Scribd Logo
Upload

Welcome to Scribd!

  • 23 views

    ETHAN

    Uploaded by

    DENNROSE DECLARO
    This document summarizes the medical history and hospital course of a newborn baby boy named Medrano. He was born at 36 weeks gestation by normal spontaneous vaginal delivery. Initial workup showed signs consistent with hyaline membrane disease. He was treated with CPAP, antibiotics, phototherapy and other supportive care. Over three weeks in the NICU, his condition gradually improved as evidenced by decreased oxygen needs and resolution of jaundice. He was discharged on oral medications and follow up.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd

    ETHAN

    Uploaded by

    DENNROSE DECLARO
    23 views23 pages
    This document summarizes the medical history and hospital course of a newborn baby boy named Medrano. He was born at 36 weeks gestation by normal spontaneous vaginal delivery. Initial workup showed signs consistent with hyaline membrane disease. He was treated with CPAP, antibiotics, phototherapy and other supportive care. Over three weeks in the NICU, his condition gradually improved as evidenced by decreased oxygen needs and resolution of jaundice. He was discharged on oral medications and follow up.

    Original Description:

    .

    Copyright

    © © All Rights Reserved

    Available Formats

    PPTX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document summarizes the medical history and hospital course of a newborn baby boy named Medrano. He was born at 36 weeks gestation by normal spontaneous vaginal delivery. Initial workup showed signs consistent with hyaline membrane disease. He was treated with CPAP, antibiotics, phototherapy and other supportive care. Over three weeks in the NICU, his condition gradually improved as evidenced by decreased oxygen needs and resolution of jaundice. He was discharged on oral medications and follow up.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    23 views23 pages

    ETHAN

    Uploaded by

    DENNROSE DECLARO
    This document summarizes the medical history and hospital course of a newborn baby boy named Medrano. He was born at 36 weeks gestation by normal spontaneous vaginal delivery. Initial workup showed signs consistent with hyaline membrane disease. He was treated with CPAP, antibiotics, phototherapy and other supportive care. Over three weeks in the NICU, his condition gradually improved as evidenced by decreased oxygen needs and resolution of jaundice. He was discharged on oral medications and follow up.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 23

    HYALINE

    MEMBRANE
    DISEASE
    DEMOGRAPHIC
    DATA
    Name: MEDRANO, BABY BOY
    Age: 36 weeks old
    Sex: Male
    Date of Birth: June 20, 2023
    Citizenship: Filipino
    Religion: Roman Catholic
    BALLARD’S
    SCORE
    Ballard’s Score
    HYALINE
    MEMBRANE
    DISEASE
    Hyaline Membrane Disease
    a condition in newborn babies in which
    the lungs are deficient in surfactant,
    preventing their proper expansion and
    causing the formation
    of hyaline material in the lung spaces.
    REVIEW OF
    SYSTEMS
    GENERAL: Wake, with good cry activity

    SKIN: Pink, No pallor, No jaundice, No rashes, Good Skin Turgor


    Flat, soft fