peds Flashcards
Indocin
↓ PGE1, ↓ DA
Ventricular Septal Defect
- Digitalis
- Diuretics
- Surgical closure
Patent Ductus Arteriosus
- Acyanotic
- Wait
- Indocin
- Administer PGF
- surgical
- Band it
Live birth
complete extraction from the mother of a fetus who shows signs of life
PGI2, PGE1
↑ pulmonary vessels
week 22-24
- lungs are developed well enough that life ourside uterus is possible
- formation of saccules
- formation of acinus
Alprostadil
↑ DA and pulmonary vessels, not specific
Newborn
the first 24 hours of extra-uterine life
Coarctation of the Aorta
- dilation of vessel
- Stent placement
- end-to-end anastomosis
LGA
Large for gestational age
Chlorpromazine
↑ Pulmonary vessel (non specific)
day 24
lung budding from gut tissue
Canalicular stage
- 17-26
Term birth
Between 38-42 weeks
Total Anomalous Pulmonary Venous Return
pulmonary veins direct blood back into venous system
Hypoxia/Hypoxemia
↓ pulmonary vessels, ↑ ductus arteriosus
embryonic
- 0-6 weeks
- differentation of lung tissue and major airway development
Artial Septal Defect
- wait
- surgical closure
week 5
lymphatic system begins developement
Fetus
8 weeks post fertilization to birth
Transposition of the the great arteries
great vessels are going to the wrong chambers
Saccular stage
27-36 weeks
Alveolar stage
- 37 weeks - 8 years of age
Abortion
the deliberate termination of a pregnancy
SGA
small for gestational age
Tetralogy of Fallot
Characteristics
- VSD
- Pulmonary Artery
- Misplaced Aorta
- RV hyperophy
Treatment
PEG1 to help dilate the ductus arteriosus
Surgery
Child
from one year to 8 years
Stillborn
birth of a fetus who shows no signs of life
Extremely low birth weight
less than 1000 g
APGAR
- _
- _
- _
- _
- _
- A appearance
- P pulse
- G grimace
- A activity
- R respirations
7-10 normal care
4-6 some oxygen
0-3 poor bag mask ventilation
how to treat Erythroblastosis Fetalis?
administration of Rhogam
Very low birth weight
less than 1500 g
NO (nitric oxide)
↑ pulmonary vessels, specific
Low birth weight
less than 2500 g
38-42 weeks
- 7.5 lbs
- heart rate: 120-140 b/min
- RR 30-40 min
- 50 million alveoli
- lung surface area, 2.8 m2
- lymph system well developed
week 16
number of conducting airways remains unchanged through life
week 15
deposition of brown fat
week 12
- weighs one ouce
week 35
- lungs are fully matured for life outside utero
- 500 ml of urine per day
Hypoplastic left heart syndrome
- Norwood
- Glenn
- Fontan
Post-term
after 42 weeks gestation
AGA
Appropriate for gestational age
Truncus Arteriosus
fused arota and pulmonary/
Normal birth weight
2500 g- 4000g
Neonate
from birth to 28 days
Premature
Born before 38 weeks
Embryo
First seven weeks post fertilization
PseudoGlandular stage
- 7-16 weeks
- bronchial formation down to and including the terminal bronchi
- 1 inch
Tricuspid Ateria / Pulmonary Artery Stenosis
keep ductus arterosis open
week 28
carotid chemoreceptors are maturing
Low CO2
↑ pulmonary blood vessels
Newly born
at the time of birth
Placenta job
- hormone secretion
- Transfer of nutrients
- storage of iron, calcium, protein, and glycogen
week 9
- kidney’s produce urine in utero
