This document outlines a systems-oriented approach to caring for neonates using 10 organ systems: 1) fluids and nutrition, 2) glucose, 3) respiratory, 4) cardiovascular, 5) hematology, 6) GI/bilirubin/liver, 7) infectious disease, 8) medications, 9) neurological, and 10) social. Each system is discussed in 1-2 paragraphs covering assessments, common issues, and treatments. The overall approach aims to comprehensively capture all relevant medical information to bring order to neonatal care.
Kodo Millet PPT made by Ghanshyam bairwa college of Agriculture kumher bhara...
A Systems Approach for Neonatal Critical Care " 1 thru 10"
1. “1 THRU 10”
A Systems- Oriented
Approach to the Neonate
Dr. David Mendez
Kidz Medical Services
2. 1 thru 10
DISCLAIMER
No one offered to pay me anything for what I am about to say.
I did, however, borrow, use and steal almost all of the
concepts I am about to talk about.
5. 1 thru 10
History
Systems approach is older than me
Babies can’t tell you what’s wrong
Captures all the information
Brings order to chaos
6. 1 thru 10
1.FLUIDS AND NUTRITION
Primary focus of Neonatal Care
Can change hourly
Responsible for decreasing Mortality
Responsible for decreasing Morbidity
47. 1 thru 10
8.MEDICATIONS
10. SOCIAL
MEDICATIONS THAT THE MOTHER IS TAKING THAT
CAN BE EXCRETED IN THE BREAST MILK
GENERAL AFFECT OF THE PARENTS THAT MAY
RAISE CONCERN
48. 1 thru 10
9. NEUROLOGICAL
SEIZURES AND IVH PRIMARY ISSUES
TONICITY
METABOLIC DISORDERS
EVOLUTIONARY PROCESS vs STATIC
49. 1 thru 10
9. NEUROLOGICAL
STUDIES, STUDIES, STUDIES
HEAD ULTRASOUNDS
EEG, vEEG, CT, MRI
ALMOST ALL STUDIES REQUIRE FOLLOW UP
50. 1 thru 10
9. NEUROLOGICAL
ONE OF THE BEST PREDICTORS FOR NORMAL
NEUROLOGIC DEVELOPMENT IS A NORMAL
NEUROLOGIC NEWBORN EXAM
51. 1 thru 10
9. NEUROLOGICAL
BRAIN COOLING (TOTAL BODY COOLING)
RX FOR HIE - TIME SENSITIVE
APPEARS TO REDUCE MORTALITY
APPEARS TO NOT INCREASE MORBIDTY
52. 1 thru 10
10. SOCIAL
IDENTIFICATION OF PRIMARY CAREGIVERS
WHO COMES TO THE BEDSIDE
COMMUNICATE THE “1 THRU 10”
BEST ROLE IN REDUCING MALPRACTICE
SUITS
53. 1 thru 10
10. SOCIAL
SOCIAL SERVICE OFTEN KEY
GOSSIP IS DEADLY
NICU PSYCHOSIS
MEDICAL ERRORS- inform, address, apologize