Faculty Disclosure. Educational Need/Practice Gap 5/14/2012. An Update on Neonatal Transitions in Care and Nutritional Requirements for the General
|
|
- Claud Kerry Lyons
- 5 years ago
- Views:
Transcription
1 An Update on Neonatal Transitions in Care and Nutritional Requirements for the General Practitioner Doug Cunningham, MD Professor of Pediatrics/Neonatology Division of Neonatology, Department of Pediatrics, College of Medicine, University of Kentucky Faculty Disclosure I have no financial disclosures, or other disclosures to make, referable to my presentation today. Educational Need/Practice Gap Practice guidelines for newborn infants, especially preterm and sick newborn term infants, change frequently. The general practitioner is challenged to maintain awareness and to keep abreast of changes as practiced in the neonatal intensive care unit from which infants enter his or her practice. This presentation seeks to provide some current information to meet those needs. 1
2 Objectives Upon completion of this educational activity, you will be able to: 1. Identify expected growth trajectories for preterm and term infants. 2. Identify current nutritional recommendations for preterm and term infants in the first month of life. 3. Identify developmental expectations of preterm and term infants in the first 12 months of life. 4. Identify immunizations needed by preterm and term infants in the first year of life. 5. Identify the current treatment modalities of the neonatal abstinence syndrome for newborn preterm and term infants. Expected Outcomes That physicians caring for infants in the first year of life will find information within this presentation to be of benefit for their patients: For monitoring growth trajectories For monitoring nutritional goals For monitoring developmental outcomes For offering infectious disease protection through immunization For management options when faced with continued NAS treatment challenges I. Neonatal growth expectations Preterm infants Chronological age v. post conceptual age Late preterm infants Intrauterine growth restriction Catch up growth Appropriate Sustained Accelerated Term infants Delayed Neurodevelopmental impairment Appropriate Excessive Loss of expected adiposity rebound phenomenon m 2
3 Growth Potential Realization Indices and Neonatal Growth Assessment Scores AGA SGA IUGR GPRI = HC, AC, thigh circ., Wt., and CHL NGAS=0 =AGA, LBW>20=IUGR, LBW<20 SGA IUGR: ICD 10 ICD 10; P05.2 or P05.9 (formerly ICD 9; 764.9) Reference is to birth weight; 10 th percentile typically, but not limited to Considered pathological: Maternal disease, placenta abnormality, fetal ultrasound findings P05.2 fetal malnutrition, not SGA P05.9 slow fetal growth, or fetal growth retardation 3
4 SGA: ICD 10 ICD 10; P05.1 (formerly ICD 9; 764) Reference is to birth weight; 10 th percentile Most will be healthy, such as: Constitutional SGA, by paternity or ethnicity Multiparous maternal status Multiple gestation Idiopathic short stature IUGR Symmetric vs. Asymmetric SYMMETRIC ASYMMETRIC Baschet AA, et al. In: Obstetrics. Gabbe, Neibyl & Simpson, eds; Adiposity rebound 4
5 Adiposity rebound II. Nutritional goals Preterm Protein 3 4g/kg/da Preterm human milk v. proprietary formula Protein varies: Preterm human milk = g/kg/da at cal/kg/da Formulas for preterm infants = g/kg/da at 100 cal/kg/da Term Breast feeding! Mature human milk cal/kg/da: Protein =1.4 g/kg/da 6% of daily calories Fats = 3.9 g/kg/da 52% of daily calories CHO = 7.2g/kg/da 42% of daily calories II. Nutritional graphics Post discharge formulas Volume Protein g Similac Neosure Advance (Abbott) 22kcal/oz 134 ml 2.8 g Enfacare Lipil (Mead Johnson) 22kcal/oz % energy 11 % 11 % Fats g 5.5 g 5.3 g % energy 49 % 47 % CHO g 10.1 g 10.4 g % energy 40 % 42 % 5
