PEDIATRICS Neoualé — Furat_¢ ok: of Life G cay Yolan 7 Gauss of centh— Pacwua hay Late- 7-28 Gags — Sepere. | Jem = 34-92 wh geapatrow Prelei ~ << 37pwk © a Post forum — _> Gdwk Nowial wt > 2S thy = Law < 2-8) bd VLBW < p.&kg = ELBW < tho! = Macro anit. Dong. o ® Lubchencho Chart: = h o Bundle [ LGA GOrk contile S lexght . P ngrl Hi ‘i vers Oo I ~ loth centile ¢e f SGalGR oe —————————— 6 Geaparanal Cer Wwe - on Conctilalanat : ce = 264 ( lage. Geotattonal Age) «® lye ¢ @@ 2 Delayed pal2 Dee Page ? = Au Li baby haa 6 fronfanelle: — Anfeily > ehoeeneasade = Postenor . = a sphenoce = 2 Macttd- Pos fertan fontanel — Closes at bath apn ww 3 Goby. - Antertor fonfanck — diauoud shaped - ASX AS Us At hovel Putoatise Cloato at /8- 24 urouthe + Bf Craniocynostosts + Eaaly Clowre 4, pole 4 Couuplecadeats: = Mur caphaly = rer t > eke _abiapry. ~ cocmelee » re R- Crouceckouiy * . Synclrowses akbeiated — Apert 4 Crouzon | AD Ppefter J Fer — AR Delayed cLoaure of pontouel : T~ Riches VY - Downs - Hypo Peg rotc su ee = Hypo Phaophafanrn — Veleide cranial olycostoses- rai jololeo ad goo opp pllelelojelelciood goo ppp plclole oe3 oa @ Pome. 2 wke Laby Hypoboren, fypoliciuues. ubticak bers Cocol papacy fobupcio prolenged So Congetutal bo bry reldiicu rag (bude! bead — Spiptyseal dyegenssis) (4® epapiyers of of bone) Neonatal Sreoning + * TSH; Ty — Delayed rvew ef TSH : Tig clofiecenky (7H@ : Te¥) = feat tihue + “oppor Gah ( F2Lhs) fife f congenital hypo hay roxid teu — 85% agensais o ¢ E > cysgencats Pr gland e Congenttak Aeppoty vo ceise. + ® PawKtaree = [22000 ° Gurls > foiys- ° g ° Nhouatal screening 1 Conkinise o TSH; Ty + (olf teudhr + Pluysia TSH. auunge Sa hrs. pp Y sehre li bdaf. In OP Ghat > 3-sclly v7 > Sawple obtained > Heelpreh: HW) Sage anea> Stde pte: = pt tn shock, venous accoas cant gop en 6Oser- ~ W/o aite — Near Kbiak fubsrotiyy Upper end xf Hosa Laer ed of fon. — Gu shock > 2. ww pluie SP By wet /eg bates Ns.» » 4 a a Pose HH Most saauly aagrotble vewout pauls — Uusbleeal Veuiv- Ps # [| Phenylkelonuaal: Defettoney of Phony labamee v @ e a e @ @_, Ay d@ronyaar- @ Ply Labawune gd e- PRU & £¢ Phang alanine hydronytone: eo EEA i fa _ LE Ty wenare Doral OF, ¥ e : o: Diefa pussee = Melon eo. P Phenyl alanine Toxic to Brain— 30 in PKU Hizh Phemlebnio Child Mental Rofandaliin aomaldp? © ~ Deyelopurenfol delay - g = & rated Reofts = MiUtocephaly « Re PRU. + bupplunent Ty rote . + Reabrict Pht atammne + Maw Ty rsd coaenfinl - « Aun 2 Serum Pheaylalanre (6 ag Jat - + Lifelong a u About PKUR, past step— AS_Shop the Kubotrate of Hes cogyeuce > Lupplewert fre cogyrss eS Ridece fr aubofare of fhe ergy one rc b> Prove aefcetent ) rleleled dee eee ppeleie5 2 a a) Syrup Une qrierse (subd): DYyibiency of W-keuli aud branched chau, J GutyMragenaae — Hog Valid: Loucera: noleusine