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acidotic baby with cholestrone around mouth



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Oct 29, 2009 08:18 PM

acidotic baby with cholestrone around mouth


i have a question
yesterday one nurse was holding a baby and told us that this baby smelled like nail polish remover, means this baby is acidotic, which means the baby is dehydrated. But he has so much cholestrone around his mouth. I assume the baby just didnt get the cholestrone in? Any more clearfy on that?thanks

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14 Comments
No. 1
from CEG
Old Oct 29, 2009, 08:33 PM

Default Re: acidotic baby with cholestrone around mouth
Do you mean colostrum?
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No. 2
from JoPACURN
Old Oct 29, 2009, 08:41 PM

Default Re: acidotic baby with cholestrone around mouth
Acidotic? As in high blood sugar? As in fat breakdown (ketoacidosis?)
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No. 3
from JoPACURN
Old Oct 29, 2009, 08:43 PM

Default Re: acidotic baby with cholestrone around mouth
Oh and if the baby is dehydrated, she/he would need regular feeds with formula, and/or IVF.

If mom's breastmilk hasn't come in, that is.
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No. 4
from whitebunny
Old Oct 29, 2009, 09:29 PM

Default Re: acidotic baby with cholestrone around mouth
Originally Posted by CEG View Post
Do you mean colostrum?
yes yes colostrum, first breastmilk, nightshift for me, cant spell, sry!
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No. 5
from whitebunny
Old Oct 29, 2009, 09:30 PM

Default Re: acidotic baby with cholestrone around mouth
Originally Posted by JoPACURN View Post
Acidotic? As in high blood sugar? As in fat breakdown (ketoacidosis?)
thats where it doesnt make sense to me, she clearly said acidotic, so i was thinking of ketoacidosis as well but i couldnt relate it with dehydration. if you could clearly a little bit more that would be great!
im starting my 6th L&D practicum shift!
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No. 6
from whitebunny
Old Oct 29, 2009, 09:31 PM

Default Re: acidotic baby with cholestrone around mouth
Originally Posted by JoPACURN View Post
Oh and if the baby is dehydrated, she/he would need regular feeds with formula, and/or IVF.

If mom's breastmilk hasn't come in, that is.

mom's milk is in, lots colostrum around baby's mouth
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No. 7
from GilaRN
Old Oct 29, 2009, 10:32 PM

Default Re: acidotic baby with cholestrone around mouth
Metabolic acidosis and ketosis is not an uncommon finding in pediatric patients with volume depletion and/or dehydration. You can appreciate the pathology of the acidosis when considering the effects of decreased cellular perfusion: Loss of oxidative phosphorylation---> loss of the tricarboxylic acid cycle---> conversion of pyruvate to lactate and the eventual onset of lactic acidosis.
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No. 8
from JoPACURN
Old Oct 29, 2009, 11:09 PM

Default Re: acidotic baby with cholestrone around mouth
Translation:

Less volume = buildup of lactic acid = acidosis.

The more common term.

Fix? Feed more/IVF.
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No. 9
from HappyBunnyNurse
Old Oct 29, 2009, 11:56 PM

Default Re: acidotic baby with cholestrone around mouth
A baby not getting enough breast milk would be HYPOglycemic and dehydrated. A metabolic imbalance would be a late sign. I would think you would see dry diapers, lethargy, etc long before a metabolic imbalance bad enough to produce an odor. Newborns aren't usually HYPERglycemic unless on IV therapy. I would suspect some metabolic disorder if a baby really smelled like acetone.
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