premature healthrisk
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| Bronchopulmonary dysplasia (BPD) | show 🗑
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| show | Results from:
- (main cause)underdeveloped lungs and/or lack of surfactant
- infants on high levels of O2
-respiratory therapy needed for underdeveloped lungs increases risk in premature infants
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| show | -rapid breathing or labored breathing
-wheezing
-bluish discoloration of the skin around the lips and nails due to low oxygen in the blood
-poor growth
-repeated lung infections that may require hospitalization
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| show | - increased risk of upper respiratory complications after discharge
- recovery slow but most infants recover and live active normal lives
- some need continued breathing treatments or supplemental oxygen or ventilation after discharge
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| show | diuretics- reduce fluid in lungs
bronchodilators- relax muscles in air passageways
corticosteroids- reduce inflamation
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| Ototoxic factors | show 🗑
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| show | 2-15%
of those cases 20%-25% of them are due to ototoxic drugs or viruses/infections
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| show | increased risk of hearing loss between 24-30 mo.
certain antibiotic commonly used to treat bacterial infections in NICU (could be harmful to auditory system)
severe hyperbilirubina (jaundice)
more than 5 days of mechanical
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| show | environment in NICU- too busy and loud for sensitive infants
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| show | abnormal blood vessel development in the retina of the eye
infants bron prematurely before 31 weeks gestation and weighing less than 2.5 lbs
400-600 infants each year become legally blind from ROP
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| Causes of ROP | show 🗑
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| 5 stages of ROP | show 🗑
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| show | early treatment has been shown to improve baby's chances of normal vision- laser therapy or cryotherapy may be used to prevent complications of advanced ROP - it can stop abnormal blood vessel growth
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| show | infants w ROP are considered to be a higher risk for developing certain eye problems later in life - retinal detachment, myopia (near), strabismus (crossed eyes), amblyopia, and glaucoma
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| intraventricular hemorrhage (IVH) | show 🗑
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| show | premature infants born more than 10 weeks early and babies with respiratory distress syndrome and unstable BP
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| show | apnea
bradycardia
pale or blue coloring
low tone
weak suck
high pitched cry
anemia
possible seizures and swelling or bulging of the frontanelles (soft spots between bones of baby's head) (if hydrocephalus)
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| show | 1&2: small amount of bleeding, typically no long term problems
3&4: more sever. blood leaks into brain tissue which clots and can block flow of cerebral spinal fluid (CSF) causing hydrocephalus (requires shunt)
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| IVH prognosis | show 🗑
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| show | focus on developing improves newborn sensory modulation and initiating newborn handling to promote physiologic stability
positioning/tone
increase occupational performance (sleep, feeding, developmental milestones) as well as co-occupations
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| "Baby steps" program | show 🗑
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Created by:
iztomanelli
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