Nicu Nursing Care Plan

ANeonatal Intensive Care Unit(neonatal intense care unit) is anintensive solicitude wholespecializing in the care of ill or wrongnew naturalinfants. Neonates who need to go to the unit are often admitted within the premier(prenominal) 24 hours after birth. Newborns may be send to the NICU if theyre bornprevious(p)ly difficulties occur during their delivery they show signs of a problem in the first fewer days of life (sepsis/infection, congenital defects, cardiac / respiratory abnormalities, low birth weight) NICU EQUIPMENT job thrust MONITORmay be a smaller version of the rent pressure rap applyon older children and adults.OranARTERIAL CATHETER( petite tube inserted in an artery) may be employ to monitor lizard beginning pressure. CARDIORESPIRATORY MONITORkeeps track of the bungles heartbeat and breathing CPAP (continuous positive airway pressure) cable cardelivers air or oxygen through tubes in the nostrils. It uses low, continuous pressure to keep the lungs in flated. ENDOTRACHEAL thermionic tube (ETT) utilise with a respirator or ventilator to send air directly to the lungs. FEEDING pipage (ALSO CALLED A GAVAGE TUBE) INCUBATOR used when newborn is relatively stable but still premature or requiring intravenous fluids or other special attention.The incubator keeps the newborn impregnable with moistened air in a clean environment, and helps to protect the coddle from noise, drafts, infection, and excess handling INTRAVENOUS LINE (IV) PERIPHERALLY INSERTED primeval CATHETER (PICC) OR A PERCUTANEOUS CENTRAL VENOUS CATHETER (PCVC)may be inserted in a aboriginal (large) venous argument vessel. This catheter is used to give the fluids, nutrition, and medication. PHOTOTHERAPY LIGHTS, OR BILI LIGHTS, are used when newborn babys have jaundice PULSE OXIMETERmeasures the level of oxygen in the babys telephone circuit.Its attached to the clamber with a sensor taped to the babys hand or foot. It works by shining a light through the babys hand or foot RADIANT WARMERS used for very unstable or super premature newborns RESPIRATOR OR VENTILATOR used to help the baby breathe. These machines are attached to an ETT. TEMPERATURE investigation umbilical ARTERIAL CATHETER (UAC) OR UMBILICAL VENOUS CATHETER (UVC)- catheter is placed in the artery or vein at the stump of the umbilical cord. Its used to give the medications, fluids, and nutrition. Its also used to run away blood for lab canvasss. WEIGHING SCALE COMMON NICU TESTS help work the neonates problems and how they should be treated monitor newborns progress. If the neonate needs a major test, the revivify leading ask the parents or legal guardian to sign a consent form sooner the test is make. BLOOD TESTS- hand over crucial information on the potential and present problems of the neonate Bilirubin levels, blood sugar, blood chemistry, electrolytes, CBC, blood C/S, blood gas COMPUTED TOMOGRAPHY (CAT OR CT SCAN)-produce a much specific image of tis sue than an X-ray or ultrasound examination.ECHOCARDIOGRAM- detects structural problems (heart defects) and problems with how the heart works. HEARING TEST-A tiny phone will be placed in her ear to deliver sound. Small sensors, which are taped to the babys head, will relay information to a machine that measures the electrical activity in her brain in solution to sound. MAGNETIC RESONANCE IMAGING (MRI)-The MRI gives a more detailed view than a CT scan NEWBORN SCREENING TEST- tests babies for serious hereditary disorders.RETINOPATHY OF PREMATURITY (ROP) EXAMINATION-This test usually is done for newborns born at or before 28 weeks of gestation or weighing less than 1,500 grams (3 1/3 pounds). The test is generally performed about 4 to 6 weeks after birth, or when your newborn reaches 31 to 33 weeks gestational age (weeks since the mothers last menstrual period). ULTRASOUND-routine test to diagnose bleeding in the brain. water supply TESTS- determine how well the kidneys are function ing, and whether neonate has an infection.WEIGHING-routine exam, especially for premature and low birth weight newborns X-RAYS- provide pictures of neonates lungs and other internal organs. NURSING CARE PLAN 1. Hyperthermia NDxHyperthermia relate to subversive process/ hypermetabolic state as evidenced by an increase in body temperature, warm skin and tachycardia 2. Fluid Volume Deficit NDxFluid volume deficit related to failure of regulative appliance Bucayu, Michael