Contents Chapter Topic Page Neonatology Respiratory Cardiology

More documents

Recommendations

Info

Medications used in Neonatal Resuscitation: Type Indications Concentration to Administer Adrenaline 1) HR < 60/min despite a 1:10 000 minimum of 30 (The only seconds of preparation adequate available is ventilation with 1:1000. Dilute 100 % O2 and 1ml of chest Adrenaline compressions. 1:1000 with 2) Heart rate is distilled water zero. to 10ml) Volume Expanders Sodium Bicarb. Naloxone HCl 1) Prolonged arrest not responding to resuscitation 2)Evidence or suspicion of acute blood loss with signs of hypovolaemia 1)Severe metabolic acidosis is suspected or proven by blood analysis; 2)Prolonged arrest not responding to resuscitation Severe respiratory depression and a history of maternal narcotics administered within the past 4 hours. Normal Saline Ringer's lactate 0.5 mEq/ml (4.2% solution) 0.4 mg/ml (dilution that is usually available) 1.0 mg/ml Prepara- Dosage/ tion Route 1 ml 0.01-0.03 mg/kg. 0.1- 0.3 ml/kg. IV or ET 40 ml 10 ml/kg IV 20 ml or two 10mlprefilled syringes 1 ml 2 mEg/Kg IV only. (4 ml/kg) 0.1 mg/kg (0.25 ml/kg) IV ET IM SC 0.1 mg/kg (0.1 ml/kg) IV ET IM SC Rate/ Precautions Give rapidly. May dilute with normal saline to 1-2 ml if giving via ET. Give over 5 – 10 minutes. Give by syringe or IV drip. Give slowly, over at least 2 minutes. Give only if infant is being effectively ventilated. Give rapidly. IV, ET preferred. IM, SC acceptable.
Summary: Use of medications during neonatal resuscitation: Prolonged arrest that does not respond to other therapy? Give sodium bicarbonate Post Resuscitation Care CXR ABG Correct metabolic acidosis BP monitoring Volume replacement if BP low Correct Hypocalcaemia & Hypoglycaemia Treat seizures Document the resuscitation. Begin: • HR zero OR • HR < 60/min after 30 secs. PPV and chest compressions. Give adrenaline HR above 100? No Evidence of continuing depression? Yes Evidence or suspicion of acute blood loss with signs of hypovolaemia Give volume expander Yes 1. Consider other causes, e.g. Pneumothorax Diaphragmatic hernia Persistent pulmonary hypertension (PPHN) 2. Consider starting dopamine 3. Obtain consultation. Severe respiratory depression and a history of maternal narcotics administered within the past 4 hours May be repeated every 3-5 minutes if required Discontinue medications May be repeated if signs of hypovolaemia persist Give Naloxone hydrochloride.
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 and 44: Neonatal Resuscitation High Risk De
Page 45 and 46: • Drugs are available (and prepar
Page 47: Meconium stained liquor: Meconium i
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
show all

Contents Chapter Topic Page Neonatology Respiratory Cardiology

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?