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27 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Findings on xray in RDS |
Groundglass, air bronchograms, reduced lung volumes |
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When should infants with MAS be given surf? |
If fio2 is >50% |
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Outside of RDS and MAS, what conditions should have surf given? |
Pulmonary hemorrhage Pneumonia with OI >15 |
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Natural vs synthetic surf Which is better? |
Natural NNT to prevent one death is 40 |
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How soon after first dose of surf can you retreat? |
2h To a max of 3 total doses |
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Most common cause of ophthalmia neonatorum |
Chlamydia (2 to 40%) Gonno is less than 1% |
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What is recommended management of infants born to mothers with known active chlamydia infections? |
Close follow up Giving oral and topical erythromycin will not prevent eye or lung infections |
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Mgmt of infants born to mothers with known gonococcal infections? (Well vs unwell) |
If well: swab and one dose of IM CTX once
If unwell: swab, FSWU, and CTX for 7-14 days (as per uptodate) |
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What are indications for treatment of ROP? |
Zone 1 with Stage 3 Zone 1 with PLUS Zone 2 with both Stage 2 or 3 and PLUS
Z1S3 Z1+ Z2S3+ |
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Who do we screen for ROP? |
Under 30+6 weeks or under Birth weight <1250g |
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When should screening for ROP start? |
31 weeks for extreme prems OR 4 weeks of age
Disease unlikely to present before 31 weeks corrected GA |
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What are 2 modalities of treatment for ROP |
Anti-VEGF Laser photocoagulation |
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What tests (4) must be completed or arranged for discharge of the healthy term infant? |
Bilirubin NBS at 24 hours Hearing test CCHD |
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What does the infant have to have done to prove they are ready for discharge? (Discharhe of healthy term infants) |
Void once Stool once Feed twice successfully Maintain stable temp |
Once Once Twice And Maintain what |
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What are the 4 infant competencies from "facilitating discharge of the preterm infant"? |
Thermoregulation Control of breathing (no apneas) Respiratory stability (maintaining saturations of 90-95%) Feeding skills AND weight gain |
Relating to physiologic maturity |
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What age would be cutoff to put prem newborn into a bag at delivery? |
32 weeks |
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What is prenatal exposure in infant with: Cleft lip/palate, short nose, hypertelorism IUGR digit hypoplasia |
Fetal hydantoin syndrome (phenytoin) |
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What exposure is associated with Cleft lip/palate Cardiac anomalies HDNB |
Phenobarb |
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What are contraindications to cooling in HIE? |
<35 weeks Coagulopathy Evidence of intracranial bleeding Severe head trauma Infants who are otherwise being palliated |
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What GA should be used as cut off for giving steroids to mom? |
<35 weeks |
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What GA is cut off for giving Mag sulf? |
<34 weeks |
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What is dosing of IM vitamin k? |
<1500g - 0.5mg >1500g - 1.0 mg PO - 2.0mg at birth, 2-4 weeks, and 6-8 weeks |
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What abnormalities should be screened for when a 2vc is identified? |
Renal anomalies (Mac practice) |
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At what (gestational age) do fetus get maternal ab, and when do they go away? |
32 weeks GA (so prems don't have moms) And 4-6 months |
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What can hypo and hypercapnia predispose to? |
Low co2 - pvL High co2 - ivH |
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What perinatal factors contribute to IVH |
Prematurity Antenatal steroids Treatment of chorio Hypothermia Delayed cord clamping Normocarbia Postnatal: gentle handling, gentle transfusions |
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How soon after starting HFNC(or CPAP) should you assess response to treatment and consider escalation? |
60 minutes |
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