Author Archives: Dr ATIQUR RAHMAN KHAN

Post operative Management 1)Myelomeningocele Sterile management Thermoregulation/Thermoneutral environment Prevent hypothermia Careful hand hygiene Keep stool off the wound/frequent diaper change Nurses prone or at least side lying Avoid pressure on suture line Cardio respiratory monitoring Close monitoring of apnea,hypoxia, HR,BP, W/F raised ICP Record daily head size F/U UGS cranium F/u neonatal hearing evaluation PainContinue reading “Post operative Management in Newborn”

Infant Of Diabetic Mother Glucose monitoring 0 1 2 4 8 12 24 36 & 48 hrs Calcium should be checked at 4&24h HCT @ 4 & 24 hrs SBR @ 24 hrs Breast feeding should be encouraged as early as possible

Hypoglycemia <2.6mmol < 45 mg/dl Asymptomatic baby >25(1.4mmol/l) Plasma glucose level Early feeding Glu level are monitored 30-60 mins until stable(Glu > 2.6 ) then every 4 hr If Glu remain low IV Glu infusion @ 6mg/kg/min Glu < 2.5 (<1.4 ) Plasma Glu level IV Glu inf @ 6-8 mg /kg/min Monitor Glu everyContinue reading “Hypoglycaemia in NB”

Hypocalcemia Preterm Tsc :< 1.75 mmol/L Isc: : <1 mmol/L Term. Tsc: < 2mmol/L Isc : < 1.2 mmol/L mg/L can be converted by dividing it by 4 to make mmol/ L Causes of Early Onset Hypocalcemia ——————————————- Prematurity Preeclampsia IDM Perinatal asphyxia Maternal hyperparathyroidism Maternal anticonvulsant use Iatrogenic ( alkalosis, diuretics, phototherapy blood productsContinue reading “Hypocalcaemia in Newborn”

TTN X-ray Prominent peri hilar streaking Fluid in the minor fissure Prominent pulmonary vascular markin Lung hyperinflation with depression of diaphragm

Brachial injury After the initial rest period of 7 to 10 days after birth, physical therapy interventions can typically commence safely. However, aggressive movements that force joints or overstretch the involved UE must be avoided because these may cause further damage. After the physical therapy examination has been completed, a home exercise program (HEP) shouldContinue reading “Brachial injury”

Anticonvulsant dosage ——————————————————— Valproic Acid initial 10-15 mg/kg/day qid/tid increment 5-10mg/kg/day at weekly interval to max 60 mg/kg/day Maintenance30-60 mg/kg/day bd tid ——————————————————— Phenobarbital Maintenance dose Po/IV Neonate 3-5 mg/kg/day qid bid Infant 5-6 mg/kg/day qid bid Child(1-5). 6-8 mg/kg/day qid bid Child(6-12). 4-6 mg/kg/day qid bid >12. 1-3mg/kg/day qid bid ——————————————————— Clonazepam Child <10Continue reading “Anticonvulsant dosage”

Resuscitation Flow Chat 

Blood transfusion complication Fluid overload Hyperkalamemia arrthymias Hypocalcamenia Hypocalcamenia Hypoglycaemia Hypo or hypertension Anaphylactoid reaction Hyperviscosity Line complication , coagulapathy Thrombocytopenia Convulsions NEC Transfusion reaction Fever , Circulatory overload Allergy Haemolysis Infection