UNIVERSITY OF LA SALETTE

Dubinan East, Santiago City 3311, Isabela, Philippines

COLLEGE OF NURSING, PUBLIC HEALTH, AND MIDWIFERY

Patient Status: Neonatal sepsis

Submitted in Partial fulfillment of the Requirements for the

Maternal and Child Health
Nursing to the College of Nursing, Public Health, and Midwifery of
University of La Salette

Submitted by Group D
BSN – 2D

MATE0, XENDIE ANGELIQUE

MELEGRITO, KING NATHANIEL
MENA, LEAH MAE
MENDOZA, ELMER
MONSADA, PETER MICHAEL
MORALES, MIKAYLA
NAGTALON, JULIE
NAGUM, DONABELLE
NAVAL, KHARYLLE SOPHIA

Clinical Instructor

MAY 25 2024

Table of Contents

A. Case Description

● Sign and Symptoms/Causes

 UNIVERSITY OF LA SALETTE
Dubinan East, Santiago City 3311, Isabela, Philippines
COLLEGE OF NURSING, PUBLIC HEALTH, AND MIDWIFERY

● Risk Factors

● Complication

● Management/Treatment

B. Anatomy and

Physiology C. Nursing

History

● Demographic data

● History of Present illness

● Familial Tendency

● Gordon’s Functional Pattern

D. Nursing Assessment

● Head to toe Assessment

● Diagnostic and Lab Result

E. NCP according to Prioritization

F. Doctors Order/ Course in the Ward

G. Pathophysiology

H. Drug Study

I. Discharge Planning/Health Teaching

A. CASE DESCRIPTION

Neonatal sepsis
Sepsis in newborns, or neonatal sepsis, is a serious medical
condition that occurs when a baby younger than 28 days old has
 UNIVERSITY OF LA SALETTE
Dubinan East, Santiago City 3311, Isabela, Philippines
COLLEGE OF NURSING, PUBLIC HEALTH, AND MIDWIFERY

a life-threatening response to an infection. Bacterial infections are

the most common cause of neonatal sepsis. If your newborn has
sepsis, it’s a medical emergency. Your baby needs urgent
treatment with antibiotics.

Types of sepsis
Early-onset neonatal sepsis: Most providers use the term
“early-onset neonatal sepsis” to describe sepsis that
develops within the first 72 hours of life.

Late-onset neonatal sepsis: Most providers refer to “late-

onset neonatal sepsis” as sepsis that develops after three
days of life.

Causes of SEPSIS
Bacterial infections are the most common cause of sepsis in
newborns. Bacteria such as E. coli, Listeria and Group B
streptococcus (GBS) are common bacteria that can cause
infections that lead to sepsis.

Viruses, fungi and parasites can also lead to the condition. For
instance, the herpes simplex virus (HSV) can cause severe
infections in newborns.

SIGN AND SYMPTOMS OF Neonatal sepsis

Symptoms of sepsis in newborn can include:
 Fever or low temperature.
 Fast or slow heart rate.
 Fast breathing or shortness of breath.
 Vomiting.
 Diarrhea.
 Reduced sucking/difficulty feeding.
 Swollen belly (abdomen).
 Cold hands and feet.
 Clammy, pale skin.
 Yellow skin and whites of their eyes (jaundice).
 Reduced activity.
 Seizures

RISK FACTORS OF Neonatal sepsis

 UNIVERSITY OF LA SALETTE
Dubinan East, Santiago City 3311, Isabela, Philippines
COLLEGE OF NURSING, PUBLIC HEALTH, AND MIDWIFERY

COMPLICATION OF Neonatal sepsis

Most newborns who recover from sepsis don’t develop any

complications. But many babies who survive develop long-term
health issues. More than one-third of babies who survive sepsis
will experience a delay in cognitive skills. Almost half of neonatal
sepsis survivors return to the hospital at least once after recovery.
Some babies develop an infection of the membranes surrounding
their brain called meningitis.

Newborns who have this condition may develop serious

symptoms and side effects, including:
 Extreme sluggishness (lethargy).
 Bulging of the soft spot between their skull bones
(fontanelle).
 Hearing loss.
 Developmental delays.
 Cerebral palsy. Seizures.
 Coma.

MANAGEMENT/TREATMENT OF GASTROENTERITIS

Neonatal sepsis treatment needs to begin immediately. Your

baby’s healthcare provider may admit your baby to an
intensive care unit (ICU).