6 III. Follow up for infants suspect for neurodevelopmental delays Clinic for evaluations: Nurse practitioner clinic coordinator Nurse research/data coordinator Social worker Speech specialist Occupational/Physical therapists nutritionist General pediatrician Neonatologist Developmental specialist Clinical psychologist Child life specialist ilit Early childhood education specialist III. Development: observations in UK NICU Clinic Head lag Slip through Astasis Hip abduction Ankle dorsiflexion Deep tendon reflexes Asymmetric tonic neck reflex Tonic labyrinthine reflex Equilibrium in sitting Protective extension Fisting Shoulder retraction Tonic extension Scissoring equinus IV. Neonatal immunizations Vaccine/ Birth 1 month 2 months 4 months 6 months 12 mos. age Hepatitis Hep B Hep B, Hep B Hep B, Hep B B or or Rotavirus RV RV Dipth,Pert DaTP DaTP DaTP DaTP ussis, Tetn H. Influ B HiB HiB HiB Pn coccal PCV PCV PCV PCV Polio(Salk) IPV IPV IPV Influenza Influ. MMR MMR Varicella Varicella Hepatitis A Hep A; first dose 6
7 IV. Neonatal immunization preterm (2000g or less) Hepatitis B Mother is HBsAG positive: give HBIG + HepB w/in 12 hours Do not count Hep B at 12 hr as first does of vac. series Follow w/ 3 doses Hep B at 1, 2 6 mos. If mother HBsAg negative at time of birth, initial HepB can be delayed until just prior to discharge See also: < V. Neonatal abstinence syndrome Premature infants Of all NAS infants 20 25% will preterm Comparison of NAS preterm to term for clinical signs and outcome? Term infants Overall incidence in KY is estimated to be 23% are substance exposed Substance affected is less and dependent upon maternal substance abuse and timing V. NAS treatment Options: Environmental and supportive measures Opioids (morphine, methadone, buprenorphine, tinc. of opium) Phenobarbital Benzodiazepines clonidine 7
8 V. NAS after discharge management: Parent education Breast feeding encouraged, if on methadone wean HIV testing (prior to discharge) Hepatitis i C testing (if mother +, test at 18 mos.) Methadone taper after discharge Prescription control Follow up appt. weekly Supply of methadone to be brought to clinic Wean by mg weekly of biweekly Objectives Upon completion of this educational activity, you will be able to: 1. Identify expected growth trajectories for preterm and term infants. 2. Identify current nutritional recommendations for preterm and term infants in the first month of life. 3. Identify developmental expectations of preterm and term infants in the first month of life. 4. Identify immunizations needed by preterm and term infants in the first year of life. 5. Identify the current treatment modalities of the neonatal abstinence syndrome for newborn preterm and term infants. questions? end doug.cunningham@uky.edu Office telephone
Prematurity: Optimizing Growth in the NICU for Later Metabolic Outcomes
Prematurity: Optimizing Growth in the NICU for Later Metabolic Outcomes Malki Miller MS, RD, CNSC Neonatal Dietitian, Maimonides Infants and Children s Hospital Adjunct Lecturer of Human and Pediatric,
More informationNEONATAL ABSTINENCE SYNDROME (NAS) AKA NEWBORN DRUG WITHDRAWAL:THE NEWARK EXPERIENCE
NEONATAL ABSTINENCE SYNDROME (NAS) AKA NEWBORN DRUG WITHDRAWAL:THE NEWARK EXPERIENCE Salma Ali MD, Debra Brendel RN, BSN, MSN and Ona Fofah MD Division of Neonatology and Newborn Medicine Department of
More informationImmunizations are among the most cost effective and widely used public health interventions.
Focused Issue of This Month Recommended by the Korean Pediatric Society, 2008 Hoan Jong Lee, MD Department of Pediatrics, Seoul National University College of Medicine E mail : hoanlee@snu.ac.kr J Korean
More informationImmunization Records. childrens.memorialhermann.org CARE /13
Immunization Records childrens.memorialhermann.org 713.222.CARE 4400209-4/13 Personal Health Record of The Woodlands Contact Information Date and time of birth Place of birth Pediatrician name, phone number
More informationChildhood Undernutrition: a biological perspective
Childhood Undernutrition: a biological perspective Vinod Paul MD, PhD, FIAP, FNNF, FAMS ALL INDIA INSTITUTE OF MEDICAL SCIENCES, NEW DELHI WHO Collaborating Centre for Training an Research in Newborn Care
More informationFeeding the Small for Gestational Age Infant. Feeding the Small for Gestational Age Infant
Feeding the Small for Gestational Age Infant Feeding the Small for Gestational Age Infant What s the right strategy? Infants born small-for-gestational age (SGA) are at higher risk for adult diseases.
