PEDS Review Cards Flashcards
Eval and Management of a newborn during immediate perinatal period
Neonatal resuscitation
Oxygen
IV fluid bolus– 10 mL/kg NS
—Indicated for hypovolemia/hypotension concerns
Epinephrine
—Asystole or bradycardia unresponsive to O2
—Prefer IV route; ET route has unpredictable results but can use
Naloxone (Narcan) - reverses narcotics/opioids given to mother during labor
If mother is narcotic/drug abuser/addict or on methadone, do NOT give to infant!
!Leads to neonatal withdrawal seizures!
ApGAR scale
1 and 5 minutes
At one minute reflect the birthing process
At 5 reflects adaptation to environment
If less than 8 repeat at 5 min intervals
Neonatal examination prior to discharge IAW NEP and BATES
Normal and AbNML findings on a neonate phys exam IAW NEP
NEONATAL jaundice
NML vs ABNML
Neonatal sepsis
RSK Fx: Prematurity (6x greater) Prolonged rupture of membranes (>24 hrs) Maternal Group B Strep (GBS) Colonization Maternal Fever Amnionitis Fetal Tachycardia—indicator of stress
Early Onset: GBS, E. Coli, Klebsiella, Listeria, Salmonella, Mycoplamsa
Late Onset: H. Flue, Staph, HSV, CMV, Enterovirus, S. Pneumo, Neisseria
Start empiric abx as soon as labs are drawn!
-IV Ampicillin & Gentamicin if <3 weeks of age
-IV Ampicillin & Cefotaxime if >3 weeks of age
Liver not functioning well until then
Consider adding Vancomycin if late onset and/or meningitis present
MRSA coverage
Consider adding Acyclovir if concern for HSV infection
Neonatal Resp Distress
Grunting
Hyaline membrane Dz
Common in <34 wks (surfactant)
Preventive Treatment prior to birth
-Maternal steroids prior to delivery (32-34 wks) to mature infant lungs
Treatment after birth
Intubation & respiratory support
Artificial surfactant via ET tube
Neonatal hypoglycemia
Standard vaccines Neonate
Eyes/Thighs Neontate
Hearing Screen Neonate
CV screen Neonate
Newborn reflexes
Transient tachypnea of the newborn
Mecanismo aspiration
Newborn anemia
Growth metrics Lecture 3
Growth patterns
Biometric measurements IAW NEP
Breast vs Bottle feedings
Contradictions for Immunizations
immunization schedules
Time intervals for well baby checks
Cradle cap
Thrush
Diaper rash
When to start solids
When to start cows milk
When to avoid honey
When to avoid juice
Allergies in growth and development