Pædiatri 4 feb.

Question 1

Overall survival prognosis dependent on the gestational age, GA
24weeks
25weeks
26weeks
27weeks
28weeks
29weeks
32weeks

Answer 1

Survival in procent:

40% - 24weeks 
50% - 25weeks
60% - 26weeks
70% - 27weeks
80% - 28weeks
90% - 29weeks
97% - 32weeks

Steroid and surfactant have a 1-2 weeks better prognosis than GA

<85% og mediant weight - 1 week worse prognosis than GA

<75% og median weight - 2 weeks worse prognosis compared than GA

Question 2

A baby born with a GA 30+1 which should you focus on at:

Seconds to minutes

Minutes to hours

Hours to days

Answer 2

Seconds to minutes

• Hypothermia
• Hypoglycemia
• RDS (respiratory depression syndrom)

Minutes to hours
- Infections

Hours to days
- Hyperbilirubinemia

Question 3

Lung symptoms in the early stage

Answer 3

Decreased surfactant leads to RDS

Prevention:
- Antenatal steroid (24 hours)

Treatment:

• Surfactant
• Nasal CPAP
• Oxygen
• Ventilator
• Caffeine

Question 4

Brain early and later symptoms with preterm born babies

Answer 4

Fragile blood vessels: CO2 and blood pressure intability

Intrapa

Question 5

Brain early and later symptoms with preterm born babies

Answer 5

Fragile blood vessels: CO2 and blood pressure intability

Intrapa

Question 6

4 week old boy, only gaining 200g, sweating,

Answer 6

St. c. and p
saturation
Palpation og liver, Hepatomegaly
Femoral pulses

Further
BP and ECG and xray

Question 7

5 things to think about when a child is ill

Answer 7

S MC

• Sepsis, sepsis, sepsis
• Metabolic disease
• CHD, Congenital Heart Disease

Question 8

4 week old boy, only gaining 200g, sweating,

Answer 8

St. c. and p
saturation
Palpation og liver, Hepatomegaly
Femoral pulses

Further
BP and ECG (EKKO) and xray

Question 9

5 things to think about when a child is ill

Answer 9

S MC

• Sepsis, sepsis, sepsis
• Metabolic disease
• CHD, Congenital Heart Disease