More informationNOWS The Time Caring for the Infant with Neonatal Opiate Withdrawal Syndrome
NOWS The Time Caring for the Infant with Neonatal Opiate Withdrawal Syndrome Meghan Howell, MD FAAP Assistant Professor of Pediatrics Clinical Director, Tulane NICU Graduate Clinic Tulane University School
More informationControversies in Neonatal Hypoglycemia PAC / LAC CONFERENCE, JUNE 1 ST 2017
Controversies in Neonatal Hypoglycemia PRIYA JEGATHEESAN, MD PAC / LAC CONFERENCE, JUNE 1 ST 2017 Disclosure I have no conflicts of interest to disclose Objectives Review Recommendations from different
More informationNeonatal Drug Withdrawal
History Neonatal Drug Withdrawal Katherine Wang, MD, FAAP Avera McKennan Children s Hospital NICU Morphine has been used for pain for many years Congenital morphinism was not recognized as an entity until
More informationProfessor Joseph HADDAD Pediatric Department Saint George Univ Hosp Balamand Univ Beirut Lebanon
Nutrition & Growth in Premature Infant Professor Joseph HADDAD Pediatric Department Saint George Univ Hosp Balamand Univ Beirut Lebanon PART ONE : THE GROWTH OF THE PREMATURE INFANT ARE WE ON THE RIGHT
More information11/4/10 SUPPORTING PREMATURE INFANT NUTRITION WORKSHOP SAM: PREVENT MALNUTRITION 200. Workshop: Preventing extrauterine growth failure
Jae H Kim MD PhD Lisa Stellwagen MD Division of Neonatology UC San Diego, Medical Center SUPPORTING PREMATURE INFANT NUTRITION WORKSHOP Workshop: Preventing extrauterine growth failure Jae H. Kim, MD,
More informationChoosing a Pediatrician
Choosing a Pediatrician Babies and children are not just small adults--their health care needs are different. So, it is important to find a health care professional that can provide specialized care. As
More informationPreterm Dietary Supplements
Preterm Dietary Supplements Dr Umesh Vaidya IAP Neocon, Mumbai 2015 Preterm VLBW Nutrition : Ideal practice Minimal enteral feeds (10 ml / kg / day) Human breast milk Feed advancement @ 20 ml / kg / day
More information3 rd dose. 3 rd or 4 th dose, see footnote 5. see footnote 13. for certain high-risk groups
Figure 1. Recommended immunization schedule for persons aged 0 through 18 years 2013. (FOR THOSE WHO FALL BEHIND OR START LATE, SEE THE CATCH-UP SCHEDULE [FIGURE 2]). These recommendations must be read
More informationDiscriminating ability of the Infant Neurological International Battery
Discriminating ability of the Infant Neurological International Battery (Infanib) for the neurological outcome of high-risk infants in a cohort of 5857 low birth weight infants followed during their irst
More informationNeonatal Abstinence: The epidemic Its Impact on All of Us
Neonatal Abstinence: The epidemic Its Impact on All of Us Michelle Bode MD, MPH Neonatologist Crouse Hospital Assistant Professor Pediatrics SUNY Upstate Objectives & Disclosure Statement 1) The participant
More informationThe hexavalent DTaP/IPV/Hib/HepB combination vaccine
The hexavalent DTaP/IPV/Hib/HepB combination vaccine Factsheet for healthcare professionals about the neonatal selective immunisation programme for babies at risk of hepatitis B Background All babies born
More informationPost Discharge Nutrition. Jatinder Bhatia, MD, FAAP
Post Discharge Nutrition Jatinder Bhatia, MD, FAAP Declaration of potential conflicts of interest Regarding this presentation the following relationships could be perceived as potential conflicts of interest:
More informationThe hexavalent DTaP/IPV/Hib/HepB combination vaccine
The hexavalent combination vaccine Information for registered healthcare practitioners about the neonatal selective immunisation programme for babies at high risk (babies born to hepatitis B positive mothers)
More informationimmunisation in New Zealand
This appendix details the history of. Section A1.1 is a brief summary of when each vaccine was introduced to the National Immunisation Schedule (the Schedule). This summary includes vaccines which were
More informationMAT IN PREGNANCY KAYLA LIFE STAGE 1: ADOLESCENCE LIFE STAGE 2: EARLY ADULTHOOD. family History of addiction. addiction to oral opioids
MAT IN PREGNANCY R. COREY WALLER MD, MS PRINCIPAL, HEALTH MANAGEMENT ASSOCIATES FACULTY, INSTITUTE FOR HEALTHCARE INNOVATION (IHI) CHAIR, LEGISLATIVE ADVOCACY COMMITTEE, ASAM KAYLA LIFE STAGE 1: ADOLESCENCE
More informationWhat DO the childhood immunization footnotes reveal? Questions and answers
What DO the childhood immunization footnotes reveal? Questions and answers Stanley E. Grogg, DO, FACOP, FAAP he Advisory Committee on Immunization Practices (ACIP) recommends the childhood vaccination
