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Difficult Numbers To Remember > CPS difficult numbers > Flashcards

CPS difficult numbers Flashcards

1
Q

How much Vit K to give neonate based on weight class, and how much IM/PO?

A

give 0.5mg to <1500g, or 1.0mg to >1500g, or 2mg PO VIt K at birth and repeated at 2-4weeks, then 6-8 weeks

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2
Q

Neonate with hypoglycemia - what to do on first fail, what to do on second fail?

A

Give 0.5mL/kg of 40% oral dextrose gel, or feed 5mL/kg formula (should breastfeed too in both situations) , but second time is 8mL/kg, if is less than 1.8 after 1st try then should do IV

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3
Q

Early onset sepsis evaluation - do CBC at _ hours of life?

A

4 hours of life

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4
Q

EOS eval - what are the abnormal parameters?

A
  • WBC<5, *ANC<1.5, WBC>30

- can watch infants with resp distress alone for up to 6 hours before deciding to do bloodwork/antibiotics

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5
Q

Pulse ox screening - what constitutes a borderline screen?

A

pulse ox screening is between 24 and 36 hours of life , 90 to 94% OR over 3 percent difference per and post is borderline. 3 or less difference is normal .

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6
Q

ROP screen which babies, and when?

A

ROP screen all babies less than or equal to *30 +6 weeks GA, or 1250 g or less, and needs to done at 31 weeks corrected or 4 weeks whichever is older

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7
Q

What minimum gestation to give iNO?

A

35 weeks

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8
Q

If an infant takes in ____ volume of milk, they don’t need extra Vit D

A

1 litre

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9
Q

Post splenectomy antibiotic prophylaxis - how long

A

post-splenectomy antibiotic prophylaxis - recommended for *2 years after splenectomy, and in all children <5 years, and ideally lifelong
*-for asplenia for other reasons - *at least until age 5, ideally lifelong

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10
Q

Asplenia for other reasons antibiotic prophylaxis, how long?

A

at least until age 5, ideally lifelong

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11
Q

Live vaccines can be given - __ month after high dose steroids?

A

1 month

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12
Q

Live vaccines can be given ___ month after chemo?

A

3 months

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13
Q

Live vaccines can be given ___ month after anti-b cell antibody thearpy?

A

6 months

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14
Q

Live vaccines can be given ___ month after IVIG therapy

A

11 months

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15
Q

Test mom for Zika serology AND PCR if the exposure was within _____(period of time?)

A

4 weeks

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16
Q

DDH - when should first US be? When should X ray be done?

A

US - 4 weeks is earliest, 4-6 months for xray as ossification happens then

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17
Q

NRP - what gestation should you increase FiO2?

A

less than 35 weeks

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18
Q

NRP: After ___ seconds of PPV, assessment of HR should take place.

A

15 seconds

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19
Q

NRP - reassess HR after how long of chest compressions?

A

60 seconds. Contrast this to BLS which is 2 minutes for reassessment after chest compressions. ECG is the preferred method to assess HR

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20
Q

NRP - what gestation to use plastic bags?

A

Less than 32 weeks

21
Q

For LBW baby, how much iron to give for each weight class? For how long? if breast fed? if formula fed?

A

**Weight 2 to 2.5 kg - give additional iron 1 to 2 mg/kg/day for first 6 months
**Weight less than 2 kg - iron supplement 2-3 mgkgday for first year .
If they are predominantly formula fed , should give a high iron formula which should meet the requirements already (I.e. preterm formula )

22
Q

Rotavirus - when should you stop; past when can you not give?

A

rotavirus cannot start after 15 weeks or end after 8 months of age, i.e. start at 6 weeks, first dose latest is 15 weeks, second dose latest is 8 months

23
Q

Good asthma control is: ___ daytime symptoms/ Ventolin use per week?

A

Less than 4 times a week is good control

24
Q

Mild C diff is how many stools a day?

A

less than 4 stools a day, if 4 or more then is moderate

25
Q

Pregnant mom untreated syphillis?

