ELBW - NCC exam questions &
answers10
eyes - ANSWERS-fused until 24 to 26 wks
give PPV - ANSWERS-if apneic or HR less than 100bpm
benefit to delayed cord clamping - ANSWERS-decreased need for blood transfusion, decreased
IVH, decreased NEC risk
Delivery room/ OR temp - ANSWERS-78-80 F or at least 25 C
Initial O2 set to - ANSWERS-21- 30 % Fio2
O2 target ranges: 1 min of life - ANSWERS-60-65%
O2 target ranges: 2 min of life - ANSWERS-65-70%
O2 target ranges: 3 min of life - ANSWERS-70-75%
O2 target ranges: 4min of life - ANSWERS-75-80%
O2 target ranges: 5 min of life - ANSWERS-80-85%
O2 target ranges: 10 min of life - ANSWERS-85-95%
, In ELBW infants, ventilation can be achieved - ANSWERS-without chest rise
recommended for ELBW infants with spontaneous breathing with early RDS signs to be given
------ at low Fio2 and extubated quickly to NCPAP - ANSWERS-surfactant
UVC placement - ANSWERS-just above diaphragm, T9 or T10,
(3x BW (kg) + 9cm)/2
UAC placement - ANSWERS-T6-T9
(3x BW (kg)) +9cm
ELBW neonates start on (Dextrose%) - ANSWERS-D5
Initial GIR - ANSWERS-4.5-6mg glucose/kg/min
GIR calculation - ANSWERS-(%D (g/ml) x Volume (ml/kg/day))/1.44
Humidity - ANSWERS-start at 70% or greater first 7 DOL, wean to 50% after DOL 7, discontinue
14 to 28 DOL
IWL while in incubator - ANSWERS-110ml/kg/day
radiant warmer or phototherapy: IWL - ANSWERS-increases IWL 50-190%
Fluid requirement Day 1-2 (less than 750g) - ANSWERS-100-200ml/kg/day
answers10
eyes - ANSWERS-fused until 24 to 26 wks
give PPV - ANSWERS-if apneic or HR less than 100bpm
benefit to delayed cord clamping - ANSWERS-decreased need for blood transfusion, decreased
IVH, decreased NEC risk
Delivery room/ OR temp - ANSWERS-78-80 F or at least 25 C
Initial O2 set to - ANSWERS-21- 30 % Fio2
O2 target ranges: 1 min of life - ANSWERS-60-65%
O2 target ranges: 2 min of life - ANSWERS-65-70%
O2 target ranges: 3 min of life - ANSWERS-70-75%
O2 target ranges: 4min of life - ANSWERS-75-80%
O2 target ranges: 5 min of life - ANSWERS-80-85%
O2 target ranges: 10 min of life - ANSWERS-85-95%
, In ELBW infants, ventilation can be achieved - ANSWERS-without chest rise
recommended for ELBW infants with spontaneous breathing with early RDS signs to be given
------ at low Fio2 and extubated quickly to NCPAP - ANSWERS-surfactant
UVC placement - ANSWERS-just above diaphragm, T9 or T10,
(3x BW (kg) + 9cm)/2
UAC placement - ANSWERS-T6-T9
(3x BW (kg)) +9cm
ELBW neonates start on (Dextrose%) - ANSWERS-D5
Initial GIR - ANSWERS-4.5-6mg glucose/kg/min
GIR calculation - ANSWERS-(%D (g/ml) x Volume (ml/kg/day))/1.44
Humidity - ANSWERS-start at 70% or greater first 7 DOL, wean to 50% after DOL 7, discontinue
14 to 28 DOL
IWL while in incubator - ANSWERS-110ml/kg/day
radiant warmer or phototherapy: IWL - ANSWERS-increases IWL 50-190%
Fluid requirement Day 1-2 (less than 750g) - ANSWERS-100-200ml/kg/day
