dinag

Please, I need a protocol for treatment of neonatal hypernatremia ..

Dear collague Dr.Leonora realy i am pleasure to know that i can made a CPAP without a machine which usually not present in many NICUs in Egypt and some babies urgently need for them or we need for tansport that babies with many side effect of tansportation...... thank you...., But if you please ,, could you share a pictures for your hand made CPAP and way for make it by my self thanx alot

in most hospitals in my country , we use normal saline or ringer if hypotetion present in preterm and wait and see and if still hypotensive with frequent reading and suitable cuff ,,, we start dopamine if no tachycardia +/- dobutamine with low doses and if no response we increasind the dose gradualy but actually we didn't make ECHO for hypotesion alone and we didn't use adrenaline for hypotesion and in some resistant cases we use hydrocortisone dose but in cases of IDM with hypotesion or poor perfusion we didn't add dopa or dobut. before ECHO ........