| During NICU | Health Maintenance for survivors of prematurity |
---|---|---|
Monitoring renal function | Volume status, weight, ins and out Vital signs Serum electrolytes, crea, and FeNa: Supplementation if prudentMaintain target serum electrolyte values | Awareness of prematurity-related increased risk throughout lifespan [7] Assess serially volume status, weight, diuresis Vital signs (esp BP) Tubular parameters (FeNa/β2-M) Glomerular parameters (albumin/creatinine) |
Medications | Drug levels/pharmacist input=> Dosing adjustment Taking renal maturation into account Daily evaluation of medications | Awareness of baseline renal function appropriate choice and adjustment of potential medications |
Arterial hypertension | Blood pressure monitoring daily as needed in the acute/sick phase or if abnormal Rule out coarctation aortae Consider renal vascular Doppler | Blood pressure measurement With every health maintenance visit Target age-appropriate values [74] Counseling about salt sensitivity |
Nephrocalcinosis | Renal ultrasound before discharge | Follow-up ultrasound for resolution If progression consider urine Ca/creatinine |