More informationThe Opioid-Exposed Woman
The Opioid-Exposed Woman Management Considerations for Labor and Delivery Jane Sublette, MS, RN, CNM, WHNP-BC Fairview Ridges Hospital Objectives Describe opioid-associated risks to the mother and fetus
More informationThe Long-Term Outcomes of Infants with Neonatal Abstinence Syndrome
Neonatal Nursing Education Brief: The Long-Term Outcomes of Infants with Neonatal Abstinence Syndrome https://www.seattlechildrens.org/healthcareprofessionals/education/continuing-medical-nursing-education/neonatalnursing-education-briefs/
More information2/28/2017. Substance Use Disorders + Pregnancy. Substance Use Disorders + Pregnancy. + Prevalence of the Problem
Substance Use Disorders Pregnancy Laura Lander, MSW, LICSW, Assistant Professor Department of Behavioral Medicine and Psychiatry, WVU Celebrating Connections Conference - April 2017 Substance Use Disorders
More informationPATH Quick Reference Guide: Coding for Pediatric Health HEDIS Measures
PATH Quick Reference Guide: Coding for Pediatric Health HEDIS Measures This guide is designed to be a quick reference tool to help with medical coding of select Healthcare Effectiveness Data and Information
More informationOB Well Baby Nursery Admission (Term) [ ] For specialty focused order sets for your patient, refer to: General
OB Well Baby Nursery Admission (Term) [3040000234] For specialty focused order sets for your patient, refer to: 3040000424 Neonatal Circumcision Order Set 3040000522 Neonatal Herpes Viral Order Set 3040000524
More informationPEDIATRIC PREVENTIVE HEALTH CARE GUIDELINES
PEDIATRIC PREVENTIVE HEALTH CARE GUIDELINES INFANCY AGE IMMUNIZA- NEWBORN 3-5 DAYS 48 o -72 o POST DISCHARGE By 1 MONTH 2 MONTHS Feeding Jaundice Hep B #1 (At Birthl) Hep B #1 IF NOT PREVIOUSLY GIVEN Hep
More informationChildhood Immunization Status
emeasure Title emeasure Identifier (Measure Authoring Tool) Childhood Immunization Status 117 emeasure Version number 5.1.000 NQF Number 0038 GUID b2802b7a-3580-4be8-9458- 921aea62b78c Measurement Period
More informationLori A. Shook, MD Division of Neonatology Kentucky Children s Hospital University of Kentucky Medical Center
Lori A. Shook, MD Division of Neonatology Kentucky Children s Hospital University of Kentucky Medical Center NSDUH, 2012 National Survey on Drug Use and Health: 2012 Substance abuse: Public Health Problem
More informationBrief History of Methadone Maintenance Treatment
METHADONE Brief History of Methadone Maintenance Treatment Methadone maintenance treatment was on the cusp of the social revolution in the sixties. Doctors and public health workers had concluded what
More informationNEONATOLOGY Healthy newborn. Neonatal sequelaes
NEONATOLOGY Healthy newborn. Neonatal sequelaes Ágnes Harmath M.D. Ph.D. senior lecturer 11. November 2016. Tasks of the neonatologist Prenatal diagnosed condition Inform parents, preparation of necessary
More informationObjectives. Nothing to Disclose No Conflicts of Interest
April 22, 2014 PCSS-MAT Webinar Lori Devlin, DO, MHA Assistant Professor- Department of Pediatrics University of Louisville School of Medicine Nothing to Disclose No Conflicts of Interest Objectives Define
More informationOpioid Use in Pregnant Women and Prenatal Care. Murray F Dweck MD, FACOG Medical Director/OBGYN Florida Department of Health -Brevard
Opioid Use in Pregnant Women and Prenatal Care Murray F Dweck MD, FACOG Medical Director/OBGYN Florida Department of Health -Brevard Objectives Summarize contextual and co-morbid factors observed among
More informationRecommended Childhood Immunization Schedu...ates, January - December 2000, NP Central
Recommended Childhood Immunization Schedule United States, January - December 2000 Vaccines 1 are listed under routinely recommended ages. Solid-colored bars indicate range of recommended ages for immunization.
More informationChildhood Immunizations
Childhood Immunizations Protecting Your Child from Disease Willamette Valley Medical Center Birthing Center 2 helping the body recognize and fight infection What is a vaccination? Everyone is born with
More informationNOTE: The above recommendations must be read along with the footnotes of this schedule.
Figure 1. Recommended immunization schedule for persons aged 0 through 18 years 2013. (FOR THOSE WHO FALL BEHIND OR START LATE, SEE THE CATCH-UP SCHEDULE [FIGURE 2]). These recommendations must be read
More informationWELCOME TO SOUTHWEST CHILDREN S CENTER, P.A.
