Preterm Problems Flashcards
1
Q
Common organisms causing infection in preterms
A
Gram + (S. aureus, CONS, GBstrep)
Gram - (E.coli, Klebsiella, pseudomonas)
Fungal (candida)
Viral (RSV)
2
Q
What is a normal BP for a preterm
A
MAP = gestational age
3
Q
Common causes of hypotension in the preterm
A
- acute blood loss
- sepsis, NEC
- hypoxia
- IVH
- extreme prematurity
4
Q
Causes of hypertension in the preterm
A
- iatrogenic
- vascular
- renal
- endocrine
- neurologival
5
Q
How to treat hypotension in preterms
A
- replace fluid losses using saline or blood as indicated by the underlying cause
- inotropes (dopamine, adrenaline)
- steroids (hydrocortisone)
- treat underlying cause
6
Q
Causes of hypoxia in preterms
A
Pre-partum
- placental failure, GPH, hypertension
Intra-partum
- abruption, cord prolapse, obstructed labour,
Post-partum
- apnoea, severe RD, fits, sepsis, hypothermia
7
Q
Clinical presentation of hypoxia in preterms
A
- central cyanosis
- bradycardia
- apnoea/ respiratory distress
- limp, poor responses
- poor perfusion
- low BP
