Respiratory picture – repeated apneas, esternais and subcostais bradipnia, taquipnia, retractions, beating of nasal wings, cianose, increase of the necessity of oxygen and the parameters of the respirator. Neurological picture – hipotonia, convulsions. Mannering picture – irritability, lethargy. Gastrointestinal picture – abdominal distenso, vomits, gastric residue, refusal of suction, jaundice without definite cause and with predominance of the conjugated fraction. Cardiovascular picture – cutaneous pallor, cold and sudoreica skin, hipotenso, bigger hair filling time of what 2 seconds. Signals of bleed – similar picture to the one of coagulation to intravascular spread.

Subjective evaluation? ‘ ‘ RN seems that he is not bem’ ‘ , although to be a subjective evaluation, diverse authors classify this item as one of most excellent for the clinical diagnosis of sepse. These signals can also vary of light the intense ones, depending on the duration of the infection, the virulence and the accidental agent and garu of maturity of the mechanism of defense of the host. In the neonatal period, these manifestations can be inconvenient, therefore the signals if coat with great inespecificidade and can be induced for not infectious insults, what it makes it difficult the discovery and precocious treatment of the infection in the RN, therefore some illnesses can be manisfestar with these symptoms. Therefore if it makes necessary the clinical and comparative inquiry of the signals, as well as of the risk factors that unchain a possible infection so that this can in time recognized and be treated, before taking the neonato the death. Factors of risk for sepse neonatal In the life intrauterine and during the birth, the embryo and the RN gifts in the maternal treatment can be colonized by microorganisms genital that can colonize the passage of the childbirth canal, or by the transplacentria way (hematognica).

For Kumar

The brain receives 15% from the cardiac debit in rest and answers for 20% of the total of the corporal consumption of oxygen even so answers for apenas1 a2% of the corporal weight. The sanguineous flow in the brain is normally about 50ml per minute for each 100g of fabric, having regional variations between substances white and cinereous and between different parts of it substantiates gray, this sanguineous flow if it keeps constant in an ample gamma of sanguineous pressures and intracraniana pressure, due to auto-regulation of the vascular resistance. For Kumar; Abbas and Fausto (2205, p.1425) brain is classified as ‘ ‘ …

one weaveeed highly aerbico, with oxygen instead of metabolic substratum serving as substance limitante’ ‘. One knows that the oxygen, substantiates essential for the functioning of the cells that composes the brain, for times can arrive at the fabric cerebral in inefficacious way or even though not to arrive at fabric for any one of some mechanisms: … hipxia functionary in a scene of low partial pressure of oxygen (pO2), comprometimento of the capacity of carry of oxygen for the blood, or inhibition of the use of oxygen for the fabric; or isquemia, transitory or permanent, after the interruption of the normal circulatrio flow.