Treatment for sepsis in newborns may include:

 Intravenous (IV) fluids.

 IV antibiotics to fight bacterial infections.
 Antiviral medication to fight viral infections.
 Heart and/or blood pressure medications.
 Extra oxygen and other forms of respiratory support, if
needed.
 Occasionally, babies may need blood transfusions.

B. ANATOMY AND PHYSIOLOGY

(Newborn Sepsis)
 UNIVERSITY OF LA SALETTE
Dubinan East, Santiago City 3311, Isabela, Philippines
COLLEGE OF NURSING, PUBLIC HEALTH, AND MIDWIFERY

Immune System
Neonates have an immature immune
system with limited ability to mount
an effective response to infections.
The barriers such as skin and mucous
membranes are not fully developed,
and the production of antibodies is not
fully mature.

Central Nervous
System (CNS):
The blood-brain barrier is more
permeable in neonates, making
the CNS more susceptible to
infections like meningitis.

Cardiovascular System
Newborn have a higher heart rate and lower blood pressure compared to older
children and adults. They are also more prone to rapid deterioration in cardiac
function during sepsis due to limited cardiovascular reserve.
Physiology
Immune Response: Neonates rely heavily on innate immunity, including
neutrophils and macrophages. However, these cells have diminished chemotaxis
and phagocytic activity. Adaptive immunity, including T and B cells, is not fully
functional, and immunoglobulin levels (except IgG transferred from the mother) are
low.

Inflammatory Response: In sepsis, there is an overwhelming systemic

inflammatory response. Neonates can quickly develop septic shock, characterized
by hypotension and poor perfusion due to the release of pro-inflammatory
cytokines.

Metabolic Changes: Sepsis can lead to metabolic acidosis, hypoglycemia or

hyperglycemia, and electrolyte imbalances due to poor perfusion and organ
dysfunction.

Organ Dysfunction: Multiorgan dysfunction is common in neonatal sepsis,

affecting the lungs (acute respiratory distress syndrome), liver (elevated liver
enzymes), kidneys (acute kidney injury), and heart (myocardial dysfunction).

C. NURSING HISTORY

1. Demographic Data
 UNIVERSITY OF LA SALETTE
Dubinan East, Santiago City 3311, Isabela, Philippines
COLLEGE OF NURSING, PUBLIC HEALTH, AND MIDWIFERY

Patient Name: Patient C

Age: 14 days
Sex: Male
Birthdate: May 9 , 2024
Address: Purok 2, Namnama, alfonsolista Ifugao
Occupation: N/A
Nationality: Filipino
Marital Status: Child
Religion: Roman Catholic
Date of Admission: 05/20/24 (1:30 pm)
Diagnosis: Neonatal Sepsis
Attending Physician: Dr. Tamayo, Lilian M. MD
Name of Hospital: Isabela South Specialist
Hospital Inc.

Initial Vital Signs: 05-20-2024

Temperature: 36°C
Respiration: 32 Breath/minute
Heart Rate: 1342Beats/minute
SPO2: 98%
Blood Pressure: N/A
Height: N/A
Weight: 3.3
Chief Complaint: JAUNDICE

2. History of Present Illness

Few days prior to admission, the patient had (+) jaundice

Born to a 34y/o G3P3 delivered baby boy via CS due to Brech
Presentation.
Few days prior to admission patient observe to be jaundice.
The patient follow up then subsequently admitted.

3. History of Past Illness

N/A
 UNIVERSITY OF LA SALETTE
Dubinan East, Santiago City 3311, Isabela, Philippines
COLLEGE OF NURSING, PUBLIC HEALTH, AND MIDWIFERY

4. Family Health History

N/A

5. Gordon’s Functional Pattern

HEALTH PERCEPTION/ HEALTH MANAGEMENT

BEFORE DURING
His health is being controlled by
The mother of the baby stated
adhering to the prescribed
that he is healthy and received
drugs.
Hepa B Vaccine

NUTRITIONAL METABOLIC

BEFORE DURING

His confinement prevents him

The mother stated that the to attain the appropriate
baby is having breast milk nutrition as his mother uses
every after 3 hours.
pacifier just to stop him from
crying.

