A newborn is admitted to the neonatal intensive care unit with ...

[cabate]

A newborn is admitted to the neonatal intensive care unit with suspected meconium aspiration. What care should the nurse expect to provide to this client? Select all that apply.
 
  1. Dopamine infusion
  2. High-pressure ventilation
  3. High-level oxygen therapy
  4. Surfactant replacement therapy
  5. High-volume intravenous fluids

Question 2

An infant weighing 1500 g is prescribed intravenous normal saline 10 mL/kg. How many milliliters of fluid should the nurse expect to provide this infant? (Calculate to the nearest whole number.)
 
  What will be an ideal response?

[mmpiza]

Answer to Question 1

1, 2, 3, 4
Explanation:
1. For meconium aspiration, dopamine may be prescribed to maintain systemic blood pressure.
2. High-pressure ventilation may be needed to cause sufficient expiratory expansion of obstructed terminal airways or to stabilize airways that are weakened by inflammation.
3. Treatment of meconium aspiration usually involves delivery of high levels of oxygen.
4. Surfactant replacement therapy is most effective when given as a prophylactic measure.
5. Fluids may be restricted in the first 48 to 72 hours because of the risk of cerebral edema.

Answer to Question 2

100 mL
Explanation: First convert this infant's weight in grams to kilograms by dividing the weight in grams by 1000, or 1500 g/1000 = 1.5 kg. Then multiply the prescribed dose of 10 mL of fluid by the weight in kilograms, or 10 mL  10 = 100 mL. The nurse should prepare to administer 100 mL of fluid to this infant.