Suggested vent settings for extubation
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IMV- 10-20/"
PIP- 14-18
Vt - 3.5-5ml/kg
FIO2- 21-30%
,Alk Phos
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-derived from liver, also found in bone, kidney, and small intestine
-increased an obstructed bile disease, hepatitis, bone disease
Diagnosis of gastroschisis or omphalocele
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Elevated AFP
Vent Settings
-To increase ventilation
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Increase rate
Gastroschisis
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, Herniation of bowel through abdominal wall defect
Predominately to right side
Associated with prematurity, intestinal malrotation, and atresia
Biliary atresia treatment
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Best outcome- portoenterostomy followed by liver transplant
"Double bubble" on xray
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Duodenal atresia
Trisomy 13
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Malrotation
CHD
Coloboma
Growth restriction
Microcephaly
Low-set malformed ears
Cleft lip & palate
Holoproencephaly
Cardiac malformation
, Omphalocele
Renal malformation
Biliary atresia
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Obstruction of bile flow in bile duct system
Bile fails to exit liver, leads to hepatic failure and fibrosis
Treatment of micrognathia
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Prone positioning
Oral airway placement
Trach in rare cases
Generally mandibular growth "catches up" by 6 to 12 months
Surgery if significant compromise
ASD s/s
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Failure to thrive
Recurrent respiratory infections
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IMV- 10-20/"
PIP- 14-18
Vt - 3.5-5ml/kg
FIO2- 21-30%
,Alk Phos
Give this one a try later!
-derived from liver, also found in bone, kidney, and small intestine
-increased an obstructed bile disease, hepatitis, bone disease
Diagnosis of gastroschisis or omphalocele
Give this one a try later!
Elevated AFP
Vent Settings
-To increase ventilation
Give this one a try later!
Increase rate
Gastroschisis
Give this one a try later!
, Herniation of bowel through abdominal wall defect
Predominately to right side
Associated with prematurity, intestinal malrotation, and atresia
Biliary atresia treatment
Give this one a try later!
Best outcome- portoenterostomy followed by liver transplant
"Double bubble" on xray
Give this one a try later!
Duodenal atresia
Trisomy 13
Give this one a try later!
Malrotation
CHD
Coloboma
Growth restriction
Microcephaly
Low-set malformed ears
Cleft lip & palate
Holoproencephaly
Cardiac malformation
, Omphalocele
Renal malformation
Biliary atresia
Give this one a try later!
Obstruction of bile flow in bile duct system
Bile fails to exit liver, leads to hepatic failure and fibrosis
Treatment of micrognathia
Give this one a try later!
Prone positioning
Oral airway placement
Trach in rare cases
Generally mandibular growth "catches up" by 6 to 12 months
Surgery if significant compromise
ASD s/s
Give this one a try later!
Failure to thrive
Recurrent respiratory infections