Sick term infant Flashcards
sick baby causes
pregnancy/birth related
congenital anomalies
metabolic
infection
infection
antenatal
perinatal
post natal
bacterial, viral, fungal
sites of infection
blood stream - bacteraemia/septicaemia CNS - meningitis resp - pneumonia GU - UTI skin bone GI - NEC
bacteria infection organisms
group B strep EColi listeria myogenes SA staph epidermis
viral infections
CMG parvovirus herpes virus enterovirus toxoplasma gondii HIV syphilis
preg/birth related such as hypoxic ischaemic encephalopathy
what is it
ix and action
prognosis
multi organ damage due to tissue hypoxia
poor apgar score - active resuscitation required
neurodevelopment sequili - prognosis variable
respiratory preg/birth issues
transient tachypnoea of the newborn
pneumothorax - spontaneous or secondary due to active resuscitation
cardiac preg/birth issues
heart failure - hydrops foetalis
failure to adopt to postnatal life - persistent pulmonary hypertension of the newborn
congenital disease cardiac
tetralogy of fallot translation of the great arteries coarctation of the aorta TAPVD hypoplastic heart
congenital disease respiratory
teacher-oesophageal fistula
diaphragmatic hernia
other congenital anomalies neurological
renal
muscular
microcephaly, SB
potters syndrome
myotonic dystrophy
metabolic disease
hypoglycaemia
acidosis - inborn error of metabolism
newborn clinical assessment
history
inspection - tone, level of arousal, colour
vital signs - HR, RR
RR
HR
cap refill
sats
40-60/min
120-140/min
2-3 seconds
95%
initial management TACMA
Temp Airway and breathing - oxygen? circulation - fluids, inotropes metabolic homeostasis - glucose management, acid base balance - correction? antibiotics
