Loud Music Cause Dizziness

alarm signals in the New Born

the newborn is a product that has zero to twenty-eight days old, is also known by the term neonate, and we must pay special attention to the presence of any of these signs as they may signal the existence of a pathology, which if treated early can prevent major complications that can affect the quality and expectancy Life in this Wonderful Being:

excessive salivation

That may be a sign of Esophageal Atresia

JAUNDICE

In our can be defined as the yellowing of skin and mucous
Over 60-70% of newborn children turn yellow and if more than 80% premature
In the vast majority of cases may result from:

• ABO Incompatibility: That is the incompatibility Or the mother should be and child A or B.
• Rh Incompatibility: Rh-mother and Rh + RN. In this case we must place an Ig anti Mother Rh (Rhogam). If this is not that breast is to raise awareness. And in a subsequent pregnancy the mother that Coombs will be + 4 crosses.
• premature or small for gestational age.
• RDS (RDS). SEPSIS. (Ie a generalized infection in a newborn child

DIARRHEA

is increasing exaggerated the number and amount of bowel movements as well as consistency

Change in Number of evacuations. Must see if they are:
- Liquid
- Explosive Must see if
Diarrhea Symptoms of Infection in the neonatal area staff, we must find out. Today

not remove breastfeeding unless the child badly. It should try by all means this is not removed.
See if your child has a touch of dehydration and general condition because there are to be hospitalized, and we have to look for signs of infection, is not going to sepsis. It may happen that the mother is eating grain and that is very heavy, like fats, malta, chocolate, onions cauliflower, broccoli, and that happens a fraction of what the child has to suffer from diarrhea due to poor feeding technique.
Give oral rehydration solution.
examination of stool on a RN is not going to give more information because if the baby is consuming breast milk will give the reaction is acidic and normal for him and should not change the formula. Now if the child is not eating milk and acid reaction comes out there if you should change the formula.

VOMITING

This can occur by:

Gastric Mucosa Irritation , indicating that the obstetrician has not made the proper cleaning of the mouth of the baby just passing through the birth canal, not clean my face , we remove the blood or meconium and maternal tissue that may be, the boy swallowed and logical that will give you vomiting. If swallowing vomiting blood will be brown, you should be aware of its characteristics, proceed in this case required gastric lavage to this child when those features, like a child who swallowed meconium.

Bad Food Technique. For misinformation to the mother where they say the best is that of formula milk, and it is so because it is the breastfeeding because it alone gives that child's defenses to attack from external aggressions. The trouble is that when the child receives milk I can not quantify how much is eating probably 1 or 2 ounces, each ounce is equivalent to 30cc, the gastric capacity is very small if given too much milk the rest goes out and is when will cause vomiting and diarrhea starts making.

Duodenal Atresia, Jejunal, Ileal . And annular pancreas. We have a main feature that differs from the previous one is that vomiting is bilious green and you have to handle from the standpoint of Qx.

SEPSIS.

pyloric hypertrophy (No this condition until after the second week of life (15 days) and that before this time there pylorus).
NOTE: Children should not take chamomile as has been shown that those who consume it can have kidney problems. Since it is highly toxic. The child can swim but you can not give or anything like .. Whenever you go to treat a newborn that needs to be hospitalized.

HYPERTHERMIA AND HYPOTHERMIA

normal temperature 36.5 ° C

Hyperthermia -

> 37 ° C (Skin)
> 37.5 ° C (rectal)

In the early months or in the early years can you take a rectal temperature.

After 3 years should not ever use a rectal thermometer.
have to learn which is the property of the shape of the thermometer, the rectal flat final round, the other is the mouth and the arm is long

Causes: Lack of fluids
. Dehydration. Exclusive breast milk is not need anything else, because in its properties is water. But if the child gives pot to that if we have give water, because by not using this, you become dehydrated. Or a RN that is already in service and is jaundiced and lamp that child I must also give water first because food is getting formula and secondly because the lamp and the heat it produces compared to dehydrated and you drink it da hyperthermia.
infection, sepsis. Iatrogenic


Hypothermia

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Causes: Prematurity
. As a young child is not well regulated temperature, is in a cold environment we can not entertain then makes a table of hypothermia.
infection. By taking many samples taken in the RN. Cerebral Hemorrhage
can be demonstrated by CT scan or a brain Eco.
Environment. Prematurito is important if placed in an incubator, her warm.

Hypothermia is very common to find it and this kills a newborn.

"child who complains child away, and child progresses child yawns."

" unethical not running both procedures must be made when, as carried out operations without adequate equipment."

ANEMIA

ETIOLOGY:
1. Blood loss
centrooclusiva Placenta previa. Rupture of the umbilical cord


2.
bleeding intracranial hemorrhage, intracerebral especially interventricular (<> preterm

• Ruptured liver or spleen, or adrenal shock. If this happens you have to carry that baby to the flag.
  

3. Hemolysis

• Rh incompatibility (mother Rh-)
• spend several things ABO Incompatibility jaundice and hemolysis leading to anemia.
• breast disease is to say she has a disorder that problem is projected onto the baby.
• the beginning when the baby makes a hematologic has shown that leukocytes at 20000 seem to be high but are they of it? It is not the breast. When you drink should be tested at 24-48h if you are of him. It's like being with urea and creatinine if the mother has a disease outcome in the early hours going to be altered.
  
