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5. Arterial cannula to monitor blood gases and pressure b. Well-functioning intravenous line. Babies with omphalocele or gastroschesis should have the intravenous line in the upper extremities, neck, or scalp. Surgery i 829 c. Maintenance of body temperature 1. Warmed operating room 2. Humidified, warmed anesthetic agents 3. Warmed blood and other fluids used intraoperatively 4. Cover exposed parts of the baby, especially the head (with a hat). D.

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Lawrence ra. Breastfteding. A guide for the medical profession. 6th ed. St. Louis, mo. Mosby, 2005. Suggested websites the academy of breastfeeding medicine, Bfined.Org baby friendly hospital initiative in the united states, Baby&iendlyusa.Org hwnan milk banking association of north america, Hmbana.Org international lactation consultant association, Ilca.Org la leche league international, Illi.Org lactmed---drugs and lactation database, toxnet.Nlm.Nih.Gov/cgi-binlsis/htmlgen?.

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Hbsagihivndrugc 3 viagra yellow. Methadone if sigls of withdrawal )> 1. Hbig if indicated delivery 2. Urine toxic screen (mother and baby) 1. Hbig lllndica1ed 3. Review maternal hbsagniivndrugc/ 2. Urine toxic screen {mother and baby) q4hx48h q2h ii score >8 2.Tlc 3. Social service consult 4. Observe 2--5 d mean of any three successive scores exceeds 8?. Rasults !. 1. Begin score sheet yes c g) • )> m c en 1. Social service consult 2. Begin score sheet discharge home with careful follow-up iti no q2hx48 h "?. I q8h x 72 h unless withdrawing no observe and score for 2--3 d after score <8 x 0 en c :::0 iti yes 3. Serum ca, glucose, septic workup as indicated 4. Conservative nursing management. Swaddling, rocking, cuddling ad lib feedings decrease environmemal stimulation continue scoring. Begin graphic record )> z no continuetlc consider discharge when controlled for 72 h mean of any three successive scores exceeds 8?. L iti "1j mean of any three successive scores exceeds 8?. !. Z )> i '0 yes 1-------------~ -i iti :::0 :::0 gestation >35 wk or healthy transfer to scn ~ s. !. Newborn nursery ..., '0 :E -i ::I. '0 :::0 yes figure 12.1. General approach to management of a narcotic-addicted gravid identified antenatally and of a withdrawing infant of a woman not previously identified as addicted. Hbsag =hepatitis b surface antigen. Hn =human immunodeficiency virus. Vdrl =venereal disease research laboratory. Gc =gonorrhea. Hbig = hepatitis b immune globulin.

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Incubators with servocontrolled warmers decrease this water loss. Extra fluid must be given to make up for these losses (see chap. 23). 2. Redistribution of blood ftow. In term infants, left ventricular output and renal blood how velocity decrease, whereas left pulmonary artery and cerebral blood flow velocity increase. All velocities return to baseline after discontinuation of phototherapy. In the pretenn infant, cerebral blood how velocity also increases and renal vascular resistance increases with a reduction of renal blood how velocity. In ventilated preterm infants, the changes in blood flow velocities do not return to baseline even after discontinuation of phototherapy. In addition, in pretenn infants under conventional phototherapy, it has been shown that the usual postprandial increase in superior mesenteric blood flow is blunted. Fiberoptic phototherapy did not seem to affect the postprandial response. Although the changes in cerebral, renal, and superior mesenteric artery blood flow with phototherapy treatment in preterm infants is of potential concern, no detrimental clinical effects due to these changes have been determined. 3. Watery diarrhea and ina-eased fecal water loss may occur. The diarrhea may be caused by increased bile salts and ucb in the bowel. 4. Low calcium levels have been described in pretenn infants under phototherapy. 5. Retinal damage has been described in animals whose eyes have been exposed to phototherapy lamps. The eyes should be shielded with eye patches. Followup studies of infants whose eyes have been adequately shielded show normal vision and electroretinography. 6. Tanning of the skin of black infants. Erythema and increased skin blood flow may also be seen. 7. "bronze baby'' syndrome (see vii.B.3.). 8.