Apnea of Prematurity and Nursing Management

Abstract

Apnea is a common condition especially in premature infants. The incidence of premature apnea is inversely proportional to the gestational age and birth weight. As the baby's gestational week and birth weight decrease, its incidence increases. Apnea of prematurity; besides the immature of the systems, it may occur due to causes such as respiratory, gastrointestinal, metabolic and cardiovascular system problems, infection, sleep disturbance. In the treatment of apnea of prematurity, methylxanthines (caffeine, theophylline, aminophylline), carbon dioxide and continuous positive airway pressure are used. Various positions, kangaroo care, nutrition, body temperature balance, odor and stimulation methods are used in nursing management in apnea. This review has been handled in order to examine apnea of prematurity and nursing management in line with current information.

Keywords

• Premature
• apnea
• apnea of prematurity
• nursing management

PREMATÜRE APNESİ VE HEMŞİRELİK YÖNETİMİ

Abstract

Apne özellikle prematüre bebeklerde sık görülen bir durumdur. Prematüre apnesinin görülme sıklığı gebelik yaşı ve doğum ağırlığı ile ters orantılıdır. Bebeğin gestasyon haftası ve doğum ağırlığı azaldıkça görülme oranı artmaktadır. Prematüre apnesi sistemlerin immatürlüğünün yanında solunum, gastrointestinal, metabolik ve kardiyovasküler sistem sorunları, enfeksiyon, uyku bozukluğu gibi nedenlere bağlı olarak ortaya çıkabilir. Prematüre apnesinin tedavisinde metilksantinler (kafein, teofilin, aminofilin), karbondioksit ve sürekli pozitif hava yolu basıncı kullanılmaktadır. Apnede hemşirelik yönetiminde çeşitli pozisyonlar, kanguru bakımı, beslenme, vücut ısı dengesi, koku ve stimülasyon yöntemlerinden faydalanılır. Bu derleme prematüre apnesi ve hemşirelik yönetimini güncel bilgiler doğrultusunda irdelemek amacıyla ele alınmıştır.

Keywords

• prematüre
• apne
• hemşireli

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