Saturday, March 9, 2013

PRP Week 19 - Clinical (Ward NICU)

Yuhuuuuu, my second week in clinical was still dealing with kanak-kanak. This time, involved neonates. In NICU (Neonatal Intensive Care Unit), usually the preterm babies were kept here. Also for the term babies with some illnesses. NICU hold approximately 50 babies, which is more than any other wards. 

Every morning, I will follow the ward pharmacist to do ward round with the specialist. Some common cases in NICU are neonatal jaundice, respiratory distress syndrome (RDS), presumed sepsis and retinopathy od prematurity (ROP). It's sad watching small babies having these sort of illnesses. Poor babies...

Many medications in NICU are made into floor stocks, that means the nurses don't have to go to satellite pharmacy to pick their trolley. NICU don't have the medication trolley. Some common drugs used in NICU are C-pen and Gentamicin for presumed sepsis, aminophylline or caffeine for RDS, multivitamin, folic acid, vitamin b complex and many more. Other than drugs, other important supply for the babies include EBM (expressed breast milk), preterm formula and term formula. For babies who requires oxygen supply, they will be put under CPAP (continuous positive airway pressure) or nasal prong.

For babies who requires treatment for jaundice, they will be put under phototherapy, from single to even triple phototherapy for a least when their bilirubin level has dropped down to normal range.

For NICU, I presented a case of presumed listeriosis. Quite a rare case in NICU.

Ok, that's all.. =)


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