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25 Cards in this Set
- Front
- Back
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high risk infant diseases
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1. NEC 2. growth failure 3. BPD 4. intra/periventricular hemorrhage 5. ROP
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high risk factors
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1. birth weight 2. gestational age 3. predominant pathophysiologic problems
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preterm infant
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1. organs immature/lack reserves to function outside 2. before 37w 3. ethics of resuscitate ELBW 1000g
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late preterm infant
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1. born between 34-36 6/7 weeks 2. late preterm not near term 3. higher risk of thermoreg 4. risk hypoglycemia 5. risk hyperbilirubinemia 6. risk sepsis 7. risk respiratory function
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postmature infant
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1. risk meconium aspiration syndrome 2. risk persistent pulmonary hypertension of newborn
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MAS
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meconium in lungs due to FDS release
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PPHN
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1. nn can not breathe outside 2. womb lungs req less blood 3. usu DA closes 1 day = bp in lungs b/c gas exchange incr blood flow
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SGA
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small for gestational age 1. risk perinatal asphyxia 2. risk hypoglycemia 3. risk hyperglycemia 4. risk heat loss
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intrauterine growth restriction
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1. same as SGA 2. problem of placenta
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perinatal asphyxia
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1. deprived O2 related decr mat BP 2. smoking 3. placenta previa (before baby) 4. placenta abruptia (breaks off)
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LGA
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large for gestational age 4000g+ 1. incr risk for morbidity 2. incr birth trauma 3. asphyxia 4. congenital anomalies
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gestational diabetes
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1. congenital anomalies 2. incr macrosomia 3. birth trauma/perinatal asphyxia 4. RDS 5. hypoglycemia 6. hypocalcemia 7. hypomagnesia 8. cardiomyopathy 9. hyperbilirubinemia 10. polycythemia
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gestational diabetes patho
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incr blood glucose level during pregnancy no previous diabetes
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neonatal sepsis
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1. prenatally acquired 2. Early (1-3do) 3. Late (1-3wo) 4. Check blood cultures: CBC, Hgb, Hrt 5. check urine, CSF 6. req AB and supportive therapy 7. cause: bacterial, viral, fungal
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early neonatal sepsis
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1-3 do, cause congenital
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late neonatal sepsis
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1-3 wo, cause noscomial
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septecemia
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1. pneumonia 2. bacterial meningitis 3. gastroenteritis is sporadic
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NEC def
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acute inflammatory disease of the bowel in preterm and hi-risk
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NEC factors
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1. premature 2. intestina ischemia/blood restriction 3. colony path bacteria 4. substrate in intestinal lumen
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NEC testing
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1. check x-ray 2. check lab studies 3. DIC
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DIC
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disseminated intravascular coagulation, mass coag activation in response to disease
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NEC management
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1. NPO for 1-2day if birth asphyxia, ELBW, VLBW 2. breastmilk best for po 3. NG tube decompression 4. IV AB, parenteral fluids, TPN 5. bowel resection if perforated
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Rh incompatibility
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1. aka isoimmunization 2. Rh+ infant Rh- mom 3. mother forms antibody against fetal blood cells 4. first child ok, next danger
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ABO incompatibility
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1. fetal AB, A, B mom O 2. incompatible because naturally occurring Anti-A/B transferred across placenta to fetus 3. exchange transfusion maybe req
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Bochdalek
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1. diaphragm defect 2. herniation with small lung and ab contents in thoracic cavity 3. scaphoid abdomen/sunk ant wall
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