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22 Cards in this Set
- Front
- Back
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Hallmark signs of GBS infection in a neonate:
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-Poor feeding
-Tachypnea -HYPOthermia -Poor perfusion |
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What is the best therapy for GBS infection in a neonate?
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-ABC's
-IV Abx |
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What does the WBC count generally show in GBS sepsis?
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LOW WBC count
Left shift, high bands |
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What is "Early-onset sepsis syndrome"?
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Neonatal sepsis in the first 6 days
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When does 85% of ESS occur?
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First 24 hrs
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What is the source of most cases of neonatal early onset sepsis?
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Mother's GU tract
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What is "Late-onset sepsis syndrome"?
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Sepsis with onset between 7 days old and 90 days old
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What is the source of infection in most cases of late onset sepsis?
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Caregiver's environment
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What are 4 common clinical findings in neonatal sepsis or meningitis?
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-Temp instability
-Tachypnea -Hypotension -Bradycardia |
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What are the 2 manifestations of overwhelming shock?
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Pallor
Poor capillary refill |
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When is meningitis more common?
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Late onset sepsis
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When is pneumonia more common?
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Early onset sepsis
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What is the crucial test to order for neonates with suspected sepsis?
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BLOOD CULTURE
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What 4 pathogens can babies acquire transplacentally, from ascending, or while passing thru the birth canal?
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-GBS
-Haemophilus influenzae -Ecoli -Listeria |
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What is the #1 most common cause of neonatal sepsis from birth to 3mo?
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GBS
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What develops in 50% of GBS infected neonates within 24 hrs?
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Seizures
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What are risk factors for GBS infection?
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-ROM 18 hrs or longer before delivery
-Chorioamnionitis -Intrapartum temps >100.4 -Previous neonate infection -Young mom, low birthwt, prematurity |
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When should pregnant moms be screened for GBS?
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35-37 wks gestation
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What is the treatment for suspected early onset neonatal sepsis?
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IV penicillin + aminoglycoside
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What are the aminoglycosides?
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-tobramycin
-gentamicin |
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What is the treatment for LATE onset neonatal sepsis?
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3rd generation ceph + vanco
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How long should the IV Abx be continued for neonatal sepsis?
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48-72 hrs
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