blaoc & CSF. —_ Severe aeedost's. - We do cealyst = Do reumwe VYalure : Lev: Seoleucuc: Neonatal Sreewng : Contentse + Janceun ube = Specliptatamelay > mefaboke ~Gyste febroat Longeketal adrenal lupperplaaa Gib cgisceneg . gyteay “fepied tney » Batu defies tres ANTHROPOMETRY : TERM RABY Long tv — SO cous Youll , eanence — 3S Cus j© |© |O /O|@/@] a a HC) CC_bufY not more haw Zumu- + Hed¢c (>> 3eu) > Courgenitat Ayctpesphodiss > Ay busavbris LUGR a C6 = HC —> at 9-/2umonth By lyr; C&S>> HC CU? Upper Legovent t Lower aoguent (US:LS) New bora = 7-H: / At 10 yrs = [i] [ © Adujf = o-9is ° H hehancroplaan ; Shot huinl (%%s f) °e Hypotiaotiau : Uis f (de arate Chop im ot Frafene)ate f Pa, Meconnium £ 9S pano weconuun at RG hr: I2p ” 2 Gahrs. Camar y elayed pascage meconkunn = Dusperporhije anit = Ye: cdi Weegee lll a = TI thus —> G Salk unpostinal’ obspruclan- $ohr bohy hao uot Pasaed euoconerun - Next Ix A GeTR gene foot Bb) Seveat 0) Manomebiy BX Lower Gt Gonbicat Preuuh/horax. rPeerrririilliisT errr Price © ® p ‘ Oe lelitiattta ee Pu, fa baby has not patced urune tw Let G@he Next Ly = _ USG Stuy. ole So = Weak he 7 Une abieaunr OE — p2lbable dioftended for» AS / Posfeurr Unelsiat valve: rt ht Ti S206: MCU ( Méfualug Gyste Unitas raphy ) » g Qo Ri lyshoscoper Julpurabon ¢U d +4 SG4/206R = Couplicafar : TORCH vianfectedn /Obnewmocal hisors [Sipuuptom = Asply nih > caucee MAL Gi (Meconiun heprated Spdrm) itt PPHN ( Perce'spent ule HIM of Noss tern). Severe LUGR — Pulataci Lemon kage Lad Pee ae Aypots ; Myponty Cv ° — PB vy Prost ° UL bcs fen Le 3 LUGR ery piraporepen to e Very comattere $Y hy sonia ° = Neutinpedia. ° os haaunbooy open Full leit nmall for date babier are wore despa? +o — Q> Hyper Gl & CNS wgechon e) Poa & Cocina. ine ar Oo ops Hy pogpexuusCause_———> y Jorely Coouplrca fons CL no- y @. Colt acre y v Araun v @ spared HC> CED 3emue Brain / busor t PONDERALS INDEX = wt (94) 99 Leng (owt C2 > Asyunmelbice /U 6R DR > AGA Squuuclrie TUGR Noewiak Neonafak phonseenou ! Milia: Qrstewded Sekaccort Gund ow face & noce- Exper Torcruun: Erfheiwa ow foc & frunk q mare Saye lo tye Starke biter: Plivk ith. peg explore f tleang ons ow | Spetecw Aesnl : Spiphebert fees yet on Aalafe & prepuce Natal feott ( Pre deccoluos teefh-): lanier tnetaor portfeen- bel Wilhchawl vaguel Blanding : Qu SP ay Areweyanosts ( Periphennt Zemel Limbs cyanesed Life pink: # Badlic wt-= 30009m TERM _ I 2 Doy 4 = R700 G00 fy i ¢ yaaa Fi dow 7= 3a00gu GgeN L + ECFE cleleld dese php pple lllelollddes pb ppblele eeOme Pam, Pee rk = Roveeks he \ v IUGR > donot loae wt ( ECF coupact) Gy We stable for I wit gai epee Zelays Hew ¢ Nor al ua newbouw £ AD Profeciuntn re B> Glucosuna D _[-2 pce elle bpf BY Bacliitwun Neowatak Keflenes : a Moro Reflex : Ist bhoae — Abctucliac. of cabeould org at t