sick newborn Flashcards
1
Q
clinical assessment of the newborn
A
- maternal history
- fetal history (growth, anomaly, delivery, resus)
- tone
- level of arousal
- colour
- vital signs
2
Q
when is Apgar score measured
A
at 1min and 5 mins
3
Q
what temperature should a baby be
A
37.5
4
Q
what should a babies resp rate be
A
40-60/minute
5
Q
what should heart rate be in a baby?
A
120-140/min
6
Q
what should cap refill be in a baby
A
2-3 seconds
7
Q
what colour should a baby be
A
pink/blue/white
8
Q
what should oxygen sats be in a baby
A
95%
9
Q
how would you manage any circulation problems
A
- fluids
- inotropes
10
Q
initial management of newborns
A
- temperature
- airway and breathing (oxygen?)
- circulation
- metabolic homeostasis (glucose management, acid-base balance)
- antibiotics
11
Q
how does sepsis present in a newborn
A
- quiet
- poor feeding
- floppy
- tachypnoea
- apnoea
- tachycardia
- bradycardia
- temp instability
12
Q
sites of infection in babies
A
- blood stream
- CNS
- respiratory
- GU - UTI
13
Q
most common bacterial infection in babies
A
group B streptococcus
14
Q
what antibiotic for gram positive and negative
A
benzylpenicillin
15
Q
what antibiotic for additional gram negative cover
A
gentamicin
