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Related Concept Videos

Pneumonia V: Nursing management and Prevention01:30

Pneumonia V: Nursing management and Prevention

Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed.
Mitral Valve Prolapse III: Nursing Management01:19

Mitral Valve Prolapse III: Nursing Management

The nursing management of Mitral Valve Prolapse, or MVP, centers around patient education, symptom monitoring, and lifestyle modifications.Patient Education on MVP Diagnosis and Heredity: Nurses should provide comprehensive education about MVP, a condition where the mitral valve does not close appropriately during heartbeats. This education often includes the condition's pathophysiology, symptoms, and potential complications, like arrhythmias or mitral regurgitation. Though not fully...
Mitral Stenosis IV: Nursing Management01:27

Mitral Stenosis IV: Nursing Management

A comprehensive nursing assessment is essential for patients with valvular heart disease, which involves any dysfunction of the heart valves that could impact blood flow and overall heart function.Subjective Data Collection:Chief Complaint and Present Illness: Start with the patient's primary concerns, focusing on the onset, duration, and progression of cardiac symptoms such as dyspnea, fatigue, chest pain, and palpitations.Past Medical History: Collect detailed information on any previous...
Myocarditis IV: Nursing Management01:22

Myocarditis IV: Nursing Management

Myocarditis is an inflammatory condition of the myocardium requiring meticulous nursing management for optimal patient outcomes. Effective management begins with a thorough assessment of the patient's medical history, paying close attention to past infections, autoimmune disorders, travel history, and exposure to toxins or drugs. Recent viral infections and systemic diseases are particularly relevant due to their potential role in triggering myocarditis.Physical Examination and MonitoringThe...
Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
Endotracheal Intubation II: Nursing Management01:17

Endotracheal Intubation II: Nursing Management

Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
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Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit
11:50

Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit

Published on: January 7, 2020

Managing "healthy" late preterm infants.

Akio Ishiguro1, Yoshiyuki Namai, Yoichi M Ito

  • 1Department of Pediatrics, University of Tokyo Hospital, Tokyo, Japan. akio-i@k4.dion.ne.jp

Pediatrics International : Official Journal of the Japan Pediatric Society
|May 8, 2009
PubMed
Summary

Late preterm infants managed in nurseries face higher risks of apnea and hypoglycemia. Individualized management, monitoring respiratory status, and screening for hypoglycemia are recommended for these vulnerable newborns.

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Area of Science:

  • Neonatal Medicine
  • Pediatrics
  • Perinatology

Background:

  • Late preterm infants (35-36 weeks gestation) are often managed in nursery settings, despite inherent prematurity risks.
  • This practice overlooks potential complications that necessitate neonatal intensive care unit (NICU) admission.

Purpose of the Study:

  • To identify the specific risks associated with nursery management of late preterm infants.
  • To develop an evidence-based management strategy for this population.

Main Methods:

  • A retrospective chart review of 210 late preterm infants and 2648 mature infants.
  • Focus on infants born at 35-36 weeks gestation, weighing >=2000g, admitted to a nursery without immediate medical intervention.
  • Evaluation of NICU admission rates and reasons via chart review.

Main Results:

  • Late preterm infants had significantly higher NICU admission rates compared to term infants (RR 4.27 at birth, 3.57 after birth).
  • Apnea and hypoglycemia were the primary reasons (>80%) for NICU admissions from the nursery.
  • Admission rates for apnea increased with decreasing gestational age; hypoglycemia due to prematurity was a significant factor.

Conclusions:

  • An individualized management strategy for late preterm infants is crucial, focusing on apnea and hypoglycemia risks.
  • Recommend monitoring respiratory status for at least 2 days.
  • Suggest routine hypoglycemia screening on postnatal day 0 for late preterm infants.