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3 Cards in this Set
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etiology of shock in neonate
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hypoglycemia
asphyxia ( unlikely if no h/o perinatal asphyxia or distress) sepsis intracranial hemorrhage arrhythmia ( tachy and brady) cardiogenic shock because of left- sided obstruction myocarditis |
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if P has ductal dependent lesioan and after spont closure pf PDA >>> to shock
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cardiogenic shock maybe 1 presentation of heard disease in new born
cardiogenic shock because of left- sided obstruction-- -critical aortic stenosis -hypoplastic left heart syndrome -coarctation of aorta if PDA will be closed>> Cardiac output will be diminished if P has ductal dependent lesioan and after spont closure pf PDA >>> to shock |
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what is acute therapy for TX of shock as a result of left heart obstructive lesion
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prostaglandin E1 infusuin>>>> reestablishing the patency
other measures inotropic support( epinephrine, dopamine) ventilatory support(in cases of respiratory compromises) oxygen correcton of metab acidosis, hypokalemia hypocalcemia |
