Neonatal tetanus management focuses on controlling spasms, maintaining airway, and providing supportive care while administering tetanus immunoglobulin and antibiotics. Neonatal tetanus occurs through umbilical cord contamination, usually 3-14 days after birth. Symptoms: difficulty feeding, stiffness, spasms triggered by stimuli, risus sardonicus (facial spasm), opisthotonos (arching). Nursing care: quiet, dark environment to reduce stimuli; airway management (may require intubation); control spasms with benzodiazepines; administer human tetanus immunoglobulin (HTIG) to neutralize toxin; give metronidazole for Clostridium tetani; wound care to umbilical stump; and supportive care (nutrition, hydration). Prevention: maternal vaccination during pregnancy; clean delivery practices; umbilical cord care. Education: importance of antenatal care and clean birth. Documentation includes spasm frequency, respiratory status, and response to medications. Mortality is high without intensive care. Survivors may have neurological sequelae. Eradication through immunization is achievable.

Break down complex topics into smaller, manageable chunks for easier recall.

Zambia

• Joseph Soko – 101 pts

• Visual Pathway Lesions
• Positive and Negative Symptoms
• Hallucinations and Delusions
• Antipsychotic Medications
• Emergency: Environmental Emergencies