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Biomedical subjects

D Armentrout

Publications and source records attributed to D Armentrout.

6 recordsLinked to original sources

Neonatal blood component therapy.

Blood transfusion therapy plays an important role in the care and management of ill newborns, yet the indications for blood product administration remain controversial. The article reviews basic definitions, indications for blood product transfusion, and risks and difficulties involved in transfusion therapy. Descriptions, indications, ABO/Rh compatibility, shelf life, necessary equipment, dose, rate, and general considerations for various blood product components are included.

Blood Component Transfusion↗

Gastroesophageal reflux in infants.

Spitting is a common occurrence in infants and is usually of no consequence. When regurgitation is accompanied by the return of gastric acids into the esophagus, however, it is considered to be gastroesophageal reflux. Failure to thrive, esophagitis, aspiration, chronic respiratory disease, and apnea can all be associated with pathologic gastroesophageal reflux. This paper discusses the causes, symptoms, and treatment modalities for pathologic gastroesophageal reflux. Health care practitioners can play a major role in providing direct care as well as coordinating and evaluating treatment interventions for infants with gastroesophageal reflux. In addition, health care providers can supply the families of these infants with the necessary education and emotional support required to care for their infant.

Gastroesophageal Reflux↗

Neonatal diabetes mellitus.

Neonatal diabetes mellitus is an uncommon disorder of unknown cause that can be encountered in the first days to weeks of life. Two forms--transient and permanent--have been described. Signs and symptoms of both forms are identical with the ongoing need for insulin therapy past the neonatal period the only method to distinguish between them. This article describes the infant with transient neonatal diabetes and reviews the clinical characteristics of both the transient and permanent forms. The role of the nurse practitioner in the care and management of these infants is also addressed.

Diabetes Mellitus↗

Newborn hypoglycemia.

Neonatal hypoglycemia is a common problem encountered by both term and preterm infants. It can be either symptomatic or asymptomatic. Prolonged hypoglycemia may result in permanent neurologic impairment and death. Definitions of hypoglycemia vary and remain controversial. Underlying causes of hypoglycemia include (a) inadequate glucose production; (b) increased glucose utilization; (c) abnormalities of endocrine regulation; and (d) other causes. Nurse practitioners must be aware of infants at risk for hypoglycemia so they can provide appropriate interventions. In this article the clinical characteristics of hypoglycemia are reviewed, various causes for hypoglycemia are identified, and an infant with prolonged hypoglycemia is described. In addition, the role of the nurse practitioner in the care and management of these infants is addressed.

Humans↗