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학습 자료 둘러보기 →| Concept | Description | Nursing Implication |
|---|---|---|
| Apnea of Prematurity | Breathing pause >20 sec, often with bradycardia & desaturation. Due to immature respiratory center. | ABC Priority. Requires immediate stimulation, possible ventilation, and methylxanthines (caffeine). |
| Neonatal Hypoglycemia | Blood glucose < 45 mg/dL (2.5 mmol/L). Risk in preterm, SGA, IDM infants. | Feed promptly or administer IV dextrose (D10W). Monitor for jitteriness, lethargy, apnea. |
| Neonatal Thermoregulation | Preterm infants lose heat easily. Neutral thermal environment is critical. | Use radiant warmers, incubators. Monitor axillary temp (goal: 97.7–99.1°F / 36.5–37.3°C). |
| Assessment of Preterm Infant | Includes respiratory effort, heart rate, color, tone, temperature, glucose. | Use the Apgar score at birth and ongoing systematic assessments (e.g., Ballard score for gestation). |
| Finding | Level of Urgency | Immediate Nursing Action | Rationale |
|---|---|---|---|
| Apnea with Bradycardia & Cyanosis | Key Point! Highest (Emergency) | 1. Stimulate (flick feet, rub back). 2. Provide Bag-Valve-Mask ventilation. 3. Administer prescribed caffeine. | Direct failure of ABCs. Risk of hypoxic brain injury. |
| Hypoglycemia (Glucose 45 mg/dL) | High (Requires Prompt Action) | 1. Feed (breast milk/formula) if able. 2. Initiate IV dextrose infusion per protocol. | Prevents seizures and neurological damage. Not an immediate airway threat. |
| Mild Hypothermia (Temp 97.2°F) | Moderate (Requires Intervention) | 1. Place under radiant warmer/adjust incubator. 2. Use warm blankets, hat. 3. Avoid drafts. | Cold stress increases metabolic rate and oxygen consumption. |
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