321
Unit 9: Review: Is the Baby Sick?
Identifying and Caring for Sick and At-Risk
Babies
Objectives............................................................................................................................ 322
1.. How.Do.You.Know.a.Baby.Is.Well?............................................................................. 325
2.. How.Do.You.Know.a.Baby.Is.At.Risk?........................................................................ 325
3.. How.Do.You.Know.a.Baby.Is.Sick?............................................................................. 326
4.. What.Should.You.Do.for.a.Well.Baby?....................................................................... 328
5.. What.Should.You.Do.for.an.At-Risk.Baby?................................................................ 328
6.. What.Should.You.Do.for.a.Sick.Baby?....................................................................... 328
7.. How.Do.You.Decide.What.to.Treat.First?.................................................................... 328
8.. What.Should.You.Avoid.Doing.When.Caring.for.At-Risk.and.Sick.Babies?............ 329
9.. How.Do.You.Determine.Why.a.Baby.Is.Sick?............................................................. 330
Subsection:.Vital.Signs.and.Observations..................................................................... 331
. A.. Heart.Rate............................................................................................................... 331
. B.. Temperature........................................................................................................... 331
. C.. Blood.Pressure....................................................................................................... 332
. D.. Respirations............................................................................................................ 332
. E.. Color........................................................................................................................ 333
. F.. Activity.................................................................................................................... 334
. G.. Feeding................................................................................................................... 334
Subsection:.Tests.and.Results......................................................................................... 335
. A.. Blood.Gas.Values.................................................................................................... 335
. B.. Oxyhemoglobin.Saturation.and.Pao2................................................................... 336
. C.. Blood.Glucose.Screening.Test............................................................................... 337
. D.. Electrolytes............................................................................................................. 338
. E.. Hematocrit.............................................................................................................. 338
. F.. Platelet.Count......................................................................................................... 339
. G.. Spinal.Fluid.Tests.................................................................................................... 340
. H.. Urine.Tests............................................................................................................... 340
. I.. X-rays...................................................................................................................... 340
Figures
Figure 9.1. Relationship of Pao2 and Spo2..................................................................... 337
Figure 9.2. Flow Diagram for Well, At-Risk, and Sick Babies ........................................ 342
Sample.Case..................................................................................................................... 343
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