| PARAMETERS TO BE INTERED | |
|---|---|
| Gestational Age (Wks) | |
| Sex | |
| Weight (grams) | |
| Length (cm) | |
| Head Circumference (cm) | |
| Growth Parameters | |
|---|---|
| SGA, AGA or LGA by Birth Weight | |
| Weight % | |
| Length % | |
| Head Circumference % | |
| Respiratory | |
|---|---|
| ETT size | |
| ETT Length at Tip (cm) | |
| Surfactant - SURVANTA (ml) | |
| Lines | |
|---|---|
| UAC Length (cm) | |
| UAC Size | |
| UVC Length (cm) | |
| UVC Size | |
| Incubator Temperature Care at birth | |
| Medication | ||
|---|---|---|
| Caffeine Citrate (After 24 hours) Loading dose | ||
| Ampicillin (regular dose) | ||
| Gentamicin | ||
| Amikacin | ||
| Cefotaxime | ||
| Vancomycin | ||
| Meropenem | ||
| Phenobarbital Loading dose | ||
| Resources: Fenton Growth Chart https://pubmed.ncbi.nlm.nih.gov/23601190/ | ||
| https://live-ucalgary.ucalgary.ca/resource/preterm-growth-chart/preterm-growth-chart | ||
| Neonatal Care Clinical Guideline (WHO and UNICEF) 2018 NRP 8th edition | ||