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CAUSES

  • Cyanotic congenital heart disease
  • Respiratory
  • Persistent pulmonary hypertension of new-born
  • Sepsis
  • Seizures (Tonic)
  • Polycythaemia

MANAGEMENT

  • Oxygen saturation
  • Blood for PCV, FBC, culture, glucose, U&E’s, calcium.
  • Blood gas
  • Chest x-ray/ ECG
  • Lumbar puncture / antibiotics
  • Hyperoxia test in FiO2 90-100% (head box or ventilated)
  • Echocardiogram
  • Cranial ultrasound.

Management of new-born infant with suspected cyanotic congenital heart disease

  • General measures
  • If ill consider Prostaglandin and ventilation.
  • Consider bicarbonate with acidosis, diuretics for heart failure, antibiotics for risk of infection.

PROSTAGLANDIN

Prostaglandin E1 and E2
Dose

  • Start 5 ng/kg/min and increase to 20ng/kg/min infusion( max 100 ng/kg/min)

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