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21 Cards in this Set
- Front
- Back
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What metabolic# have neonates born to a diabetic mother?
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Hypoglyc
Hypomg Hypoca Hyperbili Polycythemia Less surfactant (insulin blocks production) |
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What is the most common neonatal drug withdrawal and when will you see what sx?
What drug will cause intraventricular hemorrhage in a neonate? |
Heroin: 48hrs
Methadone: 2-6weeks hyperactive, jitters, fever, diarrhea, high pitched cry, poor feeding etcetc Cocaine |
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Newborn X-chest:
1) ground glass and air bronchograms 2)fluid fissure, vascular markings 3)patchy infiltrates |
1) RDS
2) transient tachypnea of newborn 3) meconium aspiration syndrome |
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Define physiologic jaundice
What tests if not phys? |
- after 1st day
- not higher than 15 mg/dl - unconjugated - resolves in 1st week Coombs, Hb, Reticulocytes for unconjugated hyperbili. |
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When do you give intrapartum GBS prophylaxis?
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screening pos
Pos history for gbs <37 weeks >18hr rupture membranes temp>38 |
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How do you prevent VZV infection in newborn?
What # if newborn infected? |
If mother infected 5d before birth to 2d after: give IVIG and acyclovir.
scars, limb hypoplasia, cataracts, cortical atrophy |
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Which of the TORCH?
1) blueberry muffin 2) snuffles, rash 3) intracranial calcifications 4) most common 5) vesicles 6) microcephaly, chorioretinitis 7) poor prognosis |
1) rubella
2) syphilis 3) toxo and cmv 4) cmv 5) hsv 6) toxoplasmosis 7) cmv |
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How do you treat neonatal toxoplasmosis?
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Mother
1st trim: spiramycin later: trim/sulfa Newborn: trim/sulfa and leucovorin steroids for chorioretinitis |
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For which # is pneumatosis intestinalis X ray pathognomic?
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Necrotizing enterocolitis - usually when introducing feeds and preterm baby
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Which maternal # can result in a neonate with congenital heart block?
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SLE
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ABCs
Where do you feel the pulse if <1yr? What is compr/vent ratio for kids? What is best action for inhalation foreign body if <1yr? |
brachial/femoral pulse
5:1 chest thrusts and back blows - not heimlich |
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Intox:
Activated charcoal is 1st, except for....? Do you give charcoal to alcohol intox teenager? |
cyanides, acids, bases, metals, na, k, cl
yes, in case of drug co-ingestion |
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what is a very popular drug in high schools that mimics depression if chronically used?
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Amphetamine (also insomnia, nervous, suicidal)
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What signifies acetaminophen ingestion?
when can you give N-acetylcysteine for acetaminophen poisoning? |
second stage 24-72 hrs with less (!) sx2
up to 16 hrs after ingestion |
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What is the course of aspirin poisoning?
When do you measure for prognosis? |
respiratory alkalosis
paradoxical aciduria metabolic (lactic) acidosis, dehydration, hypolalemia (after 24hrs, or 4-6 in infants) 6 hrs after ingestion: if>70 - severe, >100 fatal |
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CO poisoning - when do you stop giving O2?
what are long term#? |
Untill COHb<5% and urine output >1ml/kg/hr
memory loss, behavior changes and/or blindness |
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What characterizes hydrocarbon ingestion?
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chemical pneumonitis: fever, cough, emesis
sx may be delayed 6 hrs |
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What characterizes iron ingestion?
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honeymoon period after 6-12 hrs
late#: GI scarring and obstruction |
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What are the most common causes of pneumonia in different pediatric age groups?
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0-2mo: GBS - e coli- Listeria
2-4mo: Chlamydia, RSV, parainfluenza 4mo-5yr: viral, strep pneu, HiB, mycoplasma 5yr+: mycoplasma |
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What characterizes and innocent cardiac murmur?
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3-7 yr
soft vibratory/musical ejection murmur left lower to midsternal border never greater than 2/6 |
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What is the most common cardiac cause of acute cyanosis in first day of life?
What cardiac# will give sx later in life? |
Transposition of great vessels
Later is L-R shunt, because of eisenmenger effect. |
