Not everything is B&W
On Xray air is ____________
Black
The IV rate for a 3 kg baby on total fluid 150 cc/k/d
18.8ml/hr
Widened pulse pressures, bounding palmar pulses and murmur suggest_________.
PDA
Phenobarbital
The most common side effect of PGE.
Apnea
What is the radiological term for meconium aspiration syndrome on X-ray?
"patchy"
The normal starting total fluid for a 28-week gestation.
80-100 ml/k/d
Three meds used to treat PDA are_______________.
Tylenol, indomethacin and ibuprofen
Benzodiazepines cause these changes in premature neonatal brains.
Benzodiazepines cause neuroapoptosis (programmed cell death) in premature neonates by targeting GABA receptors, disrupting the developing brain's crucial processes of synaptogenesis and neurogenesis, leading to long-term neurodevelopmental deficits.
Hyperkalemia shows this change on cardiac monitoring
elevated t waves
UAC should terminate on X-ray at __________
T6-T9
You have a 28-week gestation baby with a k of 7.0. Name 2 medications that you can use to decrease K.
Albuterol, insulin, Lasix
Name symptoms of coarctation of the aorta.
decreased/absent pulses in lower extremities, pale lower extremities, lower bp in lower extremites, CHF, shock
Surgical intervention for hydrocephalus in neonates
VP shunt
Persistanly elevated CRP suggest______ or ________________.
inflammation or active infection
Double bubble on x-ray is indicative of ________.
Duondenal Atresia
The goal GIR for a baby
4-8
VSD
You are called to assess an infant born 1 hour ago, SVD with boggy, fluctuating scalp swelling that crosses the suture line. You think it is__________
Subgaleal hemorraghe
Explain shock leads to metabolic acidosis.
Poor perfusion>inadequate tissue oxygenation> anaerobic metabolism/metabolic glycolysis
On X-ray a boot-shaped heart is indicative of?
Tetralogy of Fallot
Heplock and heparin flush second port of UVC for babies equal to or greater than ________ gestation.
29 weeks
The four defects associated with Tetraology of Fallot.
VSD, overriding aorta, pulmonary stenosis, and right ventricular hypertrophy
Criteria for evaluation of therapeutic hypothermia is________________
nope-
Criteria: Clinical evidence of moderate to severe HIE is defined by Criteria A and B:
A. Physiologic Criteria: (ANY OF BELOW) Chest compression in delivery room, Apgar < 5 at 10 minutes of life,Intubation or PPV ongoing at 10 minutes of life, Cord gas or postpartum gas (within 1 HOL) with pH < 7.1 or base deficit < -10 B.
Clinical Criteria: Neurologic Examination: (any of below) Neononatal encephalopathy score (NES) >4 on serial neurological examsor NES > 1 AND abnormal aEEG, clinical seizures
Your baby's NA is 125. Some questions you should ask about pt to try to find a cause are_______________
1. Are there any seizures?
2. How much sodium and free water is the patient receiving? Is weight gain or loss occurring? Be certain that an adequate amount of sodium is being given and that free water intake is not excessive. The normal amount of sodium intake is 2 to 4 mEq/kg/d
3. What is the urine output? With syndrome of inappropriate secretion of antidiuretic hormone (SIADH), urine output is decreased. If the urine output is increased (>4 mL/kg/h), perform a spot check of urine sodium to determine whether urinary sodium losses are high.
4. What medications is the infant receiving? Are renal salt-wasting medications being given? Diuretics such as furosemide may cause hypovolemic hyponatremia. Other medications that cause hyponatremia include indomethacin, amphotericin B, theophylline, carbamazepine, chlorpromazine, indapamide, amiodarone, and selective serotonin reuptake inhibitors. Most of these cause SIADH (euvolemic hyponatremia). Morphine and barbiturates can also cause hyponatremia. Aminoglycosides and diuretics have natriuretic effects (cause excessive sodium loss in the urine).