The Sick Term Infant Flashcards
Which sites are usually infected in the neonate
blood CNS- meningitis Resp- pneumonia GU- UTI Skin Bone Necrotising Enterocolitis
Which bacteria affect neonates
Group B strep E.coli Listeria Staph aureus Staph epidermidis
What viral infections can neonated have
cytomegalovirus parvovirus herpes virus enterovirus tosoplasma HIV syphilis
What is hypoxic ischaemic encephalopathy
Birth/pregnancy related multi organ damage due to tissue hypoxia
What occurs at birth with hypoxic ischaemic encephalopathy and what are the sequeli
poor apgar scores - requiring active resuscitation at birth
Neurdevelopmental sequel- variable prognosis
What pregnancy/birth related resp problems may occur in the neonate
transcient tachypnoea of the newborn
pneumothorax
what can cause pneumothorax in a neonate
spontaneous
due to active resucitation
what is transcient tachypmeoa of the newborn
a period of elevated resp rate shortly after birth
usually resolve in 24-48 hours
treatment is supportive with oxygen and sometimes antibiotics
what heart problems can be pregnancy or birth related in the newborn
hydrops faetalis (heart failure - rhesus disease, chromosomal
persistant pulmonary hypertension of the newborn
congenital heart disease
name some congenital heart diseases
tetralogy of fallot transposition of the great arteries coartication of the aorta TAPVD hypoplastic heart
give some congenital respiratory disease
trachea-oesophageal fistula
diaphragmatic hernia
what is microcephaly
when the head is small compared to the body
what things make up the apgar score
heart rate 2 resp effort 2 tone 2 colour 2 response 2 total - out of 10
what is the normal resp rate of a newborn
40-60/min
what is the normal heart rate
120-140 bpm
