Neonatology Flashcards
(102 cards)
what is early onset infection
signs early onset infection
respiratory distress, apnoea, temperature instability
what is late onset infection
> 48h after birth. from the infants environment
what organism most common in late onset
staph epidermidis (coag negative staph)
signs of neonatal meningitis
bulging fontanelle, hyperextension of neck and back (opisothotonus), late signs
what % women carry group B strep
10-30%
in colonised mothers what are the risk factors for group B
prem, prolonged rupture of membranes, maternal temp >38 in labour, maternal chorioamniotis, previously infected infant
in colonised mothers what are the risk factors for group B
prem, prolonged rupture of membranes, maternal temp >38 in labour, maternal chorioamniotis, previously infected infant
signs early onset infection
respiratory distress, apnoea, temperature instability
what is late onset infection
> 48h after birth. from the infants environment
predictive signs for severe illness in infant
seizures, stiff limbs, cyanosis, capa refill >3s, difficulty feeding, t 60, lethargy, grunting, t >37.5
signs of neonatal meningitis
bulging fontanelle, hyperextension of neck and back (opisothotonus), late signs
what % women carry group B strep
10-30%
if conjunctivitis is purulent discharge swelling of eyelids at 1-2 weeks
chlamydia trachomatis- give erythromycin for 2 weeks
in colonised mothers what are the risk factors for group B
prem, prolonged rupture of membranes, maternal temp >38 in labour, maternal chorioamniotis, previously infected infant
symptoms of hypoglycaemia in the neonate
jittery, irritable, apnoea, lethargy, drowsy, seizures
management early onset infection
benzylpenicillin + gentamicin for 10-14 days
management late onset infection
flucloxacillin + gentamicin
predictive signs for severe illness in infant
seizures, stiff limbs, cyanosis, capa refill >3s, difficulty feeding, t 60, lethargy, grunting, t >37.5
how should high concentration glucose be administered
central venous line- to avoid extravasation into the tissue which can cause necrosis and reactive hypoglycaemia
if there is a delay in IV glucose in hypoglycaemia what can be given
glucagon or hydrocortisone
if conjunctivitis is purulent discharge swelling of eyelids at 1-2 weeks
chlamydia trachomatis- give erythromycin for 2 weeks
when is hypoglycaemia likely
IUGR, preterm, born to mother with diabetes, large for dates baby, hypothermic, polycythaemia, ill
symptoms of hypoglycaemia in the neonate
jittery, irritable, apnoea, lethargy, drowsy, seizures