Beruflich Dokumente
Kultur Dokumente
S N/A
O Acrocyanosis. CXR underaerated bilaterally and clouded. ABGs:
pH 7.18, PaCO2 47, HCO3 14, PaO2 60.
A Atelectasis
Metabolic acidosis
RDS
P CMV per protocol with O2 therapy and hyperinflation protocols
Complications of Prematurity
Acute
– RDS
– Pulmonary Interstitial Emphysema (PIE)
– Pneumothorax
– Patent Ductus Arteriosus
– Necrotizing Enterocolitis (NEC)
– Intra-ventricular hemorrhage (IVH)
– Multiple transfusions
– Bacterial and fungal infections
Complications of Prematurity
Chronic
Bronchopulmonary dysplasia
(BPD)
Retinopathy of prematurity
(ROP)
Periventricular leukomalacia
(PVL)
Learning disabilities
Failure to thrive
Renal stones
Hearing loss
Injury to the germinal matrix has substantial
mortality and morbidity rates.
IVH
Extreme prematurity
Birth asphyxia
Need for vigorous resuscitation
Pneumothorax
Sudden elevations or fluctuations in BP
Other: labor, seizures, dyssynchronous
ventilation, hypothermia, hypercarbia, acidosis,
rapid bicarbonate infusion, rapid volume
infusion, PDA/PDA ligation
Clinical Presentation includes:
On Physical Examination:
Laboratory Values:
Acidosis
Bloody cerebrospinal fluid
Hematocrit drop
Hypoglycemia
The term Intraventricular
Hemorrhage refers to all 4 grades.
The term Periventricular Hemorrhage
refers to a grade IV IVH.
Grade I: hemorrhage limited to the subependymal
germinal matrix
History
Bleeding in the:
– gastrointestinal tract
– urinary tract
– umbilical stump
– nose
– scalp
– intracranial hemorrhage
– Shock
– death
IVH and Vitamin K
Late HDN