Reflux, Apnea and the Impact on Discharge

Decisions made about timing of discharge can be subjective. Definitions of significant bradycardia are multiple, and interventions are variable. This necessitates an informed discussion with parents about the natural course of apnea, bradycardia and reflux. The physiology of gastroesophageal reflux and respiratory control have intermingled confounding variables. Critical thinking is required to educate and support families, however a paucity of research exists. Risks and benefits of pharmacologic and nonpharmacologic interventions should be evaluated. Nurses need increased confidence in understanding how to approach the preterm infant with apnea and/or reflux as well as how to interact with families to support discharge planning.https://jdc.jefferson.edu/nursingposters/1025/thumbnail.jp