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50 Cards in this Set
- Front
- Back
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NEC
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Necrotizing ENterocolitis
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Intestinal Necrosis
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NEC
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Where does NEC usually occur?
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terminal ileum but may affect small and large intestine
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Most common GI emergency in the newborn.....
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NEC
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When is the usual onset of NEC?
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days 3 to 10
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greatest incidence of NEC occurs in infants less than....
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1500 grams
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what is the early sign of NEC?
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a change in feeding tolerance with gastric distention
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How might hypoperfusion present?
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mottling
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in stress/illness/infection blood glucose will....
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increase
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Most common complication of NEC?
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intestinal narrowing and stricture formation
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What is.....
Herniation of the abdominal contents through an abdominal wall defect? |
Gastroschisis
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Where does gastroschisis usually occur?
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to the right of the umbilicus
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how should a baby with gastroshisis be positioned?
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right lateral position to enhance venous return
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why should an infant with gastroschisis be laid in the right lateral position?
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enhance venous return
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An abdominal wall defect involving herniation of the bowel into the umbilical cord....is.....
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omphalocele
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What is....
Herniation of abdominal organs into the thoracic cavity through a defect in the diaphragm |
diaphragmatic hernia
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herniation of intestines through the diaphragm results in....
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lung hypoplasia
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how long after surgical repair of a diaphragmatic hernia should gastric decompression contine?
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7-10 days
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ABO incompatibility
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Mother with O and baby with A or B
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Rh incomparibility
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Rh mother and Rh+ fetus
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Polycythemia
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central venous heatocrit > 65%
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when does late onset/prolonged hyperbilirubinemia occur?
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2nd to 6th week of life
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when does phase 2 of hyperbilirubimenia occur?
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3-4 day of life
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phase 3 hyperbilirubinemia?
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hypertonia
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phase 2 of hyperbilirubinemia?
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hyper/hypotonia
back and neck arching fever and high pitched cry |
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TBW of the fetus
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95%
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where is Intracellular fluid?
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in the cell
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where is extracellular fluid?
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in the vascular space?
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TEWL
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transepidermal water loss
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what type of water loss occurs as body water diffuses through immature epidermis and is lost to the atmosphere?
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TEWL
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What is missing in the neonates skin that causes IWL?
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stratum corneum
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Normal sodium level?
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135-145
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What is the major extracellular cation
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sodium
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What regulates sodium and potassium?
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sodium-potassium pump
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how much sodium should be given to improve hyponatremia?
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1-4 mEq/kg/day
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normal potassium level?
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3.5-5.5
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major cation in ICF?
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potassium
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When can potassium supplementation be started?
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after urine output is established
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What meds can be given for increased hyperkalemia?
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calcium gluconate
sodium gluconate kayexlate |
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normal calcium?
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8-10.2
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when does early hypocalcemia occur?
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72 hours after birth
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when does late hypocalcemia occur?
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after 7 days of age
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preload
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blood filling the heart, filling the atria
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afterload
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peripheral vascular resistance
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contractility
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peripheral vascular resistance
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hypovolemic shock
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blood loss, too little volume
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cardiogenic shock
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myocardial failure
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myocarditis is often associated with......
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sepsis
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Distributive (septic) shock is caused by....
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impaired peripheral arterial risistance caused by sepsis
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GCSF is given to....
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boost neutrophil count
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