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Writer's picturemeganmcdonough7

Neonatal Clinical Case

By: Anna Marie Bentley
https://www.youtube.com/watch?v=IKnKYKRfYgA


 

What is the NICU?

The Neonatal Intensive Care Unit is an intensive care unit that specializes in the care of ill or premature newborns. The term "neonatal" refers to the first 28 days of life. Most of the babies admitted to the NICU are born preterm (born 37 weeks)and have low birth weight (less than 5.5 pounds) or have health conditions that need specialized care.


Our Patient

- Name: Nickie - Tracheostomy

- Gender: Male - Nasogastric Feeding Tube

- Born 2 weeks premature - PICC Line

- Spent 3 days in the NICU - About to be discharged from the NICU

"Go Bag"

- Suction Catheter - Sterile Lubricant

- Water Container - Sterile Saline

- Extra Trach Tubes -Blunt Ended Scissors

- Tube Holder - Suction Machine

- Small Towel Roll - Manual Resuscitator


Tracheostomy

A tracheostomy is a surgical opening in the trachea. A tube is inserted throughout the opening to allow passage of air and removal of secretions. A tracheostomy is needed when there is an obstruction of the upper airway, central nervous disorders, cognitive heart disease, respiratory disorders, or craniofacial disorders.


PICC Line

A PICC Line (Peripherally Inserted Central Catheter) is a thin flexible tube that is inserted into view, usually in the bend of the arm. The catheter is threaded up into the body so that the tip lies in one of the large veins in the chest. A PICC Line is used to insert many medications and fluids.


Nasogastric Tube

A Nasogastric Feeding Tube (NG Tube) is a thin, soft tube that goes through the nose down the throat, and into the stomach. A NG Tube is used to feed formula to a child who cannot get nutrition by mouth.

Anatomy

How to Insert A Nasogastric Tube
  1. Measure the tube by holding the tip of the tube at the nose, measure towards the ear, and then to the halfway point between the breastbone and bellybutton

  2. Mark the tube with a sharpie or tape

  3. Put tube into the nostril aiming towards the opposite nostril and push gently until the mark on the tube

  4. Tape the tube to check

  5. Use a syringe to suction to make sure the tube is in the stomach


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