Sick Term Infant Flashcards

1
Q

When is the neonatal period?

A

0-27 days

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2
Q

What is the initial managment of the sick infant?

A
  • temperature
  • airway and breathing
    • oxygen
  • Circulation
    • fluids
    • inotropes
  • metabolic homeostasis
    • glucose management
    • acid-base balance- correction
  • antibiotics
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3
Q

Describe the ongoing management of sick term infant?

A

Diagnostic work-up

Further support

  • ventilation
    • drugs*
    • specific therapy- therapeutic cooling*
    • surgery*
    • transfer*

Care of the family

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4
Q

What are the common sites of infectionin an infant?

A
  • blood stream- bacteraemia/septicaemia
  • CNS- meningitis
  • Respiratory- pneumonia
  • GU-UTI
  • skin
  • bone
  • GI- necrotising enterocolitis
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5
Q

What are the common viral infections in sick infants?

A

Cytomegalovirus

Parvovirus

Herpes Virus

Enterovirus

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6
Q

What is hypoxic ischaemic encephalopathy?

A

Multi organ damage due to tissue hypoxia

Neurodevelopmental sequeli- variable prognosis

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7
Q

What can cause heart failure in neonates?

A

Hydrops foetalis

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8
Q

What are the congenital cardiac diseases?

A
  • tetralogy of fallot
  • transposition of the great arteries
  • coarctation of the aorta
  • Total anomalous pulmonary venous drainage (TAPVD)
  • Hypoplastic heart
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9
Q

List two neurological congenital anomalies

A

Microcephaly

Spina bifida

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10
Q

What can cause acidosis in a baby?

A

Inborn error of metabolism

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