Pallor, Bleeding And Plethora In The Newborn

Question 1

Treatment of isoimmunne anemia in the newborn (hemolytic disease of the newborn)

Answer 1

If amniocentesis show severe anemia:Intrauterine transfusion

Phototherapy & exchange transfusion if jaundice

Question 2

Prevention of isoimmunne anemia in the newborn (hemolytic disease of the newborn)

Answer 2

Anti D antibodies to the mother starting 28 w gestation

Question 3

Cause of bleeding in hemorrhagic disease of newborn

Answer 3

Vit. K dependant clotting factors deficiency

Question 4

Diagnosis of hemorrhagic disease of the newborn

Answer 4

prolonged PT with normal platelet count
and fibrinogen +/- a prolonged PTT is diagnostic of
Vitamin K deficiency
– Low levels of factors 2, 7, 9 and 10

Question 5

Prevention of hemorrhagic disease of the newborn

Answer 5

– Vitamin K administration to the newborn (1 mg
IM) in the delivery room

Question 6

Treatment of hemorrhagic disease of the newborn

Answer 6

Fresh frozen plasma
Vit. K
blood transfusion

Question 7

Definition of polycythemia in the newborn

Answer 7

– Hematocrit level > 65

– Hemoglobin > 21 gm/dL

Question 8

Treatment of polycythemia in the newborn

Answer 8

– If hematocrit is 65-70: push
fluids

– IF hematocrit > 70 : partial
exchange transfusion with
plasma or saline