Newborn Flashcards
DC at 24 hours, when follow up?
Within 48 hours, 24 hours is not normally needed
DC at 48 hours, follow up?
3-5 days
Early Onset Sepsis
< 7 days
1. GBS 2. Ecoli 2. Klebseilla, enterocabacter
Hep B Unknown > 2 kg
Vaccine within 12 hours
Immunoglobin within 7 days
Hep B Unknown < 2 kg or Positive
Vaccine AND immunoglobin within 12 hours
Hyperbili Risk Factors: Need to monitor more
TCB close to tx level
Juandice in first 24 hours or need photo tx
Hemolytic disease/ABO
Cephalohematoma/bruising
Exclusive breastfeeding
Macrosomia
Down syndrome
G6PD Risk Factors
Sub-Saharan Africa, Middle East, Mediterranean, Arabian Peninsula, and Southeast Asia)
Neurotoxicity Risk Factors (for need for Tx, different curves), what 4 things?
What age less than is a risk factor
Isoimmune Hemolytic Disease/G6PD deficiency
Temp instability
Sepsis
Albumin < 3.0
< 38 weeks
Bili example of 35 weeks with risk factors at 24 hours- need to treat
9-10.5 (risk factors 38 weeks)
Bili example of 35 weeks without risk factors
10-13 (no risk factors 38 weeks)
Low risk Bili
Mid risk Bili
High risk Bili
Low risk > 38 weeks
Mid risk > 38 weeks + risk factors or 35-37 weeks no risk
High risk- 35-37 + risk factors
Elevated inflammatory markers
PCT > 0.5
Temp > 38.5
ANC > 4000-5000
CRP > 20 mg/L (2 mg/dL)
Neonatal sepsis treatment
Amp + Ceftriaxone
Amp + Ceftaxoime or Ceftazidime
GBS Prophylaxis
Prior hx of neonate with invasive diseae
+GBS CX or GBS bacteriuria at any point
Unknown + < 37 weeks, GBS prior pregnancy, > 18 hours ROM, Temp > 100,4
Erb Palasy
C5-C6
waiters tip