Extcnaran! of ellos pbuif- epenseg of forges V nd prac — Adducl/ian 5 flemen 7 = Appears 28-32. wke geatakion - _ “fe 36- 38 Wks. + Adduclion / complelé = Decappears at around J-& wiolhi of Life- Did. — Pordiofunee oud 6 wmonthk a ae ¢ B= Asymmetric yori Brachial plexus prea - # Chweele =f Hesusnus + Youupleza -e wip iv © Om H# Early band proferauce Lr dermis abnormal e T ~ ybuibtegea at ottex Wide ® -_ ISfe = Hewiplegia at Rt- «oe- x) @ : M HIE -. Exsggerated gros —> HIE -1 s ATNR ( Asyuunolre Jone Neck Reptex): Aa Side Bf foxe = Extended me Side of ccerpuk — Plone: Onset — BE wks a Dally developed — 1 aowlle bd Ddratian © 6- Parente Ss - Do not wwe roll ( Rotlung s lant chen [hia reflex Disappears — bucoulhr tapas STNR ( Syncs fone Neck refeex): Neck extended CG done fue vee Neck flexed ve 0 Jone ww abl hunks. —_Nof present at barlh~ ~ Abpews 4-6 woslk ot befe = Decappens 8-12 wonthl fe bife. = child olat- tr crastt Yoihn this refx clicbpons Tt Paraclafeé refler : = Not at blr = Appears 6-Puconths of Life - 7 0b clejeldoaedd ge opp lelejclee I2BdEQ MTAALIMS NICU * Profoco 20/4. 1 foxes Pap, —~ Neh Oleueboped at 0-1) moulbs of Lifes = Prastelt tf aaah LANDAU Reflex = Appeas af Burouler of life = ‘Deoappeare ab peas of Le Ow veualial auapension — Spens freng hen, Liesgh fen: Child get out of flextin athilude by this nefcer- g UU ¢ v GRASP Reften: — Appears RE orks of gealalioa” = Well develspeg Sooke — Dexappeart S enonler of tgs _ _ Gusking Rovhag ress: ‘ie oka Cape At 28 whe — Some 7 bunroti: “ B2wke — Appear | 34 whe — Co-orctuanlion Binks; 1$00gm + Jee —2 UY Enfoarak >NG tube ( Expreooet Beant Milk) BY Enterok + iv flaca co) LV fluc B) TPN: 33wke ; ssb0g m4 5 Feed — 8 Enteral — Kafori/Pataday/ Spoow ( Expleosed Mreao? milk)Dr Sidharth SE a a Pane, AlMS Nicy Profecol 20/4 : 34 wks — Rreaot feed 32-84 whe — Kaporil ( Exprecoed breast wilh) <32wks — NG fuse ( 7 »” 2) /reegus — CV: derlivne + uimimal enteral “i ped Lo-1 ul Kyl cay Z Raped enteral fed can Cause — Necro EndeXe colifie’. Petal alcolot Syachrorne t = Shun pole af thi corner of CAF eyes = bow nara Batcdge: of = short nore = Snctatrnct peiliruun [ groove Yeo woae & oppor Lip) = Swall head oxk eunshonaaee ( curérpcophaly) = asad ty <_pencage ¢ = Hap ued [ wuidpoctal or wart /lary fey poplct = hud opp ugh g = Septal ope Ae € MepR Felat alcohol ynctrowue eutiph — Yo AY Meera cophaby BY Overgrown! ©) Pop face » ich paficaad faa epeeeerliscadddeee peop eiolece VII 9BI9090 OFPREMATURITY Reoptrobory Sysleu : RDS (Resp cuaktan | Syudase) - rg? Cha Lung’ reac bach pp. 0; Hependence =) - Hour Yh, Hanapy * “ Se ae Naaat cpap.” Vat: 4 cupplementaton. Furoceunfe ep eecleabeyctaated ken LCV: Pelee ao to) CNS :OAbuea (_>20 BMV poaterivi @ Mixed (fc)4 Doe Apnea of preoaluialy : Pioke: | Mw C220ke > 700% Owork : LoBdaye Awer Pefoye- Ri Ls} step: Nasak CPAP Mettipxowlhiidk — Ausinopiy Cbs (CEE EM) Coppee Gitiate= (Doe) ©0200 © |G\o/eo © e@ We Db wide dealt leadiny howe a Arseny Lae? Ss bug 4 V patcome EY acapensn ce cle L-auallhg ewe 6- thor ¢ Copheune Cilia 2 lending cloce => ROugf ke Matifehance coor / Soup le elasy Q@ Sndrzcrauiak heunornrhage a oe = Copier eu thir aubeprecyual, guru Twwabiin in fragile; Lo hey, te id qo bp ele lelelelelelea ft Prrkoran; audden pale Shock , pentanel bubpes aguas — Dulin velit cular Aaworrtage (v4 Ma Rak tVH preluuis — <1S009m —> Sop psoh vn & wn 26 me. Coss 7 Pehr- #100 for newborn hang Seizure > Trant fontanel us¢ a? 0 Ht Jorur ; Broce —> 1V4 sLucaliinentl culivny > EVPreventeais of PVH : ~ pulvzatal abéivide - low Lose rivoum hbatiw, bake. ~ Provent acidosis, unpectins sin doaeg od Zo PO ehehaw Tom v J a Poriverdinculan. Poracag lok sefeng ° Lewccousolacia. (PY) G8 S Power: YL>LL Spaclié guadriplezre corbl ° é palag. "7 ® Diplegca o ° (upper bunks Strong MRL: Coronal Secleacs ° LL are weak) ~ — paraaagitfel vijury - ° © Spools diplugi hype ° y G ° Cerebral : + Mentally Kefarded ote @ mes e fe sequal of Posiven)cuee Lowco Malawie uv probesaiv = Spackig cLipleg fe WRI: PvL_(10C) = lero white water = Shrinkage Venbii ole -16 Dae Page__ Salia woruaralia : diffuce nerouak Love 299980: ng. Cabhy ALA - d APGAR Seore : | $10 mumufter a -_clozon'} helh tw reeucfafon - 8's; 10’ bow > Worse neuronal oufcome- ereriiiiiisirpperriciese oO 1 2 A = Appearance Contra cyanes'e/ Acrocyanocic Penk & Pate © g € Paz Puloe (HR) 0 100 C G= Grimace No Grkimace Cypeng e A= Attilude Extinded Mid Hlexed es Re Reap” Apres Gaaping Opens. : effort g CW? a ow - Normat — ¥-/0 5 Med inalir fo seve aapiynia ; out of haopilal CPR “a v e | ye ad Free Aadueal damage: Oma Re - Dhorapeukit hypofpexnus/ Seleclue bead cootuy : 335°C Len blue of Life » Kesh for Zab ore v prevents _7 (eres ee Pm Hypore Sacheuur Eun5ceprotpathy (HIE): a Saji fo braun at awh caplet Signe STAGE 1 STAGER STAGES Los of comactousness _*/ypralat Lelpsigce Guporvous } Coun. U v ¢ ae a ee Muacle bone Nowa Htypotonee Ponta Posture & Nowual Henow Decerebrate Jenthon. ssftenss] — typeractin —_ Hyperactine Abceng- = clonud o C bd Muyoclonet +oF Hop i o ¢ ® Moro reftex Shaaug Weak =nt e v @ —— eo. Pupils Mydninats Whrose's Unequal, oor light ot aa eles of Seegunee Nowe Cowan Decerrhraduis ° — EEG finch Nowsnl | fee Sep acta a0 teetrvig 4 ae en d Dunakin 2b br it Proproscee; Piha =Mdtyye Ray fo cverks ofheduntce say acwatn ® g Ms Outcome Good - Variable Death, Sovere Aefcee- d 4 DOC: Seizures urn New born : Phennbarbifone . ( Bolus 2oug/ tg) ®|0/\9| o18 re basses] ses] a Pace @l_ cvs: Hypotenscow, 1 PDA ( Paleny duckia arferzo sx). PDA: Paeloines D> Asptyria > PGs Qo > Real ti extuan> Veaael well Dytet- Re: