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New PDF release: ABC First Year

By Geoffrey Chamberlain, Margery Morgan

(BMJ ebook) textual content has been up-to-date all through and redesigned within the present ABC structure. Covers association of care, common antenatal administration, fetal health, paintings in being pregnant, raised blood strain, preterm exertions, a number of being pregnant, audit of delivery, and extra. earlier variation: c1993. Softcover.

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The pathogens causing infection at a particular site can sometimes be predicted (for example, Staph. aureus in paronychia) but swabs for bacterial culture should still be taken before giving an antibiotic. Usually an antibiotic needs to be given before the organism has been isolated, but the treatment can be changed later once the sensitivity of the pathogen to antibiotics has been tested in vitro. The sensitivity of the pathogens in a particular unit is often known, which may give a guide to effective treatment.

21 Correct sleeping position, with feet at the bottom of the cot. ROOM Too hot Temperature Overheating a baby may increase the risk of cot death. A room temperature of about 18°C (65°F) is comfortable for babies as well as adults. Just right Too cold Car seats Whenever a baby is taken in a car, he should always be strapped into a baby seat or rear facing infant carrier. It is not safe to nurse a baby on the lap in a car, even if the adult is wearing a seat belt. Cot deaths About one baby in every 2000 born alive dies suddenly and unexpectedly between the ages of one week and two years.

Infection in the newborn being given. The umbilicus may become infected and this may be followed by septicaemia and later meningitis. Early symptoms are ill defined and the nurse may report that the infant appears vaguely unwell. He may have lethargy, anorexia, jaundice, and purpura. The early symptoms of meningitis are similar to those of septicaemia, but late features are vomiting, a high pitched cry, convulsions, raised anterior fontanelle tension, but rarely neck stiffness. A urinary tract infection may easily be missed if a specimen of urine is not examined in every infant with fever or who is unwell.

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