A

LP, BCx and baby gets full course of penicillin

26
Q

Mom untreated gonorrhea?

A

conjunctival culture and baby gets 1 dose ceftriaxone

27
Q

Mom untreated chlamydia?

A

no testing or treatment unless symptomatic

28
Q

Mom HIV? How to confirm negative or positive status?

A

zidovudine for 6 weeks , HIV PCR at birth. Confirming negative status needs 2 PCRs negative at* >1 month and >2 month. Confirming positive status needs either 2 positive PCR *<18 months, or positive serology past *18 months

29
Q

How to define delayed puberty?

A

defined as no thelarche in age *12 to 13, no testicular enlargement age 13-14

30
Q

Screening for complications of diabetes: Nephropathy - start at what age, what interval?

A

Yearly screening starting age *12, only if duration diabetes >5 years

31
Q

Diabetes screening for : Retinopathy -

A

Yearly screening starting age 15, only if duration diabetes >5

32
Q

Diabetes screening for : Neuropathy -

A

Yearly screening starting age 15, if duration >5 years, and poor control

33
Q

Diabetes screening for : Dyslipidemia -

A

Screen at age 12 and 17

34
Q

Diabetes screening for : Hypertension

A

All children, twice a year

35
Q

Imaging preterm brain - what GA should infants get HUS ?

A

-All infants at 31+6 or less should get routine HUS

  • At 32-32+6, only do HUS if risk factors for hemorrhage or ischemia
    • Ex:the need for resuscitation or critical care out of keeping with the usual neonatal course for GA, a complicated monochorionic twin pregnancy, microcephaly, or a postnatal course complicated by sepsis, NEC, major surgery, or abnormal neurological signs
36
Q

If you are doing screening newborn HUS, what age should the first one be? What does the first HUS look for?

A

DOL4-7 - hemorrhage

37
Q

Do you do a 2nd screening newborn HUS? On which populations? If so, at what DOL? What does the repeat HUS look for?

A

**-Then do a repeat at 4-6 weeks if <=31+6, or if 32 weeker and first scan abnormal. Looks for PVHD, WMI

38
Q

Who needs a term HUS?

A

If <26GA, or if complicated NICU course, or mod-severe abnormality on previous HUS, do repeat Term HUS. Otherwise don’t need term HUS.

39
Q

Who should receive meningococcal chemoprophylaxis, and with what agent?

A

Rifampin for all contacts

40
Q

Who should receive HiB chemoprophylaxis, and with what agent?

A

Rifampin for: all occupants of contact households with infants <12 months old (who have not completed the primary Hib immunization series), children <4 years old who are incompletely immunized, or immunocompromised children of any age.

41
Q

Teeth : When should a baby see the dentist for the first time?

A

see dentist by 1 year or within 6 months of tooth eruption.

42
Q

What age is youngest for fluoride supp are you allowed ?

A

6 months

43
Q

Before age 1, how do you clean teeth?

A

Damp cloth

44
Q

Age 1 and 2, how clean teeth?

A

tooth brush, tooth paste, no fluoride

45
Q

What age do you start brushing with fluoride?

A

3 years

46
Q

Mom with active HSV lesions at delivery - first episode, born vaginally after membrane rupture , what to do?

A

Empiric acyclovir
Swab at 24 hrs
If swab positive, full workup and treatment
If swab nevative, complete 10 days of IV acyclovir!!

47
Q

Mom with active HSV lesions at delivery - first episode, born C section after membrane rupture, what to do?

A

Empiric acyclovir
Swab at 24 hrs
If swab positive, full workup and treatment
If swab nevative, complete 10 days of IV acyclovir!!

48
Q

Mom with active HSV lesions at delivery - first episode, born C section prior to membrane rupture, what to do?

A

Swab at 24 hrs - if positive, full workup and treatment

Otherwise no acyclovir needed

49
Q

Mom with active HSV lesions at delivery - recurrent episode , what to do?

A

Swab at 24 hrs - if positive, full workup and treatment

Otherwise no acyclovir needed

Difficult Numbers To Remember (1 decks)

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