• “just put Prozac in the water
at this point… w/ the fluoride”
• rounding on teratoma baby, ----
said he’s looking really good… IS HE?!
... is he?• mom prenatal course
• how much resp support needed
• 31w4d = prob on CPAP
- minimize FiO2 to RA bc of
risk hyperO2
- - did mom get
steroids? lungs
• if no → surfactant
• get CXR
• CV: umbilical line, wanna start
parenteral nutrition quickly
• FENGI: start d10, starter parenteral
• ID: rule out sepsis
meconium stain, RDS as sign
of early sepsis
• PROM → sepsis rule out
• get a sense of maternal risk factors
• fetal tachy, chorio → rule out
• ? mostly: sepsis rule out indications
• umbilical line placement
• CHART REV:
- she did get betamethasone
- placenta -----
- mom hx NSVD x [x], CS x [x], SAB x [x]
- FOB cousin
• “don’t just do something, stand
there” aka be patient and let
the universe cook… nice
- attending’s mentor said that,
then attending told WWS mom
• angel kiss, stork bite… need a
cutesy term for hemangioma over the
eye when telling parents about it… lol
• ? SMOF ?
• when checking urine Na, also
need to check Cr to check on
kidneys ?
• baby
- just PIV, 31w4d (cuz mom bleeding)
- spontaneous cry + some tone
- some PPV, mostly CPAP, now CPAP
- FiO2 45
- ? might need salsa ?
- no caffeine
- FENGI: NPO, d10 starter, TFL 80
- heme: sent CBC, cord oozing
- ID: no prolonged rupture, GBS (-)
• if low LE tone, concern for spinal
• tube defect - check lumbar spine
• delivering surfactant:
LISA if < 1500g, otherwise
SALSA (LMA)