Baby Allan, a male newborn weighing 2.62 kg was born to a 35 years…
Question Answered step-by-step Baby Allan, a male newborn weighing 2.62 kg was born to a 35 years… Baby Allan, a male newborn weighing 2.62 kg was born to a 35 years old mother by caesarean section at 35+4 weeks gestation because of oligohydramnios. APGAR score was 5 at 1 min & 9 at 5 min. The baby developed tachypnea soon after birth and was shifted to the Neonatal Intensive Care Unit (NICU). Baby was kept under warmer requiring hood oxygen 2 liters/min. Physical examination on admission revealed: HR – 156 beats/min, RR – 75/min and breath sounds were normal. No chest retractions were noted. Blood pressure (BP) 64/44 mm Hg. Rest of the systemic examination was normal. The chest radiograph showed well expanded lungs, fluid in the horizontal fissure and increased pulmonary vascularity. At 24 hours of age, oxygen requirement increased to 4 L/min; Arterial blood gas at this time revealed: pH 7.3, PaCO2 19.6 mmHg and PaO2 of 26.7 mmHg, HCO3 9.7, base excess of – 4.2. In the next 12 hours, the oxygen requirement gradually increased to 10 liters/min and respiratory rate increased to 90/min. B lood counts were normal and hematocrii was 62%; CRP 0.6mg/dl. Mean BP dropped to 32 mmHg and required dopamine to maintain BP. On day 3, serum electrolytes were Na- 143. K- 3.7. Cl- 109, HCO3- 25, and urea 14mg/dl, creatinine 0.49 mg/dl. On day 6, baby was on breast feed and discharged on day 9 of life. Case Study Progress (Day 3) 1. What are the problems of Baby Allan? Support your identified problems2. On the basis of clinical examinations and chest x-ray what do you think was the diagnosis? Explain your answer?3. What is your interpretation on the ABG result? What is the course of treatment for your interpretation?4. What is the mechanism of action of Dopamine?5. Which of the following serum electrolytes result is abnormal? Discuss your answer 6. Make a sample FDAR charting of the patient. Write it in the nurse’s notes.7. Concept map for transient tachypnea of the new born. Health Science Science Nursing Share QuestionEmailCopy link Comments (0)
