Neonatal - sick term infant

Question 1

37 weeks gestation and above

Answer 1

term infant

Question 2

first 28 days of life

Answer 2

neonatal

Question 3

antibiotic choice for treatment of sepsis in babies

Answer 3

benzylpenicilin - gram positive and gram neg cover
gentamicin - additional gram neg cover
synergistic effect for group b strep - cefotaxime

Question 4

describe TTN

Answer 4

transient tachypnoea of the new born
- most common in tern infants delivered by caesarean section
due to delay in clearing lung fluid
lung fluid usually clears into intersitium and then to lymphatic system
depended on active Na channels - activated by adrenaline
CXR shows fluid in the horizontal fissure
resolves in 24 hours of life

Question 5

what respiratory conditions can newborns get

Answer 5

TTN
pneumothorax
RDS
meconium aspiration syndrome
hypoxic ischaemic encephalopathy