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Spine needle 22# for baby

Face mask
nebulizer

indications • Contraindications to the use of


• bronchial asthma, obstruction; nebulizers include heart rhythm
disorder, internal bleeding,
• infectious lesions of the lower individual intolerance to the
respiratory tract; aerosol form of drug products
• chronic obstructive pulmonary
disease in adults;
• pneumonia;
• tuberculosis and other diseases.
Ballard(closed) suction
• Catheter suction is used to
remove tracheal secretions
through the endotracheal tubein
mechanically ventilated patients,
which may be either closed
tracheal suction system (CTSS)
or open one. In CTSS, the
catheter is a part of ventilator
circuit with no need to
disconnect the ventilator. It
seems that the CTSS prevent
soiling and spraying of
respiratory secretion into the
ICU.
transcutaneous bilirubinometer
• These devices come in a variety of
physical confi gurations. They may
be relatively small, single-purpose
hand-held instruments that are
simple to operate and are designed
to measure the concentration of
bilirubin in the blood. They are
often located in neonatal intensive
care units for rapid on-site bilirubin
analysis, which is essential for
determining a proper treatment
method.
• Bilirubinometers may also be confi
gured as larger benchtop analyzers
or stand-alone units.
If the newborn baby is ill right after
birth, a catheter may be placed.
A catheter is a long, soft, hollow
tube. An umbilical artery
catheter (UAC) allows blood to be
taken from an infant at different
times, without repeated needle
sticks. It can also be used to
continuously monitor a baby's
blood pressure.
Unlike a traditional intubating
stylet, the Eschmann tracheal
tube introducer is typically
inserted directly into the
trachea and then used as a
guide over which the
endotracheal tube can be
passed (in a manner
analogous to the Seldinger
technique)
Your baby cannot blow
his/her nose, so you need to
use a bulb syringe to remove
excess mucus. A bulb
syringe (or suction bulb) is a
small rubber object with a
long tip at the end of a bulb.
Have a bowl of tap water
ready to clean
the bulb between
suctioning attempts.
The Neotech Meconium
Aspirator is intended
for useas
a suction device to
aspirate meconium from
a newborn's upper
airway. Federal law
restricts this device to
sale by or on the order
of a physician
In patients with sinus bradycardia secondary to therapeutic use
of digitalis, beta-blockers, or calcium channel blockers, simple
discontinuation of the drug, along with monitored observation,
are often all that is necessary. Occasionally, intravenousatropine
and temporary pacing are required.
Turner syndrome is a
chromosomal condition
that affects development
in females. The most
common feature ofTurner
syndrome is short
stature, which becomes
evident by about age 5. An
early loss of ovarian
function (ovarian
hypofunction or premature
ovarian failure) is also
very common.
Pneumoperitoneum is pneumatosis
(abnormal presence of air or other
gas) in the peritoneal cavity, a
potential space within the abdominal
cavity.
Hypertelorism
• dysplasia syndrome
• apert syndrome
• Noonac syndrome
• Leopard syndrome
• Cri du chat syndrome
• management of a
cephalohematoma are primarily
observational. The mass from
a cephalohematoma takes
weeks to resolve as the clotted
blood is slowly absorbed. Over
time, the bulge may feel harder
as the collected blood calcifies
 Sign & symptom
• Height of the right lungs greater than 29.9
• Flattening of the hemidiaphragm
• Enlargement of retrosternal space
• Widening of the sternodiaphragm
• Narrowing of the transverse cardiac diameter

 Treatment
• Exhalation
• Pursed lip breathing
• improves exercise tolerance
• Bronchodilator
• Lung volume reduction surgery
Management. The most effective
treatments for atelectasis are deep
breathing exercises and chest
physiotherapy. This ensures that the
airways are opened maximally and
coughing can be performed effectively.
As an adjunct, ensure that the patient
has adequate pain control to allow
them to deep breathe
Most patients who have DKA are approximately 6% dehydrated (10% for children <2
years). For patients presenting with more severe DKA (serum glucose >600 to 800
mg/dL [33.3 to 44.4 mmol/L] and pH <7.1), fluid losses are approximately 9% of
body weight (15% forchildren <2 years).
SAQ
• drugs such as
aspirin, NSAID,Betablocker
Complication of meconium • Minimal changenephrotic
aspiration syndrome syndrome disease is
• Pulmonary veso characterised by
constriction,Pulmonary Hypoalbuminia
hypertension Hyperlipidimia
• Airways obstruction Proteinurea
• Surfactant dysfunction Oedema
• Chemical pneumonitis lipiduria
• infections
• Drugs use for status epileptics
Benzodiazipines-
lorazipam,diazepam,midazolam
Phenytoian-Dialintin
Phonobarbitone/phenobarbital
• Co-existing condition
 Sensory impairment
 Seizures
 Cognitive impairments
 Orthopaedic problems
 Impaired speech & language
 Feeding issue
 Dental problems
 Skin breakdown
 Respiratory infection
Antidote • List 5 drugs for asthama
• Oxygen-carbon dioxide Inhaled corticosteroid
• Sodium nitrate-cyanide Cromolyn with using nebulization
• N.acetylcystine-acetominophene Omalizumab (Anti. IgE) given as
injection
• Atropin+pralodixine-
organophosphates Inhaled long acting beta 2
agonist(sulbutamol)
• Flucunazeniel-benzodiazepines
Leukotrine modifiers taken by
• Bicarbonate-tca(tri cycalcium- mouth
gluconate-ca channel blocker
Theophylline taken by mouth
• Nolaxone-opoids
Quick relief inhaled long acting
• Physostigmine-anticholinergic beta 2 agonist(sulbutamol)
• clic antidepressant)
Copd
asthama
bronchiolitis
influenza
• Food poisoning
• Gastroenteritis
• Hepatitis
• pyloric stenosis
• Iron supplement
• Follic acid
• Transfusion if seviour

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