Unit 1:Self Study
Unit 1:Self Study NURB 331
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This 5 page Class Notes was uploaded by Kelsey Forbeck on Monday September 5, 2016. The Class Notes belongs to NURB 331 at University of Indianapolis taught by Professor Rairdon in Fall 2016. Since its upload, it has received 12 views. For similar materials see Lifespan 1 in NURSING at University of Indianapolis.
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Date Created: 09/05/16
NURB 330: Lifespan 1 Unit 1 Continued.. Introduction to Indiana’s Newborn Screening Program Reasons for Newborn screening: o Required by Indiana law o Early detection of possible problems o Early treatment o Lessens the severity of the complications Main portions of the ISDH newborn screening program include: o Heel stick program o Early hearing and detection and intervention program Heel sticking screening: Performed on a blood specimen taken from the heel shortly after birth o Utilized for screening of genetic conditions such as metabolic conditions, endocrine conditions, and cystic fibrosis o Any abnormal results need to have a follow up appointment Tandem mass spectrometry (MS/MS): o A process that separates and detects protein ions o A quicker way to get efficient results through dry spot specimens Disorders that are detected by MS/MS: Fatty acid oxidation disorders: this interferes with the body’s ability to turn fat into energy Organic acid disorders- inability to break down certain amino acids and their metabolites Early Hearing detection and intervention: o Three main components: 1. Universal newborn hearing screen 2. Diagnostic audiology assessment (given to those who failed first step) 3. Enrollment in early intervention services (infants with permanent hearing loss) o Child could have failed due to crying, moving, or fluid in the ears o Who is responsible for overall medical well being of child? Primary care physician (PCP) o Screening techniques include: Automated auditory brainstem response (AABR)- 20 min long Oto-acoustic emissions (OAE)- 5-15 mins long o Goals of EHDI: 1. Screen before one month of age 2. Diagnose before 3 months of age 3. Interventions before 6 months of age Newborn Screening Program NBS- a blood test by heel stick that is done on all infants shortly after birth to test for certain genetic conditions Purpose of NBS: To detect and begin interventions for early fixes of genetic issues. Valid screen: A screen that is drawn after child is 48 hours of age and has been protein feeding for at least 24 hours Purpose of Indiana’s universal newborn hearing screening program: To identify infants, assure appropriate intervention, and collect information on the incidence of hearing loss in infants born in Indiana Purpose of meconium testing: To identify problems, proper treatment, follow up to maximize the child’s development is imperative since intrauterine drug exposure is associated with mild to severe developmental delay, CNS damage, and behavioral dysfunction Meconium testing criteria: o Baby’s weight is less than 2500 grams and the head is smaller than the 10 percentile for the infants gestational age where there is no other medical explanation for these conditions o When two of the following conditions exist: History of current or past drug use Unexpected abruption placentae No or inconsistent prenatal care Infant shows signs/symptoms suggestive of drug effects o Drugs tested: Amphetamines Cannabinoids Cocaine Opiates o Results: Positive: Refer child to first steps Refer mom to a treatment program Refer to a division of family services- child in need of services Negative: No drugs were used There were drugs detected but: o Didn’t take large enough dose o Didn’t take frequently enough to be detected o Drug was taken in early pregnancy , during 1 st trimester
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