1. Renal
1.1. fluid and electrolyte imblanace
1.1.1. Limited ability to excrete urine
1.1.2. Dehydration
1.1.3. interventions
1.1.3.1. Monitor fluids intake and output
1.1.3.2. Some drugs are toxic so give over longer time frames
1.2. Glucose inability to secrete
2. Neuro
2.1. Not done developing till 39 weeks
2.2. Hydrosephylis
2.2.1. Drain/shunt
3. Immune system
3.1. Lack of immunoglobin
3.2. skin easily excoriated
3.3. immature specific and non specific immune system
3.4. interventions
3.4.1. breast feeding
3.4.2. hand washing
3.4.3. NICU 2-3 minute scrubs
3.4.4. no artifical nails
3.4.5. incubator switch out schedule
3.4.6. limit visitors and hand wash for visitors
3.4.7. Repositioning
3.4.8. Proper hydration and nutrition
3.4.9. prevent skin breakdown
3.4.10. delayed cord clamping
4. GI Tract
4.1. Weight loss
4.1.1. bottle feeding due to poor absorption
4.1.2. Greater than 10% weight loss
4.1.3. Difficulty absorbing saturated fats
4.1.4. Interventions
4.1.4.1. bottle feeding
4.1.4.2. supplment feeding
4.1.4.3. high calorie formula
4.1.4.4. feeding plans
4.1.4.5. TPN
4.2. Aspiration risk
4.2.1. Poor gag reflex
4.2.2. cyanosis
4.2.3. Interventions-
4.2.3.1. bottle feeding
4.2.3.2. gavage feeding
4.3. Hypo/hyper bowel movements
4.3.1. difficulty with lactose digestion-- runny/loose bowels
4.3.2. Interventions
4.3.2.1. specific formula
4.3.2.2. bottle feeding
4.4. abdominal distention
4.5. throwing up food
4.6. Necrotizing enterocolitis
4.6.1. killing of the bowels
5. Respitory
5.1. Lungs last to develop
5.1.1. Lack of surfcant
5.1.1.1. intervention- artificial surfactant
5.1.1.2. Develops around 24 weeks
5.1.2. Poor cough refllex
5.1.2.1. adequate nutrition
5.2. Signs and systems
5.2.1. Grunting
5.2.2. apnea- after 20 seconds
5.2.3. nasal flaring
5.2.4. Tachypnea
5.2.5. retractions
5.3. PDA
6. Thermo
6.1. little sub-q fate- low amounts of brown fat
6.2. poor flexion
6.3. high ratio of surface are to body weight
6.4. inability to conserve body heat
6.5. thin skin
6.6. s/s
6.6.1. weak cry
6.6.2. bradycardia
6.6.3. poor weight
6.6.4. plastic feeling
6.7. interventions
6.7.1. dry baby
6.7.2. skin to skin
6.7.3. warm the room
6.7.4. warm breast milk
6.7.5. skin probe