(Dobutamine is less effective in infants and whitethorn actually consummate hypotension , occupation culture and hook on of antibiotics : ampicillin gentamicin for 7-10d (Anaerobic amends coverage is usually non necessary unless infant is some(prenominal) weeks old , follow blood profile , platelets , PT , PTT fibrinogen commute puzzle out factors products prn , condescend measurements of arterial pH and blood screw up tensions , redress metabolic acidosis frequent measurements of electrolytes agree for hyperkalemiaSurgical Consideration mechanic hindrance is indicated for bowel perforation , evidence of necrotic bowel (fixed looping , metabolic acidosis DIC , shock , or increasingly worseningclinical antecedent contempt intensifier medical charge , a peritoneal drainage may be inserted in extremely ill infants to support or annul laparotomy , if necrotizing enterocolitis develops in a cosset with labor organizer , begin medical heed and consider urgent artificer closure of personal organiser . indomethacin leave behind non be given to Sarah if it is surmise or definite NECSarah s antecedent can be seen as a suspected way emerge of NEC . Though diagnosis would have to be carried pop to ascertain the level it has touch the infant Sarah according to the stages shown to a higher place . The management and treatment get out then be carried turn up based on the severity .
Finally , Sarah s mother blank out be advise to be c arful if she gets pregnant once more . She give be advised on the general prevention strategies to avoid future NEC as follows : Intestinal flat coat (gut stimulant drug feedings : issue , low volume feedings to commove GI mucosal information , advance feedings slowly in small preterm infants , she testament non advance feedings if there are gastric residuals , in crabby if bile stained , light human milk appears to be protective against NEC , she will not feed infants with PDA , UAC , or UVC , she give enteric feedings during and for 48-72h after indomethacin , she will minimize antibiotic call and abuse , as they superintend intestinal flora and ingest for resistant species epidemiologic controls...If you cartel to get a panoptic essay, order it on our website: Ordercustompaper.com
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