Asthma Management In Children

Asthma Management In Children: The clinical management of asthma in children continues to evolve and was recently reviewed in this journal. Key aspects of management include accurate diagnosis and assessment of severity, initiation of appropriate maintenance therapy (with inhaled corticosteroids in most cases of persistent asthma), and education regarding management of asthma and proper use … Devamını oku…Asthma Management In Children

HEMORRHAGIC DISEASE OF NEWBORN FOLLOWUP

Hemorrhagic disease of newborn – Further Outpatient Care: Follow-up interval after discharge depends on the nature and severity of bleeding, hematocrit at discharge, and any neurologic complications. Mild VKDB that has been treated successfully can be monitored at routine newborn visits. Transfer: Infants with evidence of intracranial bleeding may require transfer to a level III … Devamını oku…HEMORRHAGIC DISEASE OF NEWBORN FOLLOWUP

MATERNAL ALLOIMMUNIZATION MANAGEMENT

Management of maternal alloimmunization Initial attempts to suppress Rh antibody production with Rh hapten, Rh-positive RBC stroma, and administration of promethazine were unsuccessful. Extensive plasmapheresis with partial replacement using 5% albumin and intravenous immunoglobulin (IVIG) or the administration of IVIG 1 g/kg body weight weekly has been shown to be moderately effective. The mechanism of … Devamını oku…MATERNAL ALLOIMMUNIZATION MANAGEMENT

NEONATAL SEPSIS CLINICAL SIGNS

History: The risk factors that are associated most highly with neonatal sepsis include maternal GBS colonization (especially if untreated during labor), premature rupture of membranes (PROM), preterm rupture of membranes, prolonged rupture of membranes, prematurity, and chorioamnionitis. Predisposing risk factors also are associated with neonatal sepsis. They include low Apgar score (<6 at 1 or … Devamını oku…NEONATAL SEPSIS CLINICAL SIGNS

PULMONARY INTERSTITIAL EMPHYSEMA CARE

Medical Care: Different treatment modalities have been used to manage PIE, with variable success. • Lateral decubitus positioning o This conservative approach has been used with success and is most effective in infants with unilateral PIE. The infant is placed in the lateral decubitus position with the affected lung in a dependent position. This therapy … Devamını oku…PULMONARY INTERSTITIAL EMPHYSEMA CARE

BRONCHOPULMONARY DYSPLASIA TREATMENT

Medical Care: Future management of BPD will involve strategies stressing prevention. Because few accepted therapies currently exist that can significantly prevent the development of BPD, many different therapeutic modalities (ie, mechanical ventilation, oxygen therapy, nutritional support, medications) are employed to treat BPD. Fortunately, the practicing neonatologist has observed a reduced severity of BPD in the … Devamını oku…BRONCHOPULMONARY DYSPLASIA TREATMENT

HYPOXIC ISCHEMIC ENCEPHALOPATHY CARE

Medical Care (hypoxic ischemic encephalopathy): Treatment of seizures is an essential component of management. Seizures are generally self-limited to the first days of life but may significantly compromise other body functions, such as maintenance of ventilation, oxygenation, and blood pressure. Additionally, seizures should be treated early and be well controlled, since even asymptomatic seizures (ie, … Devamını oku…HYPOXIC ISCHEMIC ENCEPHALOPATHY CARE

NEONATAL CARDIOVASCULAR RESUSCITATION

Neonatal cardiovascular resuscitation : Cardiovascular support and chest compressions : Most infants who present at delivery with a heart rate less than 100 BPM respond to effective ventilatory assistance with a rapid increase in heart rate to normal rates. In contrast, if an effective airway and effective ventilation is not established, further support is not … Devamını oku…NEONATAL CARDIOVASCULAR RESUSCITATION

NEURAL TUBE DEFECTS IN THE NEONATAL PERIOD

Neural Tube Defects in the Neonatal Period Congenital deformities involving the coverings of the nervous system are called neural tube defects (NTDs). NTDs vary in severity. The mildest form is spina bifida aperta, in which osseous fusion of one or more vertebral arches is lacking without involvement of the underlying meninges or neural tissue. A … Devamını oku…NEURAL TUBE DEFECTS IN THE NEONATAL PERIOD

TRANSIENT TACHYPNEA OF NEWBORN CARE

Medical Care: • Medical care is supportive. As the retained lung fluid is absorbed by the infant's lymphatic system, the pulmonary status improves. • Supportive care includes intravenous fluids and gavage feedings (until the respiratory rate has decreased enough to allow oral feedings). Supplemental oxygen to maintain adequate arterial oxygen saturation, maintenance of thermoneutrality, and … Devamını oku…TRANSIENT TACHYPNEA OF NEWBORN CARE