Suagew dd Uw pelo: Rs NSAIDs ( Soeifen B Saowuslhaciy) ¥ Leso_nephaofonce Sf Med ieat waaaapuneeh ails => & Ge of PDA: ama 6-10 wke of Lfe CHE + Prelriia baby, failure Li urea off veutilasor ( hagportn CO, pol cudsén,) Ye = Bounding putaur 6 wide puter preasunc - Aye nbiiak borer. QL 92 Speke: Necwobisg, Enlorncolitir @ Eye: Rop/ Relialentol foobar: OQ Hypo rhertaua Cijesmaa: Hypoce ; Hypo Mg (2) eo Legeclion a ll el a 279399998 ae19 RY Pop, Neerobining Culerocollia (NEC) * Re Samcalit Gut: 1 Susceptibility of presenti tagank meee propedlydl UE eopyuusr Z =f Grobe fy =v perafotoi = — b wctibity = _Attszed Spiele usu” 8 fepab puncliie = Altered baclrital flora — ¢ muc0oue coat = AWleRed wucacn profeur =P gpitteliih pohawsatitity: + Sepsts fomne : op fed ( Coo with) Q@ Malt Cocaine @ PPL: Anke 7 . @Q_ Lape astvawnewtat of feed Prwentian :O4ntlenmatal aterede ~- vive =v pve - v NEC = ves —_Y Neouafat euorfolify « HUNAN MILK |} porofeoly fee. cugyene v Gaobite. pit. = — p_penéa Q f tuotilety eso pabigints bacleitiol loin ee D\olo— Alfred wucut coat ) AY gpitheleals peassaditity Q@_Duphic pee: expressed nulk /o-1S wal tg dag @_ Avecd pple ; auti +, @ Avoid Pity pee We lyr Hf ufouf; 10-12 opcode of iy spooks [tay e 0 fea Lack 9 cloye - Aasg & els ta ada © 62 adurs eckeaegeoeervere @el\ejeoce AD ORS & patios oO \BS_ORS orally- > ORS & Lin lackore Leet D> ORS TE Low Locloid Acefs Ke probinHiee.. PROBIOTICS ¢ Prevenli NEC — Lactsbharcllus occcophellur & age Arbachuiiun afer “fo VLBW: ~ wey uae tw Rotavius : lactabactllus rbanimnocur & Sacenoueyers bowlar cde? 72x9090e208 100990089 420 MCs OMIOSOHO = elelejgg gg oo PEP PleleleloljeAMT = Hyponabiznun, Mefabole acidteris , Msoustocyteta yd (a oa iia ° ° ni 2 : — @ Modifrd Bulli ng for NEC: ° Slage Wl luspeetiz Nec, niabiaiza, silout : pecull bleed ts Metabolic actictoais ST Ke: NEC + Shpall vat feeds + TPN ( Gluchee, Ant, Lipide) om e 2 Antibiokes ( Cofofanume, Ve - Mebiinicazole) Sage HH — Yeay Argusin Se G0 odd eS B|elo| 9 oeMiele Sucia : Kaboul, Sauue Sopies aceon fer early ciaguost’s : Tle < 5000 eumen Gr > 20000 ANC < 1/860 /eume. PS fee Gated els | Bessuat uedinphile >20% ( Y/7 S0-20) ee granules Mur ESR “bute Selo. ufo) >iSuun fat ti let hour CRP_: Procaler ton pve Luwaabror punclii (Ju date. Lepr) OSs lol, ety eo 6 2 e ® @u- == e ® D] costa & Nee & prjorodics & foot general cond” is __@ ° 2 =n @ ° AY Comorvatwe Ye saby o. VBS Frank drauy E glove eo ~ Oy Loprotocy € Apabiliies Anta foruwais ° : S r . 3 Extrecnporuak meub Cry gstafions ° Sage LL ¢ Stable — Loprofouy e-° Unstable — Prriteneye cbain. ° o NeonaTar Sepsts : Lire 2 Syulomns + Bacloveuia : gd e EARL LATE els #2 bs. el, Rie Wakernial fever Fea jefe — Nosceo wal e |. Daul beguor Miele wold — Coagulase -ve Stopr @ | ~ P PROM! Chovioawunionite. Su. Sucker Klebootia, Sauce. © | Mcle World: Group 8 Spropfococeuc, E-Coli oe (m/c) Meuungii D> CSP exau™ 6 & —|| Ausperédiin + Genbiinyet = Cofofanive + Aeuikacw o| am . oe, =I o- 6 \ © 3 ° e23 owe} Pon, Chect Xe ANC = Newbiapoil + Banc colle Lab un Neonatal Sepse's emeept = 2 PO lo lo/o/o oo ss Tay peer & Lewcougpotrs er ESR D> Tone pawulafed wulileoulateD yur qe oo Duratedn of Antibiotic in Neouafol Sepic: ° oclthiuua = [0- 16 days 2 Memugitis = Btelays jo La Col wu hlitis = GS6 wk iz) ® fesuxps” arg ula of renbornt e Now! abuis Absirvsing! Tharucogenenis — 8 Brown a eo — Nape of Neck = Dut = Around “kihroys & adruak = Around blood Tyeoael: (anowd vacaeoliny). Aussllery feuup™: B65 - 3F-SC = Cold alrite | wil biypo thcruua (36-36-$2c) = Moquafe lypolhciosieh (.32-38-9°) - Seere-( K& 320¢) S hy per three >3PSC — woolly aligns: Paw polhetimie : Kroc ( Rewgonoo oll care).24 Date | Page___ AU compouenli ane of KMC except A> Kangar0d potion 2 Kaslhanwo ‘wslitit ¢ Gaady chashonge ¥. follow up. Dy ilu When Lo Sop KMC: - Whew a Child rcache aso gu wt: Deliv secu Leinp? — >72°F (AAP) g 26°C (WHO) & ( 28-28") ALIMS NICU prolocols = < 280k] < 1900 9a —> fut baby uv Potylheine G yy g bag. g peduces Canvoclibe, — Jneubalor—> Reducer cawweclea - Mechancauw o beat lirnafer lv wverbeat radian} PleleljejejeieseageeoPp P wonuners ndialia, + 4 conveclia boos vf ypo/Ackmia : ONS : Aspphyaotta 1 Asphiynrc. Carctco pale ieee ABs “dt kedneye Asphysia ATN 4 a; 4 7 ‘iio 4 upp On Hypo Me, Cf elele| ¢ al 9299999 29Dxa__ as Relistental Pibroplasce. / Ror ( Retus of Pasewctisity) If: Prrtorun - tips feow On OP P/x/e/o od o — Proliferation, tbaliluaw & bortuBur veaarls = rathanak Avlinal ckipechouens - = ROP Stage I-V : ‘plus’ — Blindueas- Stage $v i Sucorupjose Lintlianal RD Stage v: Compute 2 ? o 7 ° tay 5h 9 9 Doo, S0onmp NET EOE @ Tote AAVAE f Dy ® o spo | | 3 19 ° 15 e Po, (wuss) >. & LIMO fergete gps = G- 957 the prefer. au of ROP. Bunoness : SRepubin inolivet: ophtmaluia AAP ROP qutdelives (Reak $30 wher «sofas ) Goatatvonlke) Let vesit be ophtialuiotogist Po st wenaliinal (wks) © Sapewak (wks) 2 EP : 3: 7 © as 3 e eo 4 3) z oOe Date, _% e a : gs 3) £ ° 26 3 5 e 2 3) 4 @ @® 32 4 o 29 33 4 2 30 349. 4 e YS a Newbow ¢ Reaper hia trese VS New bow Re wiee 9 & agler fist vectt, baby ha bo go 40 ophthalaustogint ency Ruvke Veith bea bax eye Look! bike Wit ae Ack! Relinal Vaacelarizaletin: Lege eye. Uv aang Vaouularizalian of Rofenr E ey Veo Stonls at Tooske § BE 4 (atthes woot — << 32. wke Medial Laferal At Gourtes- R: ROP — Laer Phofo coagulation | Peripheral ablajean - Typed gop (all put titnes) =_Cayodtaraby. = Stage V > [Retinal Aeatfachunen? News ca estijasot > AK VEGF 5 neaofaut-. A909980290 003008 »d90 OUdaAgaguae? alpaca Gy Sa27 owe) — ha Reapualuan Dachypuen.