(Dobutamine is less effective in infants and may actually go out hypotension , birth culture and start of antibiotics : ampicillin gentamicin for 7-10d (Anaerobic insurance coverage is usually not necessary unless infant is several(prenominal) weeks old , follow CBC , platelets , PT , PTT fibrinogen step in bring factors products prn , frequent measurements of arterial pH and blood screw up tensions , correct metabolic acidosis frequent measurements of electrolytes sop up for hyperkalemiaSurgical Consideration mechanic intervention is indicated for bowel perforation , evidence of necrotic bowel (fixed looping , metabolic acidosis DIC , shock , or progressively worseningclinical antecedent contempt intensive medical circumspection , a peritoneal drainage may be inserted in highly ill infants to support or annul lapa rotomy , if necrotizing enterocolitis develops in a cosset with organizer , begin medical heed and consider urgent operative closure of PDA . indomethacin leave behind not be pass alongn to Sarah if it is pretend or definite NECSarah s condition can be seen as a suspected matter of NEC . Though diagnosing would have to be carried emerge to ascertain the level it has touch on 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 catch forget be advised to be careful if she gets significant again . She will be advi sed on the ordinary prevention strategies t! o avoid future NEC as follows : enteral priming (gut stimulant drug feedings : dilute , low mint feedings to stimulate GI mucosal development , advance feedings tardily in small preterm infants , she will not advance feedings if thither are gastric residuals , in particular if bile varnished , fresh human milk appears to be protective against NEC , she will not feed infants with PDA , UAC , or UVC , she give enteral feedings during and for 48-72h after indomethacin , she will minimize antibiotic use and abuse , as they wangle intestinal industrial plant and select for resistant species epidemiologic controls...If you trust to get a full essay, order it on our website:
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