WELCOME TO SOUTHWEST CHILDREN S CENTER, P.A. Marshall J. Benbow, M.D., FAAP Tina H. Boylston, M.D., FAAP Shelly M. McNair, M.D., FAAP Rose C. Cofer, M.D., FAAP Shannon M. Austin, M.D., FAAP L. Patrick
More informationRecommended Health Screenings
Recommended Health Screenings UnitedHealthcare appreciates the preventive care you deliver to our members. Please use the below health screening chart to schedule screenings based on the member s age and
More informationWHAT IT MEANS or WHY YOU DO IT
WHAT IT MEANS or WHY YOU DO IT Dr. Patrick Sauer Billings Clinic Pediatrics Objective Increase understanding of prenatal tests Increase understanding of routine newborn procedures Increase knowledge to
More informationOpioids in Pregnancy. Beyond to Baby GENERAL INFO
Opioids in Pregnancy and Beyond to Baby by Marcia W. VanVleet, MD, MPH Medical Director, Newborn Service Team, Women and Infants Hospital, and Assistant Professor of Pediatrics, Brown Alpert Medical School,
More informationTiming and tempo of first year growth in relation to cardiovascular and metabolic risk profile in early adulthood
Note: for non-commercial purposes only Timing and tempo of first year growth in relation to cardiovascular and metabolic risk profile in early adulthood Anita Hokken-Koelega Professor of Pediatric Endocrinology
More informationImmunizations (Guideline Intervals Using The Rule of Six for Vaccines Birth to Six Years)
Immunizations (Guideline Intervals Using The Rule of Six for Vaccines Birth to Six Years) Guideline developed by Shelly Baldwin, MD, in collaboration with the ANGELS Team. Last reviewed by Shelly Baldwin,
More informationAdvancing the Care of Pregnant and Parenting Women with Opioid Use Disorder and their Infants: A Foundation for Clinical Guidance
Advancing the Care of Pregnant and Parenting Women with Opioid Use Disorder and their Infants: A Foundation for Clinical Guidance Karol Kaltenbach, PhD Emeritus Professor of Pediatrics Sidney Kimmel Medical
More informationAgenda. Richard Moriarty, MD, FAAP, Co-Director, MCAAP Immunization Initiative. Pentacel Vaccine Shortage Update MMRV Vaccine (Proquad ) Update
Massachusetts Department of Public Health Division of Epidemiology and Immunization Agenda Introduction Richard Moriarty, MD, FAAP, Co-Director, MCAAP Immunization Initiative Pentacel Vaccine Shortage
More informationMaternal-fetal Opiate Medical Home (MOMH) Jocelyn Davis DNP,CNM, RN, CEFMM Karen Frantz BSN, RNC
Maternal-fetal Opiate Medical Home (MOMH) Jocelyn Davis DNP,CNM, RN, CEFMM Karen Frantz BSN, RNC Objectives 1. Discuss the effects of opiate addiction on mothers and infants. 2. Discuss a Medical Home
More informationThe optimal nutritional balance needed for preventing metabolic syndrome while achieving optimal development for preterm infants
Pediatric Endocrinology In Premature Infants The optimal nutritional balance needed for preventing metabolic syndrome while achieving optimal development for preterm infants Dr. Iris Morag Prof. Orit Hamiel
More informationLessons Three and Four Safety, Health, and Care parts 1 and 2 (2 class periods)
Parenting: A High School Guide to Parenting Skills for Life Lessons Three and Four Safety, Health, and Care parts 1 and 2 (2 class periods) Please refer to lessons 3.4 and 3.5: Safety, First Aid and Infant
More informationPre visit Planning Tool
Frene LaCour Chestnut, M.D. Baylor College of Medicine Can be used in any Primary Care Clinic Setting to prepare for a High Value, Quality Visit Can be used as a self audit tool to determine the quality
More informationSupersedes Date None and Management Guidelines. Originating Dept. NICU Document Owner Dir., NICU Document applies to: NCH Required Not Required
Effective Date 12/13/16 Neonatal Abstinence Syndrome (NAS) Date Approved 12/13/16 Guideline Pharmacologic Protocol Supersedes Date None and Management Guidelines Originating Dept. NICU Document Owner Dir.,
More informationThe Use of Combination Vaccines in the United States
The Use of Combination Vaccines in the United States John W Ward, MD Senior Scientist, CDC Director, Program for Viral Hepatitis Elimination Task Force for Global Health Revised 2018 Combination Vaccine
More informationChoosing an Alternative Vaccine Schedule
Choosing an Alternative Vaccine Schedule Paul A. Offit Division of Infectious Diseases Children s Hospital of Philadelphia Perelman School of Medicine The University of Pennsylvania General Information
More informationVaccines Indicated for Infants, Children, and Adolescents Based on Medical and Other Indications
Vaccines Indicated for Infants, Children, and Adolescents Based on Medical and Other Indications Vaccine Prematurity 1 Altered Immunocompetence 2 (excluding human immunodefi ciency virus [HIV] infection)
