Everything posted by nashwa
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Base deficit and the use of bicarbonate/buffer.
i use it rarely,but how about PT baby on NCPAP with good o2 saturation but there is resp distress and metabolic acidosis .....i give him bolus of Ns and still PH <7.1 and BD >-8 and give him dopamin 5-10 mic and still what isthe explanation of this,should i give NAHCO3
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Use of bicarbonate
i give Ns 1st and do ABG after ,if still i give bicarbonate 1/2 correction
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Fluid in RD
is it necessary to restrict ivf in case of RD in neonate "FT or PT" in 1st 48 h on NCPAP inspite of humidifier presence.
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99nicu Poll: do you support breathing for preterm infants with nasal IPPV or nasal CPAP?
iS it used with nasopharyngeal tube and nasopharyngeal prong which better can i use them "nasopharyngeal tube and nasopharyngeal prong" with CPAP or not is it necessary to use this mode on ventilator
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99nicu Poll: do you support breathing for preterm infants with nasal IPPV or nasal CPAP?
how can i use it
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26 w preterm infant
i am not talking abou tttt of pul hage, but about cause of pul hag in this case is PDA is blaming here or not and how can i manage this when i suspect without doing echo esp baby at high risk "as he ELBW, take surfactant" and compliance improve and pvr decresed and so increse lt to rt shunt
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26 w preterm infant
I am waiting for any advice about PDA after surfactant therapy should i ttt it by suspecting or i must do echo 1st what about prophylacting brufen??????????
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26 w preterm infant
When the granular pattern of RDS changes to a homogenously opaque appearance, pulmonary edema due to PDA or early chronic pulmonary changes should be suspected.................... so in this stage i can give indomthacin or ibuprufen
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26 w preterm infant
Even if the result is dying of this ELBW baby, if PDA is not the cause , what is it? what is the cause of pul hage
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99nicu Poll: What is your pharmaceutical management option for PPHN of a term newborn in your institution?
we use sildenafil , inotrops,high o2
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surfactant
we use surfanta but pul hge usually occured after that, but it is not occur with curosurfe any one know why??????????
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INSURE
can u give me link or paper how can i give surfactant ,because i want to know ideal practise thanks
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26 w preterm infant
the ECHO is not available in our unite , and i ask if posibility of PDA is high in this baby , can i give ```ibuprufen as i suspect or not
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late surfactant administration
prophylactic within 15 min early within 2h late till 2days
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26 w preterm infant
can i take your opnions in this case 26 w GA infant refered to me after 3h after birth so i give him surfanta within 1/2 -3/4 h after thin i start to lower pip and fio2 till reach to fio2 30% pip 12 peep 4 but in 2nd day IVH occur manifest by drop in HB and irritability after bl trx and plasma ,start dopamin on 3rd day baby still on mv stable ,but with no active movement on 4th day start to develop resp acidosis then bring pul hage.............then die i doute about PDA but clinically there is no any murmur,active pericordium , bounding pulsation could i start ibuprofen as regard as he is ELBW, RDS and take surfanta or i must do ECHO first if it is not PDA what the cause of Pul hage in this case and how can i avoid it later
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99nicu Poll: do you support breathing for preterm infants with nasal IPPV or nasal CPAP?
I s BIBAP used with nasal prong or with nasopharyngeal tube is this mode present in Benet m v
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what is this
infant aged now 4 m, he had circular lesion in back of his head 2 cm in diameter, red, with scales on it , hair is preserved is it tinea ???
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Probiotic use for premature infants
i think it is useful product, it is found in breast milk
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Advice on intubating preterms
we used to do it also in our nicu
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Pneumothorax in a "stable"ventilated infant .Immediate chest tube or wait and see ??
i want your openion about fistula falsely introduced by chest tube
- thrombocytopenia and neutropenia alloimmune
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Leukemoid reaction in a non-down pretrerm infant. What causes it?
i see one case with tlc is 65 k and his crp is -ve,his culture was g-ve bacilli, what the explanation