ELIMINATION PATTERN

BEFORE DURING

According to the mother, she

changes the diaper of the baby According to the mother, the
5 times a day after it is soaked baby defecates a watery stool
and she also said that the baby and is yellow in color.
defecates a hard stool. The s/o
stated that his urine is
yellowish in color with regular
odor.

ACTIVITY AND EXERCISE PATTER

BEFORE DURING
 UNIVERSITY OF LA SALETTE
Dubinan East, Santiago City 3311, Isabela, Philippines
COLLEGE OF NURSING, PUBLIC HEALTH, AND MIDWIFERY

No changes noted.
The baby rise from his sleeps
every time he is hungry as
verbalized by the his mother.

Sleep-Rest Pattern
BEFORE DURING

The baby usually sleeps after he fed by The mother stated that the sleeping
his mother. pattern of the baby is same schedule as
before.

Cognition- Perception Pattern

BEFORE DURING

The mother stated that the baby can hear and The mother stated that the baby cries more

clearly because he startled when there is a often than usual.

noise.

Self Perception/ Self-Concept

Pattern

BEFORE DURING

N/A N/A

ROLES AND RELATIONSHIP

BEFORE DURING
 UNIVERSITY OF LA SALETTE
Dubinan East, Santiago City 3311, Isabela, Philippines
COLLEGE OF NURSING, PUBLIC HEALTH, AND MIDWIFERY

His mother stated that the baby

lives with his parents and two The patient is well taken
older siblings, he is the youngest care by his parents.
child.

SEXUALITY – REPRODUCTIVE

BEFORE DURING

N/A
N/A

VALUES- BELIEFS
BEFORE DURING

The patient’s religion is Roman

No changes noted.
Catholic.

D. NURSING ASSESSMENT

1. Head to Toe Assessment

General Appearance o The 14 day old child with jaundice and
cyanosis
 UNIVERSITY OF LA SALETTE
Dubinan East, Santiago City 3311, Isabela, Philippines
COLLEGE OF NURSING, PUBLIC HEALTH, AND MIDWIFERY

Initial Vital Signs: T: 36.6 C, HR: 134, RR: 32 O2 SAT: 98%

AREA METHOD FINDING INTERPRETATION

Rounded, no tenderness
upon palpation

Lighter in color than skin

complexion

Free from lice and lesions

HEAD HAIR Inspectio NORMAL
AND n
SCALP And
palpation Hair color is black

Hair texture is silky

EARS Inspection Symmetrical NORMAL

, auricle
aligned with
the outer
canthus of the
eye

EYES Inspection NORMAL

No discharge
on both
ears
 UNIVERSITY OF LA SALETTE
Dubinan East, Santiago City 3311, Isabela, Philippines
COLLEGE OF NURSING, PUBLIC HEALTH, AND MIDWIFERY

Both eyes are

symmetric
ABNORMAL: DUE

Pupils are TO FLUID LOSS

round, reactive
NOSE Inspection
to light
and NORMAL
accomodation.

SUNKEN
MOUTH Inspection EYE
ABNORMAL: DUE
BALL
TO
DEHYDRATION

Nose in the
midline

Has no
discharge

DRY MUCUS
MEMBRANE
DRY
LIP

No lesions and NORMAL

NECK Inspection masses
detected

CARDIO- Auscultation The s1 and s2 NORMAL

VASCULA sounds normal
 UNIVERSITY OF LA SALETTE
Dubinan East, Santiago City 3311, Isabela, Philippines
COLLEGE OF NURSING, PUBLIC HEALTH, AND MIDWIFERY

R
CHEST

Inspection and Respiratory rate: NORMAL

RESPIRA- Auscultation 37 cpm
TORY

Absence of NORMAL
lesions and
masses.

ABDOMEN Inspection Mild colic upon

Auscultation percussion ABNORMAL: DUE
Percussion TO INVASION OF
Palpation ABDOMEN IS PATHOGENS
TENDER UPON CAUSING
STOMACH
PALPATION
LINING TO BE
DISTRACTED
+HYPERACTIV
E
BOWEL SOUND

GENITOU-
RINARY Inspection Absence of NORMAL
SYSTEM lesions and
masses
 UNIVERSITY OF LA SALETTE
Dubinan East, Santiago City 3311, Isabela, Philippines
COLLEGE OF NURSING, PUBLIC HEALTH, AND MIDWIFERY

NORMAL
UPPER SKIN Inspection Free of Lesions
EXTREMITI AND Palpation
ES NAILS SKIN IS DRY ABNORMAL: DUE T
FLUID LOSS
CAPILLARY
REFILL TIMES
IS MORE THAN
2 SEC.