Cabulay, Lei-Ann Jessica Rodriguez, Kristel Angela Talosig, Janica Marie Nicu Nursing Care PlanANeonatal Intensive Care Unit(NICU) is anintensive care unitspecializing in the care of ill orprematurenewborninfants. Neonates who need to go to the unit are often admitted within the first 24 hours after birth. Newborns may be sent to the NICU if theyre bornprematurely difficulties occur during their delivery they show signs of a problem in the first few days of life (sepsis/infection, congenital defects, cardiac / respiratory abnormalities, low birth weight) NICU EQUIPMENT BLOOD PRESSURE MONITORmay be a smaller version of the blood pressure cuff usedon older children and adults.OranARTERIAL CATHETER(tiny tube inserted in an artery) may be used to monitor blood pressure. CARDIORESPIRATORY MONITORkeeps track of the babys heartbeat and breathing CPAP (continuous positive airway pressure) machinedelivers air or oxygen through tubes in the nostrils. It uses low, continuous pressure to keep the lungs inflated. ENDOTRACHEAL TUBE (ETT) used with a respirator or ventilator to send air directly to the lungs. FEEDING TUBE (ALSO CALLED A GAVAGE TUBE) INCUBATOR used when newborn is relatively stable but still premature or requiring intravenous fluids or other special attention.The incubator keeps the newborn warm with moistened air in a clean environment, and helps to protect the baby from noise, drafts, infection, and excess handling INTRAVENOUS LINE (IV) PERIPHERALLY INSERTED CENTRAL CATHETER (PICC) OR A PERCUTANEOUS CENTRAL VENOUS CATHETER (PCVC)may be inserted in a central (large) vein. This catheter is used to give the fluids, nutrition, and medication. PHOTOTHERAPY LIGHTS, OR BILI LIGHTS, are used when neonates have jaundice PULSE OXIMETERmeasures the level of oxygen in the babys blood.Its attached to the skin with a sensor taped to the babys hand or foot. It works by shining a light through the babys hand or foot RADIANT WARMERS used for very unstable or extremely premature newborns RESPIRATOR OR VENTILATOR used to help the baby breathe. These machines are attached to an ETT. TEMPERATURE PROBE UMBILICAL ARTERIAL CATHETER (UAC) OR UMBILICAL VENOUS CATHETER (UVC)- catheter is placed in the artery or vein at the stump of the umbilical cord. Its used to give the medications, fluids, and nutrition. Its also used to draw blood for lab tests. WEIGHING SCALE COMMON NICU TESTS help determine the neonates problems and how they should be treated monitor newborns progres s. If the neonate needs a major test, the doctor will ask the parents or legal guardian to sign a consent form before the test is done. BLOOD TESTS-provide crucial information on the potential and present problems of the neonate Bilirubin levels, blood sugar, blood chemistry, electrolytes, CBC, blood C/S, blood gas COMPUTED TOMOGRAPHY (CAT OR CT SCAN)-produce a more precise image of tissue than an X-ray or ultrasound examination.ECHOCARDIOGRAM- detects structural problems (heart defects) and problems with how the heart works. HEARING TEST-A tiny earphone will be placed in her ear to deliver sound. Small sensors, which are taped to the babys head, will relay information to a machine that measures the electrical activity in her brain in response to sound. MAGNETIC RESONANCE IMAGING (MRI)-The MRI gives a more detailed view than a CT scan NEWBORN SCREENING TEST- tests babies for serious hereditary disorders.RETINOPATHY OF PREMATURITY (ROP) EXAMINATION-This test usually is done for newb orns born at or before 28 weeks of gestation or weighing less than 1,500 grams (3 1/3 pounds). The test is generally performed about 4 to 6 weeks after birth, or when your newborn reaches 31 to 33 weeks gestational age (weeks since the mothers last menstrual period). ULTRASOUND-routine test to diagnose bleeding in the brain. URINE TESTS- determine how well the kidneys are functioning, and whether neonate has an infection.WEIGHING-routine exam, especially for premature and low birth weight newborns X-RAYS- provide pictures of neonates lungs and other internal organs. NURSING CARE PLAN 1. Hyperthermia NDxHyperthermia related to inflammatory process/ hypermetabolic state as evidenced by an increase in body temperature, warm skin and tachycardia 2. Fluid Volume Deficit NDxFluid volume deficit related to failure of regulatory mechanism Bucayu, Michael Cabulay, Lei-Ann Jessica Rodriguez, Kristel Angela Talosig, Janica Marie