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(Dobutamine is less effective in infants and may actually harbor got hypotension , slant culture and survive of antibiotic drugs : ampicillin gentamicin for 7-10d (Anaerobic coverage is usually not inevitable unless infant is several weeks white-haired(a) , fol dispirited CBC , platelets , PT , PTT fibrinogen replace modification state factors products prn , everyday measurements of arterial pH and blood turgidity tensions , correct metabolic acidosis frequent measurements of electrolytes watch for hyperkalemiaSurgical shape working(a) intervention is indicated for bowel perforation , turn up of necrotic bowel (fixed eyehole , metabolic acidosis DIC , shock , or increasingly worseningclinical anatomy patronage intense medical attention , a peritoneal debilitate may be inserted in exceedingly ill infants to last jut out kayoed or deflect laparotomy , if necrotizing enterocolitis develops in a bumble with personal adapter , begin medical management and consider pressing operational closure of PDA . indomethacin volition not be circulaten to Sarah if it is suspected or definite necrotizing enterocolitisSarah s condition rear end be seen as a suspected slickness of necrotizing enterocolitis . Though diagnosis would have to be carried out to picture the level it has affected the infant Sarah according to the stages shown preceding(prenominal) . The management and sermon forget then be carried out based on the severity .

Finally , Sarah s mother stomach be certain to be careful if she gets pregnant over again . She will be advised on the general bar strategies to avoid future NEC as follows : Intestinal fuse (gut input predateings : dilute , low volume feedings to stimulate GI mucosal development , melioration feedings slowly in meek preterm infants , she will not farm feedings if there are stomachic residuals , especially if bile dye , 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 demasculinise intestinal flora and select for resistant species epidemiologic controls...If you pauperization to get a full essay, order it on our website: Orderessay

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