SKIN Inspection NORMAL

UPPER
AND Palpation No lesion
EXTREMITI
NAILS Warm to touch
ES
Absence of
edema
ABNORMAL: DUE
SKIN IS DRY TO FLUID LOSS
CAPILLARY
TIMES IS MORE
THAN 2 SEC.
 UNIVERSITY OF LA SALETTE
Dubinan East, Santiago City 3311, Isabela, Philippines
COLLEGE OF NURSING, PUBLIC HEALTH, AND MIDWIFERY

2. Diagnostic and Lab Result

Name: Patient C Gender: Male Age: 14 days

Date: May 20, 2024/ 2:00 PM

HEMATOLOGY

PARAMETER RESULTS NORMAL INTERPRETATIONS

S VALUES :

WBC 12.13 4-20x130> 3/0L

RBC 4.08 4.0- 6.60x10 >6/0L

Hemoglobin 13.6 17.0-20.0gldl

Hematocrit 39.9 38.0-68.0

MCV 97.8 95-1211L

MCH 34.1 MCH 31- 37 pg

29-37 gldl
MCHC 34.8

DIFFERENTIAL COUNT

Segmenters 37.8 40-80%

 UNIVERSITY OF LA SALETTE
Dubinan East, Santiago City 3311, Isabela, Philippines
COLLEGE OF NURSING, PUBLIC HEALTH, AND MIDWIFERY

Lymphocytes 48.8 10-60%

Monocytes 8.3 3-13%

Eosinophils 4.4 0.5-56%

Basophils 0.7 0.0-1.0%

Stabs

Blast

Platelet count 446 150-450x10 >30L

Clotting Time 3-6 mins

Bleeding Time 1-3 mins

ESR M.0-10mmHg

5/21/24
GRAM STAIN

PARAMETER RESULTS REFERENCE INTERPRETATIONS

S
 UNIVERSITY OF LA SALETTE
Dubinan East, Santiago City 3311, Isabela, Philippines
COLLEGE OF NURSING, PUBLIC HEALTH, AND MIDWIFERY

Specimen Cerebrospinal fluid

Rare
Pus cells /LPF

Epithelial Rare
cells/ OFT
Predominating MO microorganism
organism / see
OFT
Other
organism / OIT

CSF ANALYSIS

PARAMETER RESULT REFERENCE INTERPRETATION

Color Light yellow

Clarity Clear

Viscosity Non-viscous

Chemistry

Protein 144 12-6mg/dl

Glucose 41 40-70mg/dl
Hematology

RBC count 4 0(vol)

WBC count 3 Neonate (0-10/Vl)

Lymphocyte 100 50-90%

Neutrophil 6 0-8% Low levels suggest

microcytic anemia
 UNIVERSITY OF LA SALETTE
Dubinan East, Santiago City 3311, Isabela, Philippines
COLLEGE OF NURSING, PUBLIC HEALTH, AND MIDWIFERY

Monocytes 0 5-35% Normal

5/20/24

SARS-COVS-ANTIGEN
QUALITATIVE TEST

PARAMETE RESULT REFERENCE INTERPRETATION

R

Sars- Cov z- Negative

Nucleocapsid
Specimen Nasognaryngeal
type swap

CLINICAL CHEMISTRY VITROS

PARAMETER RESULT REFERENCE INTERPRETATION

FBS
RBS
Neonatal 237.8 17-180 umol/L
bilirubin
Triglycerides 0..0 Neonate; 0-10
umol/L
LDL 237.8 Neonate 10-180
umol/L

F. DOCTOR’S ORDER/ COURSE IN THE

WARD

DATE/TIME DOCTOR’S ORDER RATIONALE

 UNIVERSITY OF LA SALETTE
Dubinan East, Santiago City 3311, Isabela, Philippines
COLLEGE OF NURSING, PUBLIC HEALTH, AND MIDWIFERY

 For patient to have

5/20/24 ➢ Pls admit to ROC a comfortable room
and privacy.

