SAQ 541 – Paediatrics – neonatal tachydysrhythmia with heart failure

A 12-day-old girl presents with poor feeding and increased work of breathing. She is drowsy with widespread crepitations and central capillary refill of 3 seconds. Her observations and ECG are shown below.

Observation	Result
Temperature	36.8 C
SBP	70 mmHg
Respiratory rate	80/min
SpO2	93% room air

State the diagnosis.

(Marked out of 1.0)

/ 1

List four (4) ECG findings supporting the diagnosis.

(Marked out of 4.0)

/ 4

State four (4) initial management priorities for her tachydysrhythmia.

(Marked out of 4.0)

/ 4

List three (3) further investigations and give one justification for each.

(Marked out of 6.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Investigation</th> <th>Justification</th> </tr> </thead> <tbody> <tr> <td>1.</td> <td></td> </tr> <tr> <td>2.</td> <td></td> </tr> <tr> <td>3.</td> <td></td> </tr> </tbody> </table> <p>

/ 6

Total Score: 0 / 15

Percentage: 0%