Make a pathology for this case scenario- Infant of drug dependent…

Make a pathology for this case scenario- Infant of drug dependent mother

CASE: Baby LV with a birth weight of 2kg was born to a 18 years old mother with a history of alcohol and drug dependence  via NSD. Initial APGAR score at 1minute is 6 (resuscitation was done) and 8 at 5 minutes. Ballard scoring was done with a maturity score of 25. The baby was admitted (4-22-22) in the primary NICU for observation and management under the service of Dr. Santos. 

 

DOCTOR’S ORDER:

TIME	SIDE NOTES	DOCTOR’S ORDER
6:30 am   10:15 am   12:25 pm	Weight- 2 kg Ballards score- 25 Oxygen sat at room air- 92-94% Mother claims to have drug and alcohol intake 3 days (” I am wasted”) prior to delivery   (+) tachypnea CBG- 38mg/dl irritable	Admit to primary NICU under my service. Thermoregulate the patient at all times  VS q2 I&O qshift WOF: irritability, tachypnea, sleep disturbance, vomiting, diarrhea and tremors Hook to oxygen at 3-5lpm via oxygen hood Start D10W at 100ml/kg/day For CBC, babygram, ABG Start feeding with 300  kcal/day via OGT q3-4 hours. Assess sucking reflex and swallowing reflex. Relay lab result once available Refer accordingly.   Dr. Ramos   Administer 8ml IV bolus of D10W Suggest to start Phenobarbital 6mg IV q8 hours Dr. Perez (Resident Neonatologist)   Carry out orders of Dr. Perez re Phenobarbital Start Ampicillin 75 mg IV q8  Gentamicin 27 mg IV q12 hours For urine and meconium sampling (drug and alcohol testing)

Nurses Notes: 

IVF started at 6:30am at right basilic vein

OGT inserted at 6:45 am, feeding started at 7am.

Patient was hooked to oxygen at 3-5 lpm via oxygen hood and was placed on a prone side lying position. 

Thermoregulated under a radiant warmer.

excessive sucking and rooting reflex was noted.

 

CBC: 

Hgb- 19.5

Hct- 67%

RBC-  8
 

ABG

PH- 7.54

PCO2- 29

HCO3-22

 

Babygram: patchy infiltrates in L lower lung fields

 

Vital signs: 

	8AM	10AM	12PM	2PM
TEMP	36.7	36.4	36.8	37
HR	153	147	152	146
RR	38	64	52	61
URINE			+(9AM) 1DC
STOOL				+Meconium (1:30 pm)

 

 

Explanation & Answer

Our website has a team of professional writers who can help you write any of your homework. They will write your papers from scratch. We also have a team of editors just to make sure all papers are of HIGH QUALITY & PLAGIARISM FREE. To make an Order you only need to click Order Now and we will direct you to our Order Page at Litessays. Then fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.