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Newborn Complication
Hematologic
| Question | Answer |
|---|---|
| Mother receives rhogam at what weeks | 26-28 before 72 after |
| Mother receives how much rhogam at 26-28 weeks? | 300 mcg |
| Mother receives how much rhogam with abortion? | 50 mcg |
| Fetal anemia hematocrit is at | <45% |
| Thrombocytosis | increase platlet level at >450,000 |
| Thrombocytosis causes | -infection -T 21 -iron def -GI bleeding -narcotics |
| Hemophilla | inherited disorder lacking clotting factors |
| Hemophilla A | lacking clotting factor VII |
| Hemophilla B | lacking clotting factor IX |
| Hemophilla C | lacking clotting factor Xi |
| Hemophilla tx | -plasma C |
| Neutroopenia | reduced neutrophils indicating infection or bone marrow suppression |
| Neutroopenia may be associated with | -Shwachman-Diamon -Kostmann's syndrom |
| A low ANC identifies | sepsis |
| Direct/conuaged bilirubin | levels increase with blockage of bile ducts, hep., or liver damage |
| Indirect/unconjugated bilirubin | levels increase with aneamias such as tranfusion reactions |
| Bilirubin: physiologic | -immature hepatic function -increased RBC hemolysis |
| Bilirubin: hemolytic | Rh incompatibility |
| Bilirubin:Breastfeeding | -inadequate calories during early breastfeeding |
| Bilirubin: milk jaundice | -human breast milk breaking down bilirubin and being reabsored in the gut. |
| Kernicterus is also called | bilirubin encephalopathy |
| Kernicterus: define | elevated serum bilirubin levels cause damage to the brain. |
| Kernicterus: Phase 1 | Occurs first few days of life -decreased alertness -hyotonia -poor feeding |
| Kernicterus: Phase 2 | -hypertonia -extensor muscles -extreme gyperextension or arching of back -extreme arhing of neck |
| Kernicterus: Phase 3 | -after one week with reurrence of hypotonia |
| Phototherapy 500-750 g | 5-8 mg |
| Phototherapy : 750-1000 g | 6-10 mg |
| Phototherapy: 1000-1250 g | 8-10 mg |
| Phototherapy and : 1250-1500 g | 10-12 mg |
| Exchange Transfusion: 500-750 g | 12-15 mg |
| Exchange Transfusion: 750-1000 g | >15 mg |
| Exchange Transfusion: 1000-1250 | 15-18 mg |
| Exchange Transfusion: 1250-1500 | 17-20 mg |
| Irradiated blood cells are recommended for neoates ___ who are immunocompromised or receiving transfusions of granulocytes or exchanged transfusion.. | <1200mg |
Created by:
BonqweshiaJ