ENPC 5th edition
Neonate characteristics: - answerBirth to 4 weeks
If preterm neonate until original due date plus 28 days
Loses 5-10% weight by 3-4th day of life
Flexion normal posture
Limited glycogen store
Nose breathers
Infant characteristics: - answerNose breather until 6months
And muscle to breathe
Metabolic rate 2x adult (increased need for oxygen and glucose)
Toddler characteristics: - answerBabinski réflex normal until walking
Plantar réflex at 2 years
And muscles to breathe
Most common cause of bradycardia in peds - answerhypoxia
When to begin chest compressions in peds - answerwhen HR is below 60bpm
Suctioning the neonate - answerincreases the risk for decreased cerebral blood flow
decreased pulmonary oxygenation
bradycardia
suction mouth then nose
Neonate first minute emphasis - answerventilation not intubation
Lower glucose levels in Neonate - answerassociated with potential for brain injury
stress of respiratory and circulatory efforts metabolize existing glucose
D10 IV for glucose <40mg/dL
normal heel stick at birth 30 mg/dL
normal heel stick at 24h 45 mg/dL
Neonatal CHD - answercompare pulse ox from right hand to either foot (difference >3%
suggest dx)
considered in infant presenting with respiratory distress or shock (with absence of fever)
Neonate characteristics: - answerBirth to 4 weeks
If preterm neonate until original due date plus 28 days
Loses 5-10% weight by 3-4th day of life
Flexion normal posture
Limited glycogen store
Nose breathers
Infant characteristics: - answerNose breather until 6months
And muscle to breathe
Metabolic rate 2x adult (increased need for oxygen and glucose)
Toddler characteristics: - answerBabinski réflex normal until walking
Plantar réflex at 2 years
And muscles to breathe
Most common cause of bradycardia in peds - answerhypoxia
When to begin chest compressions in peds - answerwhen HR is below 60bpm
Suctioning the neonate - answerincreases the risk for decreased cerebral blood flow
decreased pulmonary oxygenation
bradycardia
suction mouth then nose
Neonate first minute emphasis - answerventilation not intubation
Lower glucose levels in Neonate - answerassociated with potential for brain injury
stress of respiratory and circulatory efforts metabolize existing glucose
D10 IV for glucose <40mg/dL
normal heel stick at birth 30 mg/dL
normal heel stick at 24h 45 mg/dL
Neonatal CHD - answercompare pulse ox from right hand to either foot (difference >3%
suggest dx)
considered in infant presenting with respiratory distress or shock (with absence of fever)