More informationOpioid use in pregnancy and Neonatal Abstinence Syndrome
Opioid use in pregnancy and Neonatal Abstinence Syndrome Morissa Ladinsky, MD Assoc. Professor of Pediatrics Division of General Pediatrics and Adolescent Medicine UAB Objectives 1. Understand the magnitude,
More information2016 Cross-Cutting Measure Set
1 0059 Diabetes: Hemoglobin A1c Poor Control: Percentage of patients 18-75 years of age with diabetes who had hemoglobin A1c > 9.0% during the 46 0097 Claims, Registry Medication Reconciliation Post Discharge:
More informationThe high risk neonate
The high risk neonate Infant classification by gestational (postmenstrual) age Preterm. Less than 37 completed weeks (259 days). Term. Thirty-seven to 416/7 weeks (260-294 days). Post-term. Forty-two weeks
More information4/15/2014. Nurses Take the Lead to Improve Overall Infant Growth. Improving early nutrition. Problem Identification
Nurses Take the Lead to Improve Overall Infant Growth Cathy Lee Leon, RN, BSN, MBA, NE-BC California Pacific Medical Center-San Francisco Improving early nutrition Standardized feeding protocol Problem
More informationWHO directives. This strategy has virtually contributed to the eradication of the disease in infancy, in many countries
A Retrospective Study of 63 infants born to HIV seropositive mothers in a Central Maternity Hospital of Greece, from 2011 to 2018 Eirini Koutsounaki Pediatrician Neonatologist Helena Venizelou NICU, Athens
More informationObjectives. Terminology 6/29/2016. Neuroprotective Care in the NICU
Neuroprotective Care in the NICU Small Baby Unit July 2016 Mary Wardell PT, DPT, PCS Objectives Review NICU neuroprotective core measures Discuss sensory processing, what it is, and how it typically develops
More informationNon-Pharmacologic Treatment for Infants with Neonatal Abstinence Syndrome (NAS)
University of Vermont ScholarWorks @ UVM Family Medicine Block Clerkship, Student Projects College of Medicine 2014 Non-Pharmacologic Treatment for Infants with Neonatal Abstinence Syndrome (NAS) Michael
More informationNeonatal abstinence syndrome
PedsCases Podcast Scripts This is a text version of a podcast from Pedscases.com on the Neonatal Abstinence Syndrome. These podcasts are designed to give medical students an overview of key topics in pediatrics.
More informationPRACTICE GUIDELINES WOMEN S HEALTH PROGRAM
C Title: NEWBORN: HYPOGLYCEMIA IN NEONATES BORN AT 35+0 WEEKS GESTATION AND GREATER: DIAGNOSIS AND MANAGEMENT IN THE FIRST 72 HOURS Authorization Section Head, Neonatology, Program Director, Women s Health
More informationMaternal and Child Health, Substance Abuse Ohio Department of Health, Bureau of Maternal Child and Family Health
Maternal and Child Health, Substance Abuse Ohio Department of Health, Bureau of Maternal Child and Family Health Columbus, Ohio Assignment Description The rapid advance of the opiate crisis has had far
More information46825 (260) $UPONT
Be wise. Immunize. Keeping track of the shots your children receive can be confusing. This is an important responsibility that is shared by you and your immunization providers. This booklet contains the
More informationOutcomes of Infants with Neonatal Abstinence Syndrome
Outcomes of Infants with Neonatal Abstinence Syndrome Caroline O. Chua, MD, FAAP Medical Director, Division of Neonatology Director, Neonatal Follow Up Clinic Nemours Children s Hospital Orlando, Florida
More informationClinical Management of Neonatal Abstinence Syndrome. Tricia L. Romesberg, DNP, MSN, ARNP, CNNP
Clinical Management of Neonatal Abstinence Syndrome Tricia L. Romesberg, DNP, MSN, ARNP, CNNP Timeline Incidence of NAS Healthcare Cost and Utilization Project (HCUP), 1999-2013 State Inpatient Databases
More informationWang Linhong, Deputy Director, Professor National Center for Women and Children s Health, China CDC
Maternal and Child Health in China Wang Linhong, Deputy Director, Professor National Center for Women and Children s Health, China CDC Table of Contents 1 MCH Development and Situation in China 2 MCH Resources
More informationOpioid Use Disorder in Pregnancy. Neonatal Abstinence Syndrome
Opioid Use Disorder in Pregnancy Neonatal Abstinence Syndrome Opioid Use Disorder and Pregnancy Cont. 4.6 million women (or 3.8 percent) ages 18 and older misused prescription drugs in 2013. One-third
More information25/04/2017. Many misconceptions, and much resistance to use Patients worry about it in pregnancy
Many misconceptions, and much resistance to use Patients worry about it in pregnancy Lexy Regush Opioid Substitution Conference April 30 2017 Uninformed healthcare providers (HCPs) see methadone as a marker
More informationHealthy People 2020 objectives were released in 2010, with a 10-year horizon to achieve the goals by 2020.
