Submission of An Evidenced Based Analysis of a Clinical Competency: fluid and electrolyte balance of the neonate - Essay Example

Comments (0) Cite this document
EVIDENCE-BASED ANALYSIS OF A CLINICAL COMPETENCY (name) (professor) (subject) (date) Evidenced Based Analysis of a Clinical Competency: Fluid and Electrolyte Balance of the Neonate Introduction Clinical competency in the fluid and electrolyte balance of the neonate is an important clinical skill to develop in paediatric care…
Download full paperFile format: .doc, available for editing
GRAB THE BEST PAPER97.5% of users find it useful
Submission of An Evidenced Based Analysis of a Clinical Competency: fluid and electrolyte balance of the neonate
Read TextPreview

Extract of sample
"Submission of An Evidenced Based Analysis of a Clinical Competency: fluid and electrolyte balance of the neonate"

Download file to see previous pages Evidence in this research was able to establish that the newborn kidney has a very limited capability of excreting excess water and sodium; therefore, the overload of sodium during the first week can result in necrotizing enterocolitis and patent ductus arteriosus (Aggarwal,, 2001, p. 2). Different trials have shown that remedies like using transparent barriers, caps, and socks on neonates have been effective in reducing water loss (Aggarwal,, 2001, p. 2). In effect, this study has shown the importance of applying effective skills in fluid and electrolyte balance. In order to improve the health outcomes of neonates, the development of skills in fluid and electrolyte balance have to be enhanced and targeted. Clinical competency in fluid and electrolyte balance in the neonate is therefore an important clinical skill; and building knowledge in support of such skill can help ensure improved health outcomes for the neonate. Discussion Background In evaluating fluid and electrolyte balance among neonates, it is important to first consider the physiology of the newborn and how such make-up affects the management of his fluids and electrolytes. A discussion seen in the website points out that the extracellular fluid compartment of neonates is expanded and their total body water covers 85% of their body weight; and 75% of the body weight of term babies is water. This is in contrast to the 60% body weight of adults (, 2007). The website further emphasizes that the expanded extracellular fluid compartment is caused by the higher volume of distribution from commonly prescribed drugs and higher dose requirements in these drugs, regardless of their increased sensitivity (, 2007). It is also important to understand that the contraction of the extracellular fluid compartment and the weight loss during the first several days following birth is part of the normal bodily processes of the neonate – caused by dieresis, induced by atrial naturetic peptide (ANP) and sometimes by the higher pulmonary blood flow and stretch of the left atrial receptors (, 2007). When the state of negative water and sodium balance in the neonate’s system stabilizes, the water and sodium elements would increase and match the elements needed by the growing baby. It is therefore important to restrict fluids until the postnatal weight loss has become manifest. Studies have indicated that high fluid intake in the first few days after birth has been associated with negative patient outcomes among premature infants (, 2007). For these infants, fluid needs often gradually increase from the first day of their life at 60mL/kg/day to 150mL/kg/day at their 1st week of life (, 2007). The competence in evaluating the changes needed in the neonate’s feeding and fluid management is therefore a crucial competency for the health professionals to acquire. For immature neonates with respiratory distress syndrome, there is usually a delay in the acute contraction of the extracellular compartment. Before surfactants were used, this incident was marked by the natriuresis or diuresis which was seen when the respiratory functions were being improved (Modi, 2004, p. 109). For healthy newborn children who were able to receive surfactants, the diuresis often occurs at a lower degree. For the healthy newborns, only about 10% of the total body water is ...Download file to see next pagesRead More
Cite this document
  • APA
  • MLA
(“Submission of An Evidenced Based Analysis of a Clinical Competency: Essay”, n.d.)
Retrieved from
(Submission of An Evidenced Based Analysis of a Clinical Competency: Essay)
“Submission of An Evidenced Based Analysis of a Clinical Competency: Essay”, n.d.
  • Cited: 0 times
Comments (0)
Click to create a comment or rate a document
Evidenced Based Practice Paper
The purpose of the paper is to discuss the issues that have led me to question the insertion of coronary angioplasty with drug-eluting stent compared to open coronary artery bypass graft for left main coronary disease.
30 Pages(7500 words)Essay
The compromised Neonate
It was found out that out of the 72 units contacted by the researchers, more than 50% of these were using charts similar to the National Institute for Health and Clinical Excellence (NICE) guidelines in 2010, while the rest were either using formulas for computing the bilirubin levels or using individual bilirubin charts for every infant (Arora, et al., 2011).
12 Pages(3000 words)Essay
Topic Clinical Reflection on competency
The objective of this assignment is to present a reflection of the development of competencies (ANMC, 2006). Development of competency is a requirement of registration and these would also be a written account of my transition to beginning practitioner. This was a patient with severe pain, and the patient was crying.
5 Pages(1250 words)Essay
Inequality in Education
These factors either bring out the best out of every child or break their characters. Race and color are the most common issues that students usually confront in schools in the past as well as in the present. Being in a multi-cultural and interracial community, I have been exposed into various forms of discrimination involving color and race.
1 Pages(250 words)Essay
Evidenced Based Practice (EBP) in Medical Technology in private clinical laboratory setting
These clinical laboratory that are conducted to assist in patient care amount to seven billion tests every year. (Mariani, M.S., 2003). Private clinical laboratories provide large number of
5 Pages(1250 words)Essay
Regulation of Physiological Process by Thyroid Hormones
Hormones have a major role in the physiological processes in the body. Their functions include reproduction and sexual differentiation, development and growth, maintenance of the internal environment, and regulation of metabolism and nutrient supply (Nussey & Whitehead 2001). A single hormone may affect more than one of these functions.
7 Pages(1750 words)Essay
Hofstedes Theory
The essay starts with an introduction to the concept of ‘culture’ and will attempt to incorporate this concept into the main discussion of cross-cultural management by studying and applying Hofstede’s theory and other relevant literature, to assess the challenges faced by an international manager in his/her operations abroad.
11 Pages(2750 words)Essay
Case study - Complex fluid and electrolyte balance
This condition is caused by; disease of the coronary artery, long term abuse of alcohol, hypertension, heart valve disorders, and other unknown causes (Fang,
5 Pages(1250 words)Essay
Research, Evidenced-Based Practice and global health
EBP is implemented in most hospitals and clinics here in America and the positive effect of EBP is not only seen here but is revolutionizing patient care internationally. EBP
6 Pages(1500 words)Essay
Job analysis and competency models
s to a method that is concerned with measuring skills, behavior, abilities and knowledge that an individual is required to possess to perform a particular job successfully (Jackson, Schuler, and Werner, 2012). Comparison and contrast is achievable through purpose, view of the
2 Pages(500 words)Essay
sponsored ads
We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.
Let us find you another Essay on topic Submission of An Evidenced Based Analysis of a Clinical Competency: fluid and electrolyte balance of the neonate for FREE!
Contact us:
Contact Us Now
FREE Mobile Apps:
  • About StudentShare
  • Testimonials
  • FAQ
  • Blog
  • Free Essays
  • New Essays
  • Essays
  • Miscellaneous
  • The Newest Essay Topics
  • Index samples by all dates
Join us:
Contact Us