RNC NIC 2026 NEONATAL INFECTION CONTROL AND SEPSIS MANAGEMENT PROFESSIONAL GUIDE

RNC NIC 2026 NEONATAL INFECTION
CONTROL AND SEPSIS MANAGEMENT
PROFESSIONAL GUIDE

◉ DIC Labs
Answer: -Low platelets
-prolonged PT and PTT
-increased FSP
-decreased fibrinogen
-increased d-dimer which is the marker DIC


◉ Albumin
Answer: -Synthesized in the liver
-decreased in hepatocellular injury


◉ Alk Phos
Answer: -derived from liver, also found in bone, kidney, and small
intestine
-increased an obstructed bile disease, hepatitis, bone disease


◉ AST & ALT

,Answer: -most sensitive test for hepatocellular necrosis
-ALT more specific
-greater than 300+ Jaundice equals liver disease


◉ Gastroschisis
Answer: Herniation of bowel through abdominal wall defect
Predominately to right side
Associated with prematurity, intestinal malrotation, and atresia


◉ Omphalocele
Answer: Defective of abdominal wall into umbilical cord
Often associated with a syndrome or other defects


◉ Diagnosis of gastroschisis or omphalocele
Answer: Elevated AFP


◉ Treatment of gastroschisis or omphalocele
Answer: Place in sterile owl bag
Cover defect with warm sterile moist dressings
Maintain NPO and gastric decompression
Maintain sidelying position

, ◉ Bilious vomiting
Answer: An obstruction distal to Ampulla of Vater


◉ s/s of TEF/EA
Answer: Copious oral secretions, drooling
Polyhydramnios
Small stomach on ultrasound
Coughing, choking, respiratory distress, or cyanosis
Recurrent pneumonia


◉ Infants with EA or TEF should have an evaluation of which three
systems?
Answer: 1) cardiac system
2) renal system
3) skeletal system


◉ Treatment of TEF/EA (pre-op)
Answer: Elevate HOB
Ventrol to drain
Minimize crying to decrease swallow air
No CPAP, intubate if need respiratory support