Appendix 1: Healthy People 2020 Immunization-related Objectives Healthy People provides science-based, 10-year national objectives for improving the health of all Americans. For three decades, Healthy
More informationAnesthetics, Local a / or Anesthesia, Epidural a / or Anesthesia, Obstetrical a / or Pain, Postoperative a / or Postpartum Period a
Appendix 1. Literature Search Databases Years Search Terms Pubmed 01/1966 1. Analgesics, Opioid a / or Opioid-related Disorders a / PsycINFO EMBASE Cochrane 09/2016 or Heroin a / or Heroin Dependence a
More informationVaccines for Children
Vaccines for Children 0-9 old Our goal is to offer your family the best care possible, which includes making sure your child is up to date on all vaccines. DTaP (Diptheria, Tetanus, Pertussis) Vaccine
More informationMaternal Substance Abuse: Challenges & Opportunities for Perinatal Nurses Catherine H. Ivory, PhD, RNC-OB October, 2015
Maternal Substance Abuse: Challenges & Opportunities for Perinatal Nurses Catherine H. Ivory, PhD, RNC-OB October, 2015 Objectives Discuss the current scope of maternal substance use and abuse List examples
More informationRunning head: NEONATAL ABSTINENCE SYNDROME 1
Running head: NEONATAL ABSTINENCE SYNDROME 1 Nursing Treatment of Neonatal Abstinence Syndrome Ferris State University Kelly Geraghty, Tracy James, Kristen Lintjer, Sara Potes, Rikki Zissler NEONATAL ABSTINENCE
More informationHepatitis B protocol (CG487)
Hepatitis B protocol (CG487) Approval and Authorisation Approved by Maternity Clinical Guidelines Committee Job Title or Chair of Committee Chair, Maternity Clinical Governance Committee Date 6 th April
More informationConsequences and Treatment of Opioid Abuse During Pregnancy. Katie Ellis, PharmD March 12, 2018
Consequences and Treatment of Opioid Abuse During Pregnancy Katie Ellis, PharmD March 12, 2018 Disclosure I have nothing to disclose. Objectives At the completion of this activity, the pharmacist will
More informationPostnatal growth failure Causes, consequences and prevention
Postnatal growth failure Causes, consequences and prevention Bielsko March 9, 2014 Ekhard E. Ziegler, M.D. Fomon Infant Nutrition Unit University of Iowa 1995; 26-29 weeks gestation NICHD Growth Observational
More informationFrom NICU to the Community. General Practitioners Study Day October 18 th 2014
From NICU to the Community General Practitioners Study Day October 18 th 2014 News in Neonatology Therapeutic hypothermia CPAP vs ventilation Palivizumab RSV prophylaxis Feeding post discharge Universal
More informationA New Method for Maturity Determination in Newborn Infants
A New Method for Maturity Determination in Newborn Infants by Charles Osayande Eregie Institute of Child Health, University of Benin, Benin City, Nigeria Summary A two-part study was conducted in several
More information2017 PCP INCENTIVE AWARD PROGRAM MEASURES & TIPS
Childhood Immunization Status (CIS) Combo 10 Immunizations for Adolescents (IMA) Combo 1 Lead Screening in Children (LSC) Immunizations completed prior to a child turning 2 years of age in 2017 as follows:
More informationTarget Performance. Category Weight. Available of Incentive Pool Particip ating PCPS & NPs 40+12
# Measurement Level IHP Performance Measure Set Payment Distribution Formula Earn Condition Measure Data Source Primary Care Physicians Performance Number Available of Particip ating PCPS & NPs 40+12 Peds
More informationPertussis: Trends, Prevention and Challenges Flor M. Munoz, MD Associate Professor Pediatric Infectious Diseases
Pertussis: Trends, Prevention and Challenges Flor M. Munoz, MD Associate Professor Pediatric Infectious Diseases Disclosure I do not have any relevant conflicts of interest to disclose. Page 1 xxx00.#####.ppt
More informationNOTE: The above recommendations must be read along with the footnotes of this schedule.
