Polycythemia(Hct more the 65%)
SGA,Placental Insuffiency,Pre-eclampsia,maternal diabetes,post –term,IDM,CHD,Twin to Twin and Mother to fetus
Symtoms and signs: irritable lethargy,poor feeding,hypotonia
Complication: Hypogycemia,hypocalcemia, Hyperbilirubinemia, thrombocytopenia, respiratory distress, renal vein thrombosis , renal failure, NEC, seizures
Volume for partial exchange=wt in kg*80*(observed-desired Hct)/observed Hct
Simple rule is 20 ml/kg
Dr.Atiqur Rahman Khan is a Pediatrician. He is working at Maternity And Children's Hospital, Najran, Saudi Arabia, for more than 15 years, which gives him great inner satisfaction. He has successfully faced the most challenging cases, especially since my work involves little lives on a large scale, from chronic disorder to common childhood health issues. He has experience treating both inpatient and outpatient children and looking after prematurely born babies in a NICU. He believes in taking his work seriously as he understands the implication of having a child's future in his hands. View more posts
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