Download ABC First Year by Geoffrey Chamberlain, Margery Morgan PDF

By Geoffrey Chamberlain, Margery Morgan

(BMJ booklet) textual content has been up-to-date all through and redesigned within the present ABC structure. Covers association of care, basic antenatal administration, fetal health, paintings in being pregnant, raised blood strain, preterm hard work, a number of being pregnant, audit of delivery, and extra. earlier version: c1993. Softcover.

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ABC First Year

(BMJ publication) textual content has been up to date all through and redesigned within the present ABC structure. Covers association of care, basic antenatal administration, fetal health, paintings in being pregnant, raised blood strain, preterm exertions, a number of being pregnant, audit of delivery, and extra. prior variation: c1993. Softcover.

Additional resources for ABC First Year

Example text

Very severe jaundice may damage the cells of the basal ganglia and brainstem. This damage is produced by the fat soluble unconjugated bilirubin. If jaundice is severe, high bilirubin levels may result in deafness, cerebral palsy, or death. Neonatal jaundice is due to an increased bilirubin load with a transient inefficiency of hepatic excretion resulting from decreased activity of glucuronyl transferase in the liver. There are additional factors. Some of the conjugated bilirubin excreted in the bile is normally deconjugated in the small intestine and reabsorption is enhanced by the slower gut transit in the newborn who takes small volumes of milk.

Some units start treatment at lower levels of bilirubin in sick infants. Prolonged jaundice If jaundice persists longer than 14 days in a full term infant, blood should be taken for plasma thyroxine and TSH estimations and a specimen of urine collected to measure reducing substances and glucose. The urine should be examined in the laboratory for the presence of infection. If the parents are of Mediterranean, African, or Chinese origin, the screening test for red cell glucose-6-phosphate dehydrogenase should also be performed.

Coli septicaemia. Intravenous cefotaxime or ceftriaxone is suitable for E. coli meningitis. To treat urinary tract infection intravenous or intramuscular gentamicin and ampicillin should be given. Once the sensitivities are established it may be possible to continue treatment with one drug such as trimethoprim. In any case gentamicin should not be given for longer than a week, as eighth nerve damage may occur. Every infant who has had a confirmed urinary tract infection should have a repeat examination of the urine for the presence of infection every three months for two years.

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