Contents Chapter Topic Page Neonatology Respiratory Cardiology

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6. A 6 day old infant is being ventilated for a cyanotic heart disease. ABG shows : pH 6.8 PaCO2 4.5 kpa PaO2 3.0 kpa HCO3 - 8 mmol/L BE -24 mmol/L Q. What does the ABG show? A. Severe metabolic acidosis with severe hypoxaemia Q. What is your next course of action ? A. Administer sodium bicarbonate, consider prostaglandin infusion, confirm heart defect and consider surgery
A. Definition Birth Asphyxia There is no accepted definition. It is a result of a combination of hypoxia and hypoperfusion and affects many organ systems of which the cerebral complication is the most devastating. B. Incidence of Birth Asphyxia C. Diagnosis Depends on definition used and ranges from 3.7 to 9/1000 livebirths (average of 6/1000 LBs) Depression of Apgar score of 5 in 5 min. is 4/1000 (Levene 1986) Hypoxic ischaemic Encephalopathy (HIE) 5-6/1000 term infants and 1 per 1000 dies or survives with neurological damage. 1 1. Meconium staining of amniotic fluid may be an indicator of foetal distress or intrapartum hypoxia. 2. Abnormal CTG tracing is sometimes present. 3. Acidosis. A low umbilical cord pH is a better indicator of perinatal asphyxia than the Apgar score 2-4 A pH of
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Contents Chapter Topic Page 1 Norma
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Dermatology 67 Atopic Dermatitis…
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Dato’ Dr. Lim Nyok Ling Consultan
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ISSN 1823-3856 Printed by: Perniaga
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Foreword One of the maxims of scien
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B. Anthropometric Measurements a) H
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Immunisation 1. Immunisation schedu
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2 General Notes 2.1 Many vaccines (
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3.5.6 Rubella - Contraindicated in
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4.8 Rubella May have rash, fever,
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5.5 Close contacts of immuno-defici
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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 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: Q. Name a likely diagnosis A. RDS 3
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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