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34 Cards in this Set
- Front
- Back
how long should APGAR scoring go? |
do it every 5 minutes until you reach a score of 7 |
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what does the apgar score asses? |
-HR -respirations -muscle tone -reflec irrritability -color |
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acrocyanosis |
blue extremities, pink body. can be normal |
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jaundice is ALWAYS abnormal if: |
in FIRST* 24hours |
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port-wine stains within region of opthalmic branch of trigeminal nerve (V-1) |
associated with intracranial/spinal vascular* malformations, seziures, intracranial calcifications* |
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low femoral pulses in newborn |
think: coarctation |
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bounding femoral pulses in newborn |
think: PDA |
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urine draining through belly button |
persistent urachus |
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EPI*spadius as often associated with bladder EX*trophy |
hypospadius is not |
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in the neonate CYANOSIS ALWAYS* means emergency |
immediately diagnose and treat |
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what test helps to evaluate wether neonatal cyanosis is due to cardiac v. pulmonary dz? |
100% ABG |
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in pulm dz, what happens after 100% O2 is given? |
Pa02 has a HUGE increase >150mmHg |
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what causes RDS??? |
lack of surfactant |
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a sufficient quantity of surfactant is produced after |
30-32 weeks |
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when does surfactant even start developing? |
23-24weeks |
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what two measurements in amniotic fluid indicate that the fetal lung is pretty mature? |
-phosphatidylglyceral* -lecithin to sphigomyelin ration >2:1 |
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Dx of RDS |
CXR: "ground glass" lungs with diffuse atelectasis |
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Tx RDS |
-02 -CPAP*** -exogenous surfactant* admin into trachea cures it |
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what can develope from RDS? |
-BPD -retinopathy of prematurity |
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criteria for BPD |
1. mechanical ventilation during first 2 weeks*** 2. clinical resp distress after 28 DAYS 3. need for 02 after 28 DAYS 4. CXR |
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what is persistent pulmonary htn of the newborn (PPHN)? |
-anything (aside form heart dz) that leads to low bllod flow to lungs after birth |
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top 2 causes of PPHN? |
-peinatal asphyxia -MAS |
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under what condition does baby swallow meconium in the womb?? |
-under stress |
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CXR shows: -increased lung volume** -diffuse patchy areas of atelectasis alternating with hyperinflation* |
meconium aspiration syndrome |
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no breathing for 15-20 seconds |
apnea of prematurity |
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peak of physiological jaundice |
peaks at 3-4 days, starts decreasing, ends by week 1 |
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neonate with excessive wakefulness*, jittery, feeding intolerance*, hypereflexia*, tremulousness |
mom was on drugs |
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how to NEVER treat diaphragmatic hernia |
NEVER bagmask, could distend the bowel and increase lung compression :(((( |
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complications of necrotizing enterocolitiz |
thrombocytopenia* and DIC* |
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Dx of nec entero |
pneumatosis intestinals (air in bowel wall) , with thick bowel walls, abdominal distension, bloody stools |
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Tx of NEC if pneumatosis intestinalis is present |
ex-lap |
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DDX of hypoglycemia (<40) |
-diabetic mom -nesidioblastosis (panc islet cell hyperplasia tumor) -galactosemia -fructose intolerance -aminoacidopathy -G.H. deficiency |
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what causes Polycythemia in newborn (hematocrit >65%)? |
-placental insufficiency==> more EPO -hypoxemia==>more RBC made -delayed cord clamping==>increased placental transfusion |
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Tx for polycythemia in neonate |
partial exchange transfusion |