STABLE - Post-Resuscitation/Pre-Transport Stabilization Care of Sick InfantsSTABLE - Post-Resuscitation/Pre-Transport Stabilization Care of Sick Infants

STABLE - Post-Resuscitation/Pre-Transport Stabilization Care of Sick InfantsSTABLE - Post-Resuscitation/Pre-Transport Stabilization Care of Sick Infants STABLE stands for: -S____/safe care -Temperature -Airway -Blood pressure -L___ ______ -Emotional support Correct answers- Sugar, Lab work If the infant is sick, do not give ____ or ______ feedings Correct answers- oral, gavage (enteral - feeding tube) Respiratory distress places sick infants at increased risk for: -Delayed _____ _______ -________ of stomach contents Correct answers- gastric emptying, aspiration Some illnesses, including infection, may result in abdominal distention and delayed gastric emptying because of _______ ____ Correct answers- intestinal ileus - Inability of the intestine (bowel) to contract normally and move waste out of the body. While awaiting transport/transfer to NICU for an infant with a bowel obstruction: -Withhold _______ -Provide _____ _______ Correct answers- feedings, gastric decompression Causes of BOWEL OBSTRUCTION include: -______ anywhere in the GI tract -Malrotation with VOLVULUS -Functional causes, such as ________ disease, MECONIUM plug, or meconium ILEUS Correct answers- atresia, Hirschprung's POLYHYDRAMNIOS is a warning sign that the infant may have _______ _______. POLYHYDRAMNIOS is a medical condition describing an excess of amniotic fluid in the amniotic sac. It is seen in about 1% of pregnancies. It is typically diagnosed when the amniotic fluid index (AFI) is greater than 24 cm. Correct answers- bowel obstruction For an infant COUGHING or CHOKING with feedings, or excessive DROOLING, suspect: -________ ________ or _____________ ______ Correct answers- esophageal atresia (EA), tracheoesophageal fistula (TEF) Esophageal atresia (or Oesophageal atresia) is a congenital medical condition (birth defect) that affects the alimentary tract. It causes the esophagus to end in a blind-ended pouch rather than connecting normally to the stomach. A tracheoesophageal fistula (TEF) is an abnormal connection (fistula) between the esophagus and the trachea. TEF is a common congenital abnormality. The intestine rotates and returns to the abdominal cavity between the __ and __ week of gestation. Correct answers- 6th, 12th When the bowel FAILS to properly ROTATE upon entering the abdomen, this condition is called _______ Correct answers- malrotation Some infants with MALROTATION will PRESENT with: -_________ __________ Correct answers- duodenal obstruction Duodenal obstruction is a failure of food to pass out of the stomach either from a complete or partial obstruction. TREATMENT of DUODENAL OBSTRUCTION r/t MALROTATION involves surgery to CUT the obstructing bands, called _____ ________ Correct answers- Ladd's Procedure TREATMENT of _________ _________ r/t MALROTATION involves surgery to CUT the obstructing bands, called LADD'S PROCEDURE Correct answers- Duodenal obstruction LADD'S PROCEDURE widens the mesentery so that _________ (twisting of the bowel) will be prevented Correct answers- Volvulus _________ VOLVULUS occurs because the GUT is NOT FIXED or SECURED Correct answers- Midgut When twisting occurs, the _________ ARTERY blood supply to the intestine is cut off. This life-threatening condition can occur at any age; however it most commonly occurs in the first few _____ of life. Correct answers- Mesenteric, weeks