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Flashcards in Sick Term Infant Deck (23):
1

What blood stream infections can occur?

Bacteraemia
Septicaemia

2

What CNS infection can occur?

Meningitis

3

What other infections can occur?

Pneumonia
UTI
Necrotising enterocolitis

4

What organisms can cause bacterial infections?

Group B Strep
E.coli
Listeria myogenes
Staph aureus
Staph epidermidis

5

What viral infections can occur?

Cytomegalovirus
parvovirus
Herpes virus
Enterovirus
Toxoplasma gondii
HIV
Syphilis - Treponema pallidum

6

What is pregnancy/birth related - hypoxic ischaemic encephalopathy?

Multi organ damage due to tissue hypoxia
Poor apgar scores - active resuscitation
Neurodevelopmental sequeli - variable prognosis

7

What is TTN?

Transient tachypnoea of the newborn

8

What cardiac problems related to pregnancy and/or birth can occur?

Hydrops foetalis
Rhesus disease
Chromosomal

9

What congenital cardiac disease can occur?

Tetralogy of Fallot
Transposition of great arteries
Coartication of the aorta
TAPVD
Hypoplastic heart

10

What congenital respiratory defects can occur?

Tracheo-oesophageal fistula
Diaphragmatic hernia

11

What other congenital anomalies can occur?

Microcephaly
Spina bifida
Potters syndrome (renal)
Myotonic dystrophy

12

What history taking should be done when assessing a newborn?

Maternal - PMH, pregnancy issues, drugs, infection risks
Infant - fetal growth, fetal anomaly, delivery, resuscitation

13

What inspections should be done when assessing a newborn?

Tone
Level of arousal
Colour

14

What 2 vital signs are important to take when assessing a newborn?

Heart rate
Respiratory rate

15

What does the Apgar score take into account?

Heart rate
Resp rate
Tone
Colour
Respone

16

What should the resp rate be in a newborn?

40-60 per minute

17

What should the heart rate be in a newborn?

120-140 per minute

18

What should the cap refill be in a newborn?

2-3 seconds

19

What colour should a newborn be?

Pink/Blue/White

20

What should the oxygen saturations of a newborn be?

95%

21

What other features should be checked for?

Jaundice
Low tone (floppy)
Seizures
Poor feeding
Bilious vomit

22

What is the initial management for a newborn?

Regulate temperature
Maintain airway and breathing
Check circulation and potentially give fluid and inotropes
Monitor metabolic homeostasis e.g. glucose and acid-base balance
Antibiotics if needed

23

What further management may be required?

Ventilation
Drugs
Specific therapy e.g. therapuetic cooling
Surgery
Transfer