Contents Chapter Topic Page Neonatology Respiratory Cardiology

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5 minutes Apgar score is useful to indicate response to resuscitation and is a rough prognostic indicator. If a baby scores 100 mmHg) 10. Suction catheters (F5 - F12) 11. Stethoscope – paediatric/ neonatal 12. Umbilical catheterization set with F3.5 and F5 catheters. 13. Endotracheal tubes, size 2.5, 3.0, 3.5, 4.0 mm internal diameter 14. Meconium aspirators 15. Sterile syringes and needles: 1, 2, 5, 10 mls, G21, G23, G25, G19 16. Drugs: • Volume Expanders (Normal Saline or Ringer’s lactate) • Adrenaline 1:10000 ( dilute with distilled water 1ml of 1:1000 adrenaline to 10 ml) • NaHCO3 4.2% ( dilute 8.4% NaHCO3 with equal volume of distilled water) • Naloxone (0.4mg/ml preparation) 17. Prewarmed dry towels ( put under radiant warmer) 18. Sterile umbilical catheterisation tray Before each resuscitation, ensure the following (which would depend on the estimated size or gestation of the baby): • Heater is switched on, • Warm towels have been prepared. • Oxygen tank is full or nearly full. • Suction apparatus is working. • Proper sized masks, ETT tubes, suction catheters are prepared • Correct sized laryngoscope blade is chosen and the laryngoscope is working. • Check that the resuscitation bag-valve mask device is functioning properly including the pop-off valve.
• Drugs are available (and prepared if history suggestive of need). (See the preparations used in section of drugs) RESUSCITATION 1. Place infant on preheated radiant warmer 2. If thick or particulate meconium is in the amniotic fluid, perform a tracheal suctioning. (See notes on Meconium stained liquor). 3. Position the infant with neck slightly extended and suction the mouth first and then the nose. Suction should be gentle, brief and not too deep (may cause reflex bradycardia). 4. Dry amniotic fluid thoroughly from the baby and remove the wet linen from contact with infant. 5. Evaluate the respiration, heart rate and colour. 6. NG tube insertion after 2 minutes of Bag-valve-mask PPV. 7. Indications for Endotracheal Intubation: When prolonged PPV is required. When bag-and mask ventilation is ineffective When tracheal suctioning is required. When diaphragmatic hernia is suspected. 8. It is important to minimise hypoxia during intubation. Steps to do so include: Providing free-flow oxygen during intubation without interfering with the procedure. Limiting intubation attempts to 20 seconds. Providing appropriate ventilation with bag and mask using 100% O2 before and between intubation attempts. 9. Vascular Access – peripheral IV line; umbilical vein or intraosseous.
Page 1 and 2: Contents Chapter Topic Page 1 Norma
Page 3 and 4: Dermatology 67 Atopic Dermatitis…
Page 5 and 6: Dato’ Dr. Lim Nyok Ling Consultan
Page 7 and 8: ISSN 1823-3856 Printed by: Perniaga
Page 9 and 10: Foreword One of the maxims of scien
Page 11 and 12: B. Anthropometric Measurements a) H
Page 13 and 14: Immunisation 1. Immunisation schedu
Page 15 and 16: 2 General Notes 2.1 Many vaccines (
Page 17 and 18: 3.5.6 Rubella - Contraindicated in
Page 19 and 20: 4.8 Rubella May have rash, fever,
Page 21 and 22: 5.5 Close contacts of immuno-defici
Page 23 and 24: Developmental Assessment Developmen
Page 25 and 26: Hearing Assessment Warning signs fo
Page 27 and 28: Global Developmental Delay History
Page 29 and 30: Developmental Milestones Table AGE
Page 31 and 32: AGE Gross Motor Vision & Fine Motor
Page 33 and 34: Principles of Transport of the Sick
Page 35 and 36: 3.1 Airway Management Establish a p
Page 37 and 38: 3.7 Environment Neutral Thermal Env
Page 39 and 40: 7. Special Surgical Conditions 7.1
Page 41 and 42: • Ventilation - Most of the babie
Page 43: Neonatal Resuscitation High Risk De
Page 47 and 48: Meconium stained liquor: Meconium i
Page 49 and 50: Summary: Use of medications during
Page 51 and 52: Definition Premature infant: < 37 w
Page 53 and 54: 8. Supplements: a. At birth : Vitam
Page 55 and 56: Enteral Feeding in Neonates 1. Intr
Page 57 and 58: 32 weeks Well babies Start milk imm
Page 59 and 60: Total Parenteral Nutrition for Neon
Page 61 and 62: Clearance is usually monitored by m
Page 63 and 64: Daily weight Meticulous care of th
Page 65 and 66: Monitor BUSE and correct any imbala
Page 67 and 68: C. UAC and UVC care UAC position Le
Page 69 and 70: HIGH FREQUENCY OSCILLATORY VENTILAT
Page 71 and 72: 6. Infants must be monitored closel
Page 73 and 74: pH , PaCO2, PaO2, HCO3 - , Bases Ex
Page 75 and 76: Q. Name a likely diagnosis A. RDS 3
Page 77 and 78: A. Definition Birth Asphyxia There
Page 79 and 80: E. Management I. Good intrapartum c
Page 81 and 82: c. All doctors managing such infant
Page 83 and 84: Etiology Determination of etiology
Page 85 and 86: FLOW CHART: MANAGEMENT OF NEONATAL
Page 87 and 88: 2. Klauss & Fanaroff: Care of The H
Page 89 and 90: D. Asymptomatic Hypoglycaemia Feed
Page 91 and 92: NEONATAL JAUNDICE What is jaundice?
Page 93 and 94: Physical examination • General co
Page 95 and 96:
Once the baby is on phototherapy, v
Page 97 and 98:
Reference: extracted from MOH publi
Page 99 and 100:
- 1ml of 4.2% NaHCO3 given for ever
Page 101 and 102:
a. If unconjugated hyperbilirubinae
Page 103 and 104:
APNOEA IN THE NEWBORN Definition :
Page 105 and 106:
History NEONATAL SEPSIS Septic Neon
Page 107:
Antibiotic choice will depend on pr
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Contents Chapter Topic Page Neonatology Respiratory Cardiology

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