* RR > fun: Gilueuan Anderson Reliaclian Score : Peakuitr Seare 0 1 2 Cheat woveruent Eguat Reap? lag Panadonioal, ly jer cheat Sacra) Seecavs a | Daler conofal Nowe Minimal Menke Reliaclibin Xiphod - Nowe ” ” t RK = — Nacal Pan ig Nowe ” ” eepiatag Nest fade fun HL Downec acorn copraloyy diolriis < Gi Reply Seale. Seore O t z RR ( perucin) <60 60-80. — > B0/apnuc opie | Genesee [Gntrat) __ Neue Sn rvomar tiv 40% On. Rhacloinn = Mild Moderate —Sovere.. Grunteng Audibfe & Audible & ‘ Safoscape Stheferenpe Aw Clear ¥. ( Betayed) Bently audible: (aud-oSeliary (oie) aid -ans lle)28 a a Pom, M/cfc # DE Suapactast oh estaaey Suspaclatit > _Phoapho tertyt choteie, (Of) (Met wif) Phoopho ticle fie hoaphotidit G9 ré fol Moab ho fic p-A& SPB, SP-C, SP-D. Otter proferin: G Houogenates RD wks gesfation, Auntie stuniy — 2oMk Jalvoi, Mature lebels — 95% RDS ACK OO Degree of prematuily - co oO 7 Reak, of RDS : V< 28 wrke — 60-20% 2 BF whe — Seco —> Corkrsot eS PlePlejeie edad? PP Pe Plejole oe H Lescthin Spburgotuyeliin Anis a wale - 2 $ S cifants of DM trolhert - HE C»R: RDS ( lungs) ! Ground Gloso appearance (athe out Ling). 2 As hroschopau — Clasace feafurr of RDS. £ DOR aml in Eaaly ROS kA PAD IANM9IDOD0GdACBPRASPSBII qgqooodo 9aG0O000 o items@ro-k Ris Humudified 0 (90-60%) — We daw't gis 180% Oy beox of ROP + Nacak CPAP: wuld — moctrate hatrEe barks tw ELBWS Fil, + Sfont & 96-60% --~-> room air PEEP: Scum 0 ~dabsabacheod aurgoctant — Severe ¢ as Aoocus - = Iubicbale Lai baby [IN Guie Surpoctord” [sue] _—_Extirbate Lai aby \_E Suwanli, — Rovne Curpaurt ~ Poreure Gopoaulf — Catg- Sfatatle, also autilabte 32uuke , Prskoriin i Cs Grunkig., RR =" FO/ uu - bode cat cusung eters of chores AY Hbusdifed 0, by hood By Mechanteih veak fared ee as — £ J Tape OF Suafoctant Horopy & usrctanteal Wak feo Atleceuis un RDS excopt' A> Cyanooia B> Occurs tw pretercie cy More tix DM wy” Thated by 100 OrYs) AlL but afout CPAP except : A Yuekiafed FiO. 0-40- 0-60 By Ured un apron of prorat Qusproue L, 7 Ante ° Volume veal RDS FRO Usk pup faott catty wry ELBWE EAU Serum Seusale , Bint wit = 5-Shg , uacowspli cated detivoy Reapikatowy dua tress affex berth y M99I C000 CDTDSSOOS OR — "Ground gthos appearance Q On ventilation © gwen aurpaclsnt - but coud” oleporvrvarec © 1 Liveronser Ho woling cywg Caw 02 week & cuuilar cnceptain Geog 3 booed euttuis -@ & = Neouafal Prlur- Atveolar profecos's 65 Aupsomat Receoswe G Mupaluaw we Profein 2 ([Rasety en) Re Eaaty lusng tiaereplant oe 9099009000900 Fostasaulstis Ry — Puck eoninaphiles usnperiat oh tig. = Qdipafhie : 90% Aduttor acgured 4g ant beetles fo GM-CSF = Secoatany - =L0f aceboy ; : Ra iS | elesioeacg re rpPpPreiPrPirer9ateerrpPpPprreeeee OMG OG oe ¢ aCT sean — Crazy paw: atone, ( Pocuiialy biticalvertar Sepjet). 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