➢ Secure consent  securing consent from

the patient is a
fundamental aspect of
ethical medical practice,
promoting patient
autonomy, informed
decision-making, legal
compliance, protection
against harm, and trust in
the patient-provider
o Continue relationship.
Breastfeeding

 Continuing breastfeeding
in infants who have had
newborn sepsis is
important because breast
milk provides essential
nutrients and antibodies
that can help boost the
baby's immune system
and fight off infections.
Additionally,
breastfeeding promotes
bonding between the
mother and baby, which
is crucial for their
emotional and
o Monitor V/S q4
psychological well-being.
 UNIVERSITY OF LA SALETTE
Dubinan East, Santiago City 3311, Isabela, Philippines
COLLEGE OF NURSING, PUBLIC HEALTH, AND MIDWIFERY

 Monitoring vital signs

every 4 hours in a baby
who has had newborn
sepsis is important for
early detection of any
deterioration or
recurrence of infection.
Changes in vital signs
such as heart rate,
respiratory rate,
temperature, and oxygen
saturation can provide
valuable clues about the
baby's condition and help
healthcare providers
intervene promptly if
necessary. Regular
monitoring allows for
timely adjustments in
treatment and
management to optimize
the baby's recovery and
prevent complications.
 UNIVERSITY OF LA SALETTE
Dubinan East, Santiago City 3311, Isabela, Philippines
COLLEGE OF NURSING, PUBLIC HEALTH, AND MIDWIFERY

o IVFD5 IMB 500  Intravenous fluid (IVF)

OC x 10 with D5 (dextrose 5%) in
half-strength normal
saline with added
electrolytes (IMB:
intravenous
maintenance solution
with balanced
electrolytes) is often
administered to babies
with newborn sepsis to
maintain hydration,
electrolyte balance, and
provide essential
nutrients. This solution
helps support the baby's
metabolism and energy
needs while they are
fighting the infection.
Additionally, the
balanced electrolytes
help maintain proper
cellular function and
fluid balance, which is
crucial for the baby's
recovery. Administering
this solution over a 10-
hour period helps
ensure steady hydration
and nutrient delivery to
support the baby's
immune system and
overall well-being during
the course of treatment
for sepsis.

o CBC with platelet

>TB,B1, and B2  Performing a complete
blood count (CBC) with
platelet count is
important in babies with
newborn sepsis to
assess the severity of
the infection and
monitor the body's
response to treatment.
Changes in white blood
cell count, specifically
the presence of
immature white blood
 UNIVERSITY OF LA SALETTE
Dubinan East, Santiago City 3311, Isabela, Philippines
COLLEGE OF NURSING, PUBLIC HEALTH, AND MIDWIFERY

cells (band forms), can

indicate an ongoing
infection. Platelet count
is crucial as sepsis can
sometimes lead to
thrombocytopenia, a
condition characterized
by low platelet levels,
which can increase the
risk of bleeding.

 Additionally, testing for

tuberculosis (TB) may be
necessary if there is
suspicion or risk factors
for TB exposure, as TB
can present with
symptoms similar to
sepsis in infants.

 Vitamin B1 (thiamine)
and B2 (riboflavin)
testing may be included
to assess the baby's
nutritional status, as
sepsis can lead to
increased metabolic
demands and potential
deficiencies in essential
vitamins. Maintaining
adequate levels of these
vitamins is important for
overall health and
o Meropenem recovery.
135mg IV q 8
 Administering
meropenem 135mg
intravenously every 8
hours helps ensure
adequate therapeutic
levels of the antibiotic in
the baby's bloodstream
to effectively combat
the infection. The dosing
regimen is typically
determined based on
the baby's weight, age,
and severity of the
infection, with
adjustments made as
 UNIVERSITY OF LA SALETTE
Dubinan East, Santiago City 3311, Isabela, Philippines
COLLEGE OF NURSING, PUBLIC HEALTH, AND MIDWIFERY

needed based on clinical

response and laboratory
results. It's crucial to
follow the healthcare
provider's instructions
closely and monitor the
baby for any adverse
reactions or signs of
improvement while on
the antibiotic therapy.

