RNC NIC Questions and Answers Already Passed

RNC NIC Questions and Answers Already Passed GIR 6-8mcg/kg/min caloric intake D10 Bolus 2mL/kg Fluid Volume Bolus 10mL/kg Term Parenteral Fluid Requirement 80mL/kg/day Enteral 100-150 mlk/kg/day Preterm Parenteral Fluid Requirement 120 Enteral 150-200ml/kig/day GIR Calculation (%dextrose x IV rate) / (6 x wt in kg) I/T ratio %Metas + Bands / %Metas + Bands + Segs I/T ratio greater than 0.2 to .25 suggestive of infection 0.8 associated with shock Absolute Neutrophil COUNT WBC x (%) Segmented neutrophils + band neutrophils + metamyelocytes Example. 15,000 x 35 segs + 15 bands + 3 metas (turns into percent) 15,000 x .53 = 7950 ANC 1800 suggestive of infection Normal Range Mature WBCs Poly, Segs, Neutrophils Immature WBCs Meta, Bands, Stabs Platelet Range 150-400k Thrombocytopenia ( 100,000/mm 3 ): possible association with bacterial sepsis or viral infection, but usual onset does not occur until 1 to 3 days after infection onset (late indicator). May also occur with maternal HELLP syndrome ( h emolysis, e levated l iver function test results, and l ow p latelet count), pregnancy-induced hypertension, and intrauterine growth restriction, as well as some syndromes such as trisomies 13, 18, and 21, Turner's syndrome, and hemolytic disease. CRP level CRP level usually 1.6 for the first two days of life Elevated cord blood CRP levels are associated with chorioamnionitis with prolonged rupture of membranes. Most common pathogens Currently, GBS E. coli Candidas -Diaper dermatitis presents with intense erythema and satellite lesions. -Congenital candidiasis presents with widespread erythematous maculopapular rash, and preterm infants may present with pneumonia. Congenital CMV infection congenital infection include: intrauterine growth restriction, hepatosplenomegaly, jaundice, purpura, pneumonitis, microcephaly, hydrocephalus, intracerebral calcifications, hearing loss, chorioretinitis, and optic atrophy. Endotracheal Measurement 6 + wt in kg Proper placement on an endotracheal tube is midway between the thoracic inlet and the carina. Polyethelane Wrap for Infant 29 weeks Dry infants head only Place infant in bag, from neck down Remove bag once infant is in an NTE and humidified environment