  If a newborn is less than 11, less than 10 and is anemia. And if you have Hct> 65 is not good, it would polycythemia, increased red blood cell content ..
  
  DIAGNOSIS:
  
• Historia familiar. Preguntar si la madre tiene alteración de los tiempos de la coagulación,
• Hemofilia y hay que recordar que en estas patologías las mujeres la llevan pero la que los sufre son los varones.
• Historia Obstétrica
  Examen Físico, hay que observar la coloración de la piel y mucosas en búsqueda de palidez.
  Laboratorio
  Si el bebe tiene 11 o 12 de HB lo voy a investigar para saber cual es la causa, pero no lo voy a transfundir. La única manera de hacerlo es en caso de que este denigrando la vida del Px a menos que se haya descompensado
  
  SANGRAMIENTO cuando hay:
  
  Deficiencia de factores de Coagulación Platelet
  problems. Thrombocytopenia. Vascular Problems
  
  ruptured spleen, liver or adrenal.
  Hemorrhagic disease of the newborn. this should not be seen in the urban environment. Because it happens to children who have not received vitamin K1 which is placed 0.1cc IM Stat in his leg ..
  

ABDOMINAL MASSES

The causes may be:

1.
kidney - Hydronephrosis
-
multicystic kidneys - Renal vein thrombosis
-
Wilms tumor 2. Ovarian cyst
3. Mesentery cyst
4. Teratomas

If we make a tenderness as they should and touch something that's strange kidney until proven otherwise.

Bloating

CAUSES:
• Meconium plug
• Congenital Megacolon, for lack of innervation of the plexus of Meissner and Auerbach. Almost never found on the first day but after 20 days or a month when the child is relaxed.
• Imperforate Anus, we realize it does not happen on the thermometer. It is going to defuse it is completely sealed. Do not run with it. We have to wait 18h to make a study of Rx, to see how distributed gas in the bowel and as far as the blister. But if you have to do a task in order not to strain it is to pass a nasogastric tube to decompress. NPO is set to 18 hours, it becomes the Rx, the surgeon sees it, if it does correct the surgeon immediately if you do not do a colostomy. Meconium ileus

• • • SEPSIS
Duodenal Atresia (vomiting, diarrhea, looks bad, fever)
• Necrotizing enterocolitis. In this case the candidates are two: 1 - the early feeding premature. 2 to 1 child I have to intubate in the operating room because he was born almost dead, was born with asphyxia and I sac problema, no debe comer antes de 48h. El manejo es medico . si se complica va a pabellon y no es bueno.

FALTA DE ORINA DESPUES DE 48 HORAS

Casi siempre se da por:

INCAPACIDAD DE FORMAR ORINA

¿Qué niño va a tener incapacidad de formar orina? Aquellos que tengan:
• Hipovolemia, porque estén chocados.
• Agenesia Renal Bilateral
• Trombosis de la vena Renal Bilateral

OBSTRUCCIÓN AL FLUJO URINARIO

• En un varón que tenga Válvulas Uretrales Posteriores
• O un niñito que tenga problemas o defectos del tubo neural, que tiene spine problems, it is a pouch that is what is called honey or meningocele and
will form a neurogenic bladder.
• Urethral stricture. • Tumors



CYANOSIS

That has a purple color, purple. This in turn can be: PARTIAL

• Acrocyanosis ie little hands and feet are cyanotic That happens to the first, second or third day. GENERALIZED

this is the worst prognosis.

CAUSES:
• Lung: Hyaline membrane
• Heart: cyanotic CHD: tetralogy of Fallot.
• Metabolic: Hypoglycemia.
• Neurological hemorrhage.

RESPIRATORY DISTRESS SYNDROME

CAUSES:
• Choanal atresia
• Macroglossia, ie the tongue does not fit into the mouth to the newborn. Causes of this condition include: Sx down, Hypothyroidism. Meconium Aspiration

• • EMH occurring in preterm infants.
• TTN is transient tachypnea of \u200b\u200bthe newborn, which is a condition that is often seen in those mothers who undergo a cesarean and that she does not have labor.
• Pneumonia can be in utero.
• Diaphragmatic hernia is an emergency because it has a high mortality. A defect of the diaphragm, and part of the viscera pass to the lung and produce this. The clinic is seen more in that child be born with an abdomen excavated.
• Esophageal Atresia, excessive salivation.

• Hypothermia • Pulmonary Hypertension which can be a complication of Meconium Aspiration.


Seizures

CAUSES

• Perinatal Asphyxia
• Intracranial Hemorrhage, intraventricular mass on everything. Metabolic
• : hypoglycemia, hypocalcemia or Hipomagnasemia.
• Infections neonatal meningitis.
• Withdrawal Syndrome. Especially mothers receiving anticonvulsants such as phenobarbital the baby is going to present this syndrome. Cocainomica mother too. Alcohol not because this will cause Fetal Alcohol is Sx and that child will have very different characteristics will occur is dimorphic.
• CNS abnormalities, eg that some brain structures is not complete.

DIAGNOSIS:

• History History Obstetric Newborn
• thorough physical examination
Eco
• cerebral CT.
EEG MRI
• 
  
  
  Blogalaxia Tags: newly born + + excessive salivation vomiting diarrhea jaundice anemia hyperthermia hypothermia abdominal distension cianosis + respiratory distress syndrome + convulsiones