o Amikacin 45 mg
IV OD  Administering Amikacin,
an antibiotic, to a
newborn with sepsis is a
treatment to combat the
infection. The dosage of
45 mg IV OD (once
daily) would be based on
the baby's weight, age,
and severity of the
infection. It's important
to follow the prescribed
dosage and regimen to
effectively treat the
sepsis and prevent
o For continuous complications.
phototherapy
with proper  Continuous
shield phototherapy is often
used in newborns with
sepsis who also develop
jaundice. Newborn
sepsis can stress the
liver, leading to an
increase in bilirubin
levels, which causes
jaundice. Continuous
phototherapy helps to
break down excess
bilirubin in the
bloodstream, reducing
the risk of complications
such as kernicterus (a
type of brain damage).
It's important to manage
jaundice promptly in
newborns with sepsis to
 UNIVERSITY OF LA SALETTE
Dubinan East, Santiago City 3311, Isabela, Philippines
COLLEGE OF NURSING, PUBLIC HEALTH, AND MIDWIFERY

prevent further
complications and
support the baby's
recovery
o NPO @ 8am
 If the baby needs a
diagnostic test or a
procedure that requires
anesthesia or sedation,
it's essential to keep the
stomach empty to
reduce the risk of
aspiration (inhaling
stomach contents)
during the procedure.
Additionally, NPO status
might be necessary if
the baby is receiving
certain medications that
require an empty
stomach for optimal
absorption or to
o HGT @ 9am minimize potential side
effects.

 Part of monitoring the

baby's blood glucose
levels, especially if they
are receiving treatment
for newborn sepsis or
any other medical
condition. It helps
healthcare providers
assess the baby's
metabolic status and
ensure that their
glucose levels are within
a healthy range.
Monitoring blood
glucose levels is crucial
in newborns, as they can
be prone to
hypoglycemia (low blood
sugar) due to various
factors, including sepsis,
prematurity, or maternal
gestational diabetes.
Regular HGTs allow for
timely intervention if
 UNIVERSITY OF LA SALETTE
Dubinan East, Santiago City 3311, Isabela, Philippines
COLLEGE OF NURSING, PUBLIC HEALTH, AND MIDWIFERY

5/21/24 glucose levels are

o Diazepam 0.6 abnormal, helping to
mg slow IV push prevent complications
Now related to hypoglycemia.

 Diazepam, a
benzodiazepine, is
mainly used to treat
seizures, anxiety, and
muscle spasms, but it's
not the first-line
treatment for sepsis. If
the baby is experiencing
seizures, appropriate
anticonvulsants would
be considered, but the
choice and dosage
should be determined by
a pediatrician or
neonatologist.
o Flat on bed

 Keeping the baby

flat in bed after
newborn sepsis
may be necessary
to monitor their
condition closely,
provide adequate
rest, and ensure
proper medical
care. Positioning
the baby flat can
also help maintain
stability and
prevent any
unnecessary strain
on their body as
they recover from
o NPO the illness.

 If the baby needs a

diagnostic test or a
procedure that requires
anesthesia or sedation,
it's essential to keep the
stomach empty to
reduce the risk of
 UNIVERSITY OF LA SALETTE
Dubinan East, Santiago City 3311, Isabela, Philippines
COLLEGE OF NURSING, PUBLIC HEALTH, AND MIDWIFERY

aspiration (inhaling
stomach contents)
during the procedure.
Additionally, NPO status
might be necessary if
the baby is receiving
certain medications that
require an empty
stomach for optimal
absorption or to
o Send CIF minimize potential side
Cell count and DID effects.
count >Protein
> Cal cy op  Sending tests like
complete blood count
(CBC), differential count
(DID), protein levels,
and cerebrospinal fluid
(CSF) analysis to a baby
with newborn sepsis
helps healthcare
providers monitor the
baby's response to
treatment, assess the
severity of the infection,
and detect any
complications. These
tests provide valuable
information about the
baby's immune
response, organ
function, and overall
o Intermittent health, guiding
Phototherapy treatment decisions and
and proper shield adjustments as needed.

