Neonatology management Flashcards
Increasing management of persistent pulmonary hypertension of the newborn (PPHN)?
Ventilation Oxygen NO Sedation Inotropes ECLS (ECMO)
Management of hypothermia in neonates?
Dry Hat Skin to skin Blanket/clothes Heated mattress Incubator
Management of high unconjugated bilirubin in a neonate.
Phototherapy
Exchange transfusion
Management of neonate at risk of hep B.
Immediate vaccination
Management of neonate at risk of TB?
BCG vaccine in first month
What is therapeutic cooling and what is it used for?
Total body cooling to 33.5 degrees for 72 hours
Helps ischaemic neurological insult, can prevent cerebral palsy
Do angiomas need to be treated in a baby?
No they will go away on their own
How can you treat spinal muscular atrophy?
By modifying RNA
Necrotising enterocolitis preventative management
Give premature babies special feeds
Expressed breast milk is best
Necrotising enterocolitis management
Stop enteral feeds
Supportive management
Antibiotics
Surgery if perforation
Meconium ileus management
Putting in contrast can get things moving
If not then operation with temporary stoma formation
Jejunal atresia management
Surgery (duh)
Inguinal hernia management
Prompt surgery (duh)
What is the name of the operation to treat malrotation?
Division of lads bands
What risk factors would make you give prophylactic antibiotics to a neonate?
Mother has received antibiotics for confirmed infection 24 hours before, during, or 24 hours after labour
Resp distress >4 hours after birth
Multiple birth where other baby has suspected or confirmed infection
Previous child with group B strep disease
