Sick Term Infant Flashcards
When is the neonatal period?
0-27 days
What is the initial managment of the sick infant?
- temperature
- airway and breathing
- oxygen
- Circulation
- fluids
- inotropes
- metabolic homeostasis
- glucose management
- acid-base balance- correction
- antibiotics
Describe the ongoing management of sick term infant?
Diagnostic work-up
Further support
- ventilation
- drugs*
- specific therapy- therapeutic cooling*
- surgery*
- transfer*
Care of the family
What are the common sites of infectionin an infant?
- blood stream- bacteraemia/septicaemia
- CNS- meningitis
- Respiratory- pneumonia
- GU-UTI
- skin
- bone
- GI- necrotising enterocolitis
What are the common viral infections in sick infants?
Cytomegalovirus
Parvovirus
Herpes Virus
Enterovirus
What is hypoxic ischaemic encephalopathy?
Multi organ damage due to tissue hypoxia
Neurodevelopmental sequeli- variable prognosis
What can cause heart failure in neonates?
Hydrops foetalis
What are the congenital cardiac diseases?
- tetralogy of fallot
- transposition of the great arteries
- coarctation of the aorta
- Total anomalous pulmonary venous drainage (TAPVD)
- Hypoplastic heart
List two neurological congenital anomalies
Microcephaly
Spina bifida
What can cause acidosis in a baby?
Inborn error of metabolism