 Intermittent
phototherapy and
proper shielding are
often used in babies
with newborn sepsis to
manage jaundice, a
common condition in
newborns. Jaundice can
occur as a result of
various factors,
including sepsis.
Phototherapy helps
break down excess
 UNIVERSITY OF LA SALETTE
Dubinan East, Santiago City 3311, Isabela, Philippines
COLLEGE OF NURSING, PUBLIC HEALTH, AND MIDWIFERY

bilirubin in the blood,

which causes jaundice,
and shielding protects
the baby's eyes from the
light used during
5/22/24 treatment. Managing
jaundice is important to
prevent potential
complications and
o For EEG support the baby's
overall recovery from
sepsis

 An EEG
(electroencephalogram)
may be performed on a
baby with newborn
sepsis to assess brain
function and detect any
abnormalities, such as
seizures or abnormal
electrical activity. Sepsis
can affect various organ
systems, including the
central nervous system,
and can lead to
neurological
complications. An EEG
helps healthcare
providers evaluate the
baby's neurological
status, guide treatment
o Diphenhydramin decisions, and monitor
e 3.5 mg IV push for any signs of
now neurological impairment
or damage associated
with sepsis

 Administering
diphenhydramine
intravenously (IV) to a
baby with newborn
sepsis may be indicated
for various reasons,
such as treating allergic
reactions, managing
itching or hives, or as a
 UNIVERSITY OF LA SALETTE
Dubinan East, Santiago City 3311, Isabela, Philippines
COLLEGE OF NURSING, PUBLIC HEALTH, AND MIDWIFERY

pre-medication before
certain procedures or
medications.
Diphenhydramine is an
antihistamine that can
help relieve symptoms
of allergies and allergic
reactions. However, the
specific dosage and
administration of
diphenhydramine should
be determined by a
o Continue Med healthcare professional
based on the baby's
weight, age, medical
history, and the severity
of their condition

 Continuing medication
for a baby with newborn
sepsis is essential to
ensure that the infection
5/23/24 is effectively treated and
to prevent any
recurrence or
complications.
Antibiotics are typically
o Continue Med continued for a specific
duration to ensure
complete eradication of
the infection.

 Continuing medication
for a baby with newborn
sepsis is essential to
ensure that the infection
is effectively treated and
to prevent any
recurrence or
complications.
Antibiotics are typically
o Repeat TB,B1,B2 continued for a specific
duration to ensure
complete eradication of
the infection.
 UNIVERSITY OF LA SALETTE
Dubinan East, Santiago City 3311, Isabela, Philippines
COLLEGE OF NURSING, PUBLIC HEALTH, AND MIDWIFERY

 Repeating diagnostic
tests such as Tb
(tuberculosis testing),
B1, and B2 for a baby
who had newborn sepsis
may be necessary to
monitor the baby's
response to treatment,
assess for any new
developments or
complications, and
ensure that the infection
has been adequately
managed. These tests
can provide valuable
information about the
baby's health status and
help healthcare
providers make
informed decisions
about ongoing
treatment and care.
Regular monitoring is
essential to track the
baby's progress and
adjust the treatment
plan as needed.
 UNIVERSITY OF LA SALETTE
Dubinan East, Santiago City 3311, Isabela, Philippines
COLLEGE OF NURSING, PUBLIC HEALTH, AND MIDWIFERY

G. PATHOPHYSIOLOGY
 UNIVERSITY OF LA SALETTE
Dubinan East, Santiago City 3311, Isabela, Philippines
COLLEGE OF NURSING, PUBLIC HEALTH, AND MIDWIFERY

I. DISCHARGE PLANNING

MEDICATION

Administration of appropriate antibiotics and other

medications should be take regularly as prescribed, on exact
dosage, time and continuity of care and prevention of the
reoccurrence of the disease

TREATMENT
Treatment after discharge of a neonate with sepsis may
require to aimed at the overwhelming systemic effects of the
disease.

HEALTH TEACHING

HYDRATION: Emphasize to the mother the importance of

frequent feeding such as breast milk, or formula provides
essential fluids and nutrients.

PROPER HYGIENE AND SANITATION: Advise the patient

mother to wash her hands before she feed and after she change
her child’s diaper.

SYMPTOM AWARENESS: Educate parents to watch out for sign

of fever or low temperature, difficulty breathing, poor feeding,
irritability, jaundice, and abnormal heart rate or blood pressure.
Any signs of infection like redness or swelling should also be
monitored closely and seek a medical help if these signs persist.

OUT PATIENT FOLLOW UP

Instruct the mother to continue follow up for purposes :

- Reassess hydration status and vital signs

 UNIVERSITY OF LA SALETTE
Dubinan East, Santiago City 3311, Isabela, Philippines
COLLEGE OF NURSING, PUBLIC HEALTH, AND MIDWIFERY

- Evaluate symptoms improvement

- Adjust treatment plan if necessary