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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

Hepatitis B positive Mother HBIG 0.5 ml IM Hb vaccine plasma derived or 10gmg per dose or recombinant 5 gmg per dose IM Testing f it’s HBsAg and it’s antibody at 12 -15 months of age