Care of neonatal pneumonia

  Neonatal pneumonia is the number one health risk for newborns. Since neonates are different from older children and adults in terms of disease progression and physiological characteristics, it is recommended that once a neonate is found to have pneumonia, he or she should be sent to a hospital immediately to receive systematic treatment and good care. The care measures for neonatal pneumonia are: 1. The indoor temperature of the newborn should be 22°C to 24°C, the relative humidity should be maintained at 50-60%, and the indoor air should be kept circulating, but convection should be avoided to prevent getting cold. Too stuffy, too hot for children with pneumonia are very bad, can make the cough aggravated, sputum thickened, more difficult to breathe.  2, neonatal pneumonia must closely observe the child’s heart rate, breathing, such as the appearance of the lips of the mouth blue, foaming at the mouth and other symptoms, to promptly notify the doctor, so as not to miss the time to rescue.  3, position: pay attention to often change position, take the head high position, keep the airway open to facilitate the discharge of secretions. Postural drainage is based on the principle of gravity, by changing the position of the method to promote the drainage of lung secretions from the small bronchi to the larger bronchi, different parts of the lung lesions, using different positions. Postural drainage is suitable for children with many respiratory secretions and pulmonary atelectasis, changing position once every 2 hours, prone position is conducive to lung expansion and drainage of secretions and improve oxygenation.  4, newborns with pneumonia are often affected by digestive function, reluctant to eat milk, attention should be paid to patient feeding, to ensure sufficient liquid and heat, if indeed feeding difficulties can be considered appropriate intravenous rehydration if necessary.  5, newborns lose more water due to fever, sweating, fast breathing, you can feed more water appropriately, this can also make the throat moist, so that the thick phlegm becomes thin, the respiratory tract is smooth.  6.Oxygen supply, so that the partial pressure of oxygen of blood is maintained at 50-80mmHg, with oxygen needs to be warmed first, wetted and then supplied, usually with nasal catheter oxygen, according to the child’s oxygenation situation to adjust.  7, to pay attention to the baby’s nasal cavity whether there is dry crust, if there is available cotton swab dipped in water and gently removed, in order to solve the poor breathing caused by nasal obstruction.