Figure 1. Recommended immunization schedule for persons aged 0 through 18 years United States, 2014. (FOR THOSE WHO FALL BEHIND OR START LATE, SEE THE CATCH-UP SCHEDULE [FIGURE 2]). These recommendations
More informationObjectives. Care of the Neonate with Prenatal Opioid Exposure. What is Neonatal Abstinence Syndrome (NAS)? Increasing Incidence of NAS 8/27/2016
Care of the Neonate with Prenatal Opioid Exposure Heather Pratt Chavez, MD Ann Winegardner, MD Objectives Review the latest population data on neonates with prenatal opioid exposure Describe the acute
More informationObjectives. Neonatal Nutrition, Growth and Neurodevelopment. Brain Development through Term Gestation
Objectives Neonatal Nutrition, Growth and Neurodevelopment Sara Ramel MD Assistant Professor Division of Neonatology University of Minnesota Children s Hospital sramel@umn.edu Influence of growth and nutrition
More informationPEDIATRIC - INFANCY PREVENTIVE HEALTH CARE GUIDELINES
PEDIATRIC - INFANCY AGE SCREENING ASSESSMENT/EDUCATION RISK ASSESSMENT IMMUNIZATIONS (if indicated) Newborn Length/Height and Weight Physical Examination/Unclothed Hep B #1 Blood Pressure Head Circumference
More informationPREVENTIVE HEALTH GUIDELINES FOR PROVIDERS
PREVENTIVE HEALTH GUIDELINES FOR PROVIDERS Sanford Health Plan has adopted the preventive care benefits as outlined under The Patient Protection and Affordable Care Act. Members can refer to their Summary
More informationA. Children born in 1942 B. Children born in 1982 C. Children born in 2000 D. Children born in 2010
Who do you think received the most immunologic components in vaccines? Development of which vaccine slowed after the invention of antibiotics? A. Children born in 1942 B. Children born in 1982 C. Children
More informationGUYS, THIS IS YOUR WELLNESS CHECKLIST Use it to stay up to date and in the know about your health.
GUYS, THIS IS YOUR WELLNESS CHECKLIST Use it to stay up to date and in the know about your health. The top six things you can do to live a healthier life: Get recommended tests. Be tobacco-free. Be physically
More informationRunning Head: CLASSIFYING SMALL FOR GESTATIONAL AGE INFANTS 1
Running Head: CLASSIFYING SMALL FOR GESTATIONAL AGE INFANTS 1 Classifying Small for Gestational Age Infants with Consideration for Multiple Variables Laura Beth Cook, SN and Thelma Patrick, PhD, RN The
More informationGENERAL PROFILE OF PEDIATRICS
GENERAL PROFILE OF PEDIATRICS HUANG Guo-ying, M.D. ( 黄国英教授 ) Professor, Department of Pediatrics Shanghai Medical College Fudan University gyhuang@shmu.edu.cn Requirements in this lesson To be familiar
More informationuniversity Center for excellence in DeveLoPMentaL DisaBiLities, education, research, and services (se habla español)
CHiLD s name To ensure that no child reaches kindergarten with an undetected developmental condition Other Routine Screening & Immunization Record Developmental Screening record, f i r st edition february
More informationSmall for Gestational Age Babies: Morbidity and Immediate Outcome in a Tertiary Care Hospital - A Prospective Study
Small for Gestational Age Babies: Morbidity and Immediate Outcome in a Tertiary Care Hospital - A Prospective Study ARJUN CHANDRA DEY 1, FARID UDDIN AHMED 2, MD ABDUL MANNAN 3, LAXMI SAHA 4, CHOWDHURY
More information2017 Physician Incentive Program by Payer
2017 Physician Incentive Program by Payer BCN Commercial Payout Summary TARGET AMOUNT per SERVICE Breast screening 80%+ $125^ Childhood immunizations ( % of who children who turn 2 in Flat fee $50 the
More informationRECOMMENDED IMMUNIZATIONS
Recommended Immunization Schedule for Persons Aged 0 Through 6 Years United States 2010 1 2 4 6 12 15 18 19 23 2 3 4 6 Vaccine Age Birth month months months months months months months months years years
More informationNeonatal Abstinence Syndrome (NAS)
Neonatal Abstinence Syndrome (NAS) Jodi Jackson, MD Neonatologist Children's Mercy Hospital Associate Professor of Pediatrics University of Missouri-Kansas City School of Medicine Medical director NICU
More informationPreventive Health Coverage
Birth to 2 Years Page 1 of 2 Wellness exams and immunizations Well-baby/well-child/well-person exams... Birth, 1, 2, 4, 6, 9, 12, 15, 18, 24 and 30 months Additional visit at 3-5 days after birth and within
More informationNeonatal Hypoglycemia. Presented By : Kamlah Olaimat 25\7\2010
Neonatal Hypoglycemia Presented By : Kamlah Olaimat 25\7\2010 Definition The S.T.A.B.L.E. Program defines hypoglycemia as: Glucose delivery or availability is inadequate to meet glucose demand (Karlsen,
More informationAppendix An Assessment Tool to Determine the Validity of Vaccine Doses
Appendix 4.4 - An Assessment Tool to Determine the Validity of Vaccine Doses Note: Refer to the Canadian Immunization Guide and New Brunswick (NB) immunization program directives for recommendations for
More information