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You work very birth weight observation and nursing of children


28c warm box. Lh 1 ℃ per box temperature increase gradually adjusted to 30 ~ 32C, so that sick children to scold the skin temperature 36C, at 24 ~ 48h in the temperature recovered gradually. Effect of a good saddle. Rate of rewarming when the attention is not too fast. To avoid pulmonary hemorrhage. Management of extremely low 2.2 children call Ai Road, immature respiratory center, when apnea occurs when the respiratory secretions can be the first t and then play the clean-up foot, care back to stimulate breathing. Krypton theophylline 2 ~ 4mkg the pension quality to 100IJ dextrose intravenously 30m1. Sick child should not be too long oxygen concentration should not be too high to avoid the crystal after the fibrous tissue hyperplasia. 20rain before and after feeding,[link widoczny dla zalogowanych], oxygen is generally about,[link widoczny dla zalogowanych], we often use the vestibular nasal oxygen catheter side holes or simple CPAP oxygen. 2.3 children fed low pull weak digestion, poor sucking power, even without swallowing reflex. For swallowing without sucking power by force feeding method can drop; for those with no dependents pharyngeal nasal feeding tubes force feeding method. Check the feeding tube feeding should be based on the location, monitoring the residual milk, and advised doctors to increase the amount of milk or a corresponding reduction in feeding. Breast-feeding is best. If insufficient or no breast-feeding with formula t 2:1 ratio should be used first, then gradually changed to 31,4 = 1 milk to whole milk. After each meal should be observed 2 ~ 3mn or more, if the sick child appears apnea, cyanosis and suffocation, aspiration catheter immediately mucus and milk. And oxygen. Prevention of infection of 2.4 units of Affiliated Hospital of Qingdao University Medical College 4, JL ~ Branch (Qingdao 266003, China) of 1 'PENGJIAKUANG catch Lu Ling, female. Health Nursing 1976 years is very low resistance to poor children, such as concurrent infection can be life-threatening. To avoid cross infection. Intravenous gamma globulin may be added,[link widoczny dla zalogowanych], while children should be reduced by one vase Officer: Indoor daily disinfection with ultraviolet light exposure i tablets. Clean air; warmers daily disinfection with disinfectant scrub l-shaped feeding equipment were sterilized by boiling after each feeding; health care access to children is very low before wash hands after changing diapers; all the treatments and operations into the straw according to the principles of aseptic . 2.5 low vitamin and iron supplement children from lack of nutrients stored. Therefore susceptible to anemia and rickets, should increase the nutrition. Vitamin c, iron and cod liver oil. 2.6 based on umbilical cord to fall off before nursing, dressing should be kept clean and dry. Each H with 0.5g / I wipe the iodine with 2 times. Action should be gentle, not to damage mucosa; for wrinkle free skin disinfection at the plant oil traduce graze. Protect the skin. Timely replacement of diapers, with warm water after each stool graze clean. Red buttocks to prevent dermatitis. Very low on the nasal feeding children good oral care should be. Observe whether the oral mucosa ulcer. Daily with saline cotton cloth. 2. ,[link widoczny dla zalogowanych], Environmental observation and treatment of complications of high bilirubin 2.7.1 Cable viremia occurred in this group fell hyperbilirubinemia j sick child, the average bilirubin index was 16.2mg / I. 2 tablets daily percutaneous we measured bilirubin index. Early Blu-ray therapy. According to severity of jaundice, persistent 8 ~ 12h. Claim of indirect bilirubin oxidation and decomposition by the light emission of direct bilirubin in the bile and urine,[link widoczny dla zalogowanych], while intravenous infusion of albumin or plasma, reduce blood free of wood to kill the bilirubin level decreased to normal levels of bilirubin 2 Cable .7.2 NEC NEC occurred on the two down the sick child, we are fasting with conservative treatment, abdominal distension and decompression when, while intravenous fluids and high-nutrient solution. Pay attention to maintaining water and electrolyte balance. 2.7.3 Late-onset metabolic acidosis, fell sick child in this group l4 l4 ~ 21d after birth appeared in late-onset metabolic acidosis performance, according to biochemical test results, we add the appropriate sodium, potassium and other electrolytes, the symptoms disappeared, body mass increased. 27.4 complications of hyaline membrane disease of the lower child mortality led to drop-one of the main. We treated one case of hyaline membrane disease by the time t of sick children by continuous positive airway pressure breathing, warm. Intravenous fluids. Electrolyte and acid-base balance, maintaining comprehensive platform treatment of sick children 度过危险期, at 21d after discharged. 2.7.5 prone to intracranial hemorrhage intracranial hemorrhage in very low child and high rate of disability, care when keep warm, quiet and oxygen. Prevent the continued bleeding, keep the airway open. Convulsions, irritability with phenobarbital 8 ~ 10mg/kg body weight per intramuscular injection. Bark every 8hl high intracranial pressure with mannitol and furosemide alternate intravenous drip. The patient and meticulous care, intracranial hemorrhage in 3 cases caught recovered. [Key words] Infant; low birth weight; complications; Nursing [China CLC] R473.72 [Document code] B [Article ID] 10080341 (2001) 01-0065 a O1I1 20D0-12 a More articles related to topics：


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