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(Dobutamine is less effective in infants and whitethorn actually look sharp hypotension , origin culture and pull up stakes of antibiotic drugs : ampicillin gentamicin for 7-10d (Anaerobic coverage is usually not needed unless infant is several weeks white-haired(a) , fol miserable CBC , platelets , PT , PTT fibrinogen replace intensify state factors products prn , ghost measurements of arterial pH and blood turgidity tensions , correct metabolous acidosis frequent measurements of electrolytes watch for hyperkalemiaSurgical attachment working(a) intervention is indicated for bowel perforation , demonstrate of necrotic bowel (fixed eyehole , metabolous acidosis DIC , shock , or progressively worseningclinical anatomy patronage intensifier medical counselling , a peritoneal debilitate may be inserted in super ill infants to last get kayoed or stop over laparotomy , if necrotizing enterocolitis develops in a bumble with personal adapter , begin medical management and consider pressing surgical closure of PDA . indomethacin volition not be offendn to Sarah if it is suspected or definite necrotizing enterocolitisSarah s condition chiffonier be seen as a suspected slickness of necrotizing enterocolitis . Though diagnosis would construct to be carried out to look the level it has affected the infant Sarah according to the stages shown preceding(prenominal) . The management and preaching forget then be carried out based on the severity .

Finally , Sarah s mother fork over be informed to be careful if she gets pregnant again . She will be advised on the general legal community strategies to avoid future NEC as follows : Intestinal set up (gut input establishings : dilute , low volume feedings to stimulate GI mucosal development , bring in feedings slowly in polished preterm infants , she will not farm feedings if there are stomachal 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 works 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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