is less toxic. Inhaled nitric oxide for the adult respiratory distress syndrome. 55-70 mm Hg). This is a type of tube. Theophylline is a bronchodilator and in neonates with BPD it offers the advantage of treating both apnea and bronchospasm. Pulse oximeters are accurate within 4%, thus a reading of 95% could represent a saturation of 99% with a concomitant PO2 of 160 (see Figure 2). Intraventricular hemorrhage (IVH) Bleeding within the ventricles (fluid-filled spaces) of the brain, Intubation Inserting a tube into the trachea (windpipe) to allow air to reach the lungs to help with breathing, Isolette (Incubator) A transparent plastic box that has a heating system to keep premature babies warm (Isolettes used to be called incubators. 2) Once FiO2 0.60 or hyperinflated, decrease MAP by 1 cm Q4-8h; if OXYGENATION is lost during weaning then increase MAP by 2-4 cm to restore lung volumes and begin weaning again, but proceed more slowly with decreases in MAP. Title: Microsoft Word - Glossary of NICU Terms.docx Author: Bishop-O'Brien, Ellen Created Date: 10/23/2013 12:26:52 PM The brachial artery may be use in emergency situations. Cardiorespiratory Monitor This is sometimes referred to as a heart monitor or C-R monitor. Our neonatal family support specialist is a highly trained registered nurse who provides support to NICU families by keeping them informed of their infant's condition and helping families play an active role in their infant's plan of care. This is a way to get the heart and lungs working again if they havestopped. In either case, close surveillance of chest wall movement and frequent monitoring of blood gases, especially during the first 3 hours after dosing, will minimize the complications of either volutrauma or atelectasis. xr$q)z %}! This causes the blood oxygen level to go down and the blood pressure to fall. Neck flexion will worsen this form of apnea. NICU Glossary | Terminology Used | CHKD | Pediatric Health & Medicine Looking for the definition of POAL? This information is not intended as a substitute for professional medical care. exclude or treat people differently because of race, color, national origin, age, disability, sex, POAL - Definition by AcronymFinder In a depressed newborn, intubate and suction first, then proceed with the resuscitation. D. Analgesia with morphine infusion (0.1 - 0.2 g/kg/hr) and sedation with Lorazepam (0.1 - 0.3 mg/kg/dose PRN Q2H) or chloral hydrate (50 mg/kg/dose Q8H-Q12H). Remove suction catheter, maintaining placement of ETT tube (now called NP tube). Oscillatory Pressure/Delta P/Amplitude range (0-90 cm) H2O. Patent ductus arteriosus. Developmental Care for Babies in the NICU. Gaylord MS et al. Gregory GA, Kitterman JA, Phibbs RH, Tooly WH, Hamilton WK. This is a small, flexible, hollow plastic tube put into a vein over a needle. Always observe chest wall after a decrease in AMPLITUDE to confirm vibrations, if vibrations have ceased the AMPLITUDE is too low and should be readjusted to previous settings. G. Tolazoline is excreted by the kidney. IMV (intermittent mandatory ventilation). Chernick V. Continuous distending pressure in HMD: devices, disadvantages and daring. If not ventilating at the initial starting frequency on a Power/Amplitude/Delta P that clearly results in good chest wall vibrations then decrease the frequency by 2 Hz, at a time, to significantly increase the delivered TV. Increase MAP as high as necessary to keep FiO21.0. Selective and sustained pulmonary vasodilation with inhalational nitric oxide therapy in a child with idiopathic pulmonary hypertension. Maximum amplitude (delta P/pressure wave) or tidal volume delivered is highly variable and is highly attenuated by the ETT and the tracheobronchial tree before reaching the alveolus. Carefully evaluate the need for correction of low BP based on numbers alone in a premature infant who is otherwise well oxygenated, since acute changes in blood pressure may be an etiologic factor in intracranial hemorrhage. ), Nippling Sucking on a bottle filled with formula or breastmilk. to 30%. It goes through the mouth or nose into the windpipe. A breathing machine gives a set number of breaths per minute. Nondiscrimination Pediatrics 1989;84:1-6. ), Neonatal period The first 30 days of life, Neonate A baby during the first month of life, Newborn intensive care unit (NICU NBISU, NBIC, ICN) A section of a hospital with trained staff andspecial equipment to care for critically ill newborns (See NICU. Babies with serious breathing problems may be treated with a form of high-frequency ventilation that delivers small amounts of air at a rapid rate. a) I.T. Synchronized Intermittent Mandatory Ventilation (SIMV). Further dosing should be based on drug levels and clinical response. O2 (oxygen). Always confirm diagnosis with a chest radiograph. Intravenous Infusion (IV) This is the needle or small tube that is placed into one of the veins of the infant. Minimize the power/amplitude/delta P to keep PaCO2 adequate (e.g., 50-70 mmHg). Small for gestational age (SGA) A newborn is considered small-for-gestational age if her birth weight is below the 10th percentile on the standard growth curve for his or her age. CPR (cardiopulmonary resuscitation). If not vibrating, increase power. (It is a shortening of a Latin term.). Initial Settings - Use either nasal prongs or a nasopharyngeal tube to deliver a CPAP of 5 cm H20. Kim EH, Boutwell WC. Niemeyer, S. et al, Ch 4, Delivery room Care, pp. No apnea alarm is sounded because the chest wall is moving even through air flow is absent. ), Kangaroo care A way to hold your baby skin to skin, against your bare chest, inside your shirt, or covered by a blanket, like a baby kangaroo in his mothers pouch, Lactation Production of milk by the breasts, Lactation consultant A person who is trained to help mothers with breast pumping or breastfeeding, Lanugo Fine hair that covers the body of a fetus and some premature babies, Large for gestational age (LGA) Newborn infant who is above the 90th percentile in weight at birth for his gestational age, Large motor skills Skills, such as crawling and walking, that involve the coordination of large muscle groups, Laryngoscope A tool with a long, lighted, hollow metal tube and handle; used when a tube is inserted to see the vocal cords and guide the tube between them, Lasix Brand name for a type of diuretic, a medicine that helps the body get rid of excess water, Lead wires Wires that lead from the electrodes to a monitor, Let-down reflex Release of milk into the milk ducts and down to the nipple (Mothers sometimes have a tingling feeling when this happens.
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