Discuss your priorities during the admission and stabilisation process for Zoe and provide a rationale for actions you identify.

Zoe remained on CPAP via the face mask and was transferred to NICU for ongoing care. On departure from Delivery suite the cot was brought beside Anne for her to touch Zoe and an explanation of her condition was provided as well as reassurance that staff would contact her husband, Tony with the news.
On admission to NICU Zoe was electively intubated and given surfactant 200mg/kg via the endotracheal tube. She was then extubated and commenced on Hudson Prong CPAP at 6cm water with the oxygen level being titrated to maintain her saturation levels between 88-96, targeting 90-94%.
Zoe weighed 840g (50th centile) and her head circumference was 24cm (50th centile)

After considering the anatomical and physiological changes that occur during transition to extra uterine life; identify and discuss problems that may occur in the transition period and relate these to Zoe’s resuscitation at birth.

Discuss your priorities during the admission and stabilisation process for Zoe and provide a rationale for actions you identify.

In this discussion consider the following
• Priorities of care for a 26 week infant
• Observations, laboratory testing and imaging
• Treatment strategies for Zoe

Identify and discuss the clinical and social issues of a premature birth for Zoe and her parents and provide rationale for the importance of identifying these issues and the value of family centred care.

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