Nursing Care Plan – Neonatal Sepsis (Sepsis Neonatorum)

sepsis Neonatal sepsis is defined as a clinical syndrome of bacteremia (presence of bacteria in the blood)with systemic signs and symptoms of infection in the first 4 weeks of life. When pathogenic bacteria gain access into the blood stream, they may cause overwhelming infection without much localization (septicemia) or may get predominantly localized to the lung (pneumonia) or the meninges (meningitis).

Neonatal sepsis is the single most important cause of neonatal deaths in the community, accounting for over half of them. If diagnosed early and treated aggressively with antibiotics and good supportive care, it is possible to save most cases of neonatal sepsis.

Clinical manifestations of neonatal sepsis:

Lethargy
Refusal to suckle
Poor cry
Not arousable, comatosed
Abdominal distension
Diarrhea
Vomiting
Hypothermia
Poor perfusion
Sclerema
Poor weight gain
Shock
Bleeding
Renal failure

Particularly suggestive of pneumonia Particularly suggestive of meningitis
Cyanosis
Tachypnea
Chest retractions
Grunt
Apnea/gasping
Fever
Seizures
Blank look
High pitched cry
Excessive crying/irritability
Neck retraction
Bulging fontanel

Nursing Care Plan for Neonatal Sepsis NCP by deric

Daisy Jane Antipuesto RN MN

Currently a Nursing Local Board Examination Reviewer. Subjects handled are Pediatric, Obstetric and Psychiatric Nursing. Previous work experiences include: Clinical instructor/lecturer, clinical coordinator (Level II), caregiver instructor/lecturer, NC2 examination reviewer and staff/clinic nurse. Areas of specialization: Emergency room, Orthopedic Ward and Delivery Room. Also an IELTS passer.

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