SAQ 782 – Paediatrics – unresponsive neonate and duct-dependent lesion

A 10-day-old baby is brought to your ED by ambulance after episodes of being unresponsive, floppy and short of breath.

List six (6) likely differential diagnoses.

(Marked out of 6.0)

/ 6

List three (3) clinical signs that would make you suspect a duct-dependent cardiac lesion.

(Marked out of 3.0)

/ 3

The neonate is in a resuscitation cubicle and you have obtained IV access. BSL is 4.2 mmol/L. State five (5) initial resuscitation treatment steps, including doses where applicable.

(Marked out of 5.0)

Observation	Value
Temperature	35.3 C initially; later 37.8 C
HR	180 bpm
RR	65/min
BP	65/30 mmHg
SaO2	80% room air
Capillary refill	3 seconds
Weight	4 kg

/ 5

Following resuscitation the baby has prolonged apnoeas and you decide to intubate. Complete the intubation-plan table.

(Marked out of 4.0)
</p> <table class="saq-prop-table" style="width: 100%; max-width: 100%; table-layout: fixed; border-collapse: collapse;"> <thead> <tr> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Medication</th> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">ETT</th> </tr> </thead> <tbody> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Name</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Dose</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Size</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Depth</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> </tbody> </table> <p>

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Total Score: 0 / 18

Percentage: 0%