Summary
Summary PEDIATRICS NOTES
- Course
- Institution
WELL WRITTEN PEDIATRICS NOTES THAT COVERS ALL THE TOPICS. SOURCES; UWORLD + AMBOSS + OME
[Show more]
Seller
Follow
MedicalStudent234
Content preview
PediatricsOME + UWORLD
SchizoCat
, TABLE OF CONTENTS
NEONATOLOGY 2
INFECTIOUS DISEASE 53
CARDIOLOGY 107
ENDOCRINOLOGY 127
GASTROINTESTINAL 134
HEMATOLOGY 164
MUSCULOSKELETAL 188
DERMATOLOGY 209
NEUROLOGY 216
ENT 240
OPHTHALMOLOGY 241
PSYCHIATRY 244
RENAL 255
REPRODUCTIVE 271
RESPIRATORY 282
MULTISYSTEM 293
pg. 1
, NEONATOLOGY
1. Preparation:
a. Towels, and warmers ON.
b. Respiratory equipment.
c. Check mother’s gravid and para status, gestational age and prenatal care.
2. Within the first minute:
a. STIMULATION. Goal is to overcome primary apnea!
i. To get the baby to take the first breath:
1. Rub back using towels or
2. Tap feet.
ii. Oxygenation; should be maintained between 60 and 65.
1. Desuction the mouth and then nose (to prevent MAS).
2. No response PPV (positive pressure ventilation).
3. No response Intubate. Might be secondary apnea.
iii. Heart rate; above 100 bpm.
1. Less than 100 bpm PPV.
3. At first minute: do APGAR score.
a. Score should be 7-10.
b. Less than 7 do something. Check oxygenation and ventilation.
4. In the first 5 minutes:
a. Maintain SpO2 between 80 and 85 using FiO2. Consider PPV and intubation
use.
b. HR greater than 100 bpm. 60-100 bpm it’s a respiratory problem so PPV.
c. If less than 60, it’s a heart problem so initiate CPR (3:1), umbilical vein
access for epinephrine.
5. At 5 minutes do APGAR score again.
a. Score should be between 7 and 10, or at least there is improvement.
6. Between 5 and 10 minutes:
a. Maintain SpO2 at 90 to 95 using FiO2. Consider PPV and intubation use.
b. HR greater than 100 bpm. 60-100 bpm it’s a respiratory problem so PPV.
c. If less than 60, it’s a heart problem so initiate CPR (3:1), umbilical vein
access for epinephrine.
7. If baby does not improve, continue APGAR until we get to a 7-10.
What is APGAR?
• Assess the need for resuscitation.
pg. 2
, • Most neonates have scores between 7 and 9 and require no intervention.
• Scores less than 7 may require evaluation and resuscitation.
Healthy neonates:
• Blood-tinged, mucoid vaginal discharge, breast bud development, and labial swelling
are all effects of intrauterine estrogen exposure.
• Withdrawal bleeding occurs 1-2 weeks after delivery and is self-limiting.
• Labial swelling recedes after a few days.
• Breast bud development and even some milky discharge is physiological.
• Loses up to 7% of their birth weight in the first 5 days of life due to excretion of
excess fluid acquired in utero and during labor.
o Birth weight should be regained in 10 to 14 days.
o Weight should double by 6 months and triples by 1 year.
• The number of wet diapers should equal age in days for the first week. After the first
week, infants should have 6 or more wet diapers per day.
• Dry, flaky, peeling skin of the hands and feet is expected as the skin adjusts to the
dry extrauterine environment.
• The appearance of “pink stains” or “brick dust” in neonatal diapers represent uric acid
crystals. Commonly seen during the first week of life.
pg. 3
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller MedicalStudent234. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.60. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
77333 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now