OME Neonatal ICU

Question 1

BronchoPulmonary Disease

Answer 1

Started with RDS
from decrease surfactant
decrease alveoli.

Pt: increase oxygen demands,
increase FiO2 for 28 days or more (transition from RDS to BPD)
Lung protective strategy
Dx: X-ray shows ground glass opacities

Tx: surfactant (post-natal)
Steroids (Ante-natal)

F/U: DPLD (diffuse parenchyma lung disease)

Question 2

Retinopathy of Premie

Answer 2

Path: neoangiogenesis, increase FiO2
Dx: Eye Exam
Tx: Laser
F/U: Glaucoma

Question 3

Intraventricular Hemorrhage

Answer 3

Path: Highly Vascular Ventricles. Changes in BP

Pt: Premie asx
Inc ICP (Will produce mass effects)

Dx: Cranial Doppler

Tx: Decrease ICP…. VP shunts and drains

F/U: mental retardation, Seizure

Question 4

Necrotizing entercolitis

Answer 4

Path: dead gut

Pt Premie…. Bloody BM

Dx: X-ray= pneumatosis intestinalis

TX: NPO, IV Abx (against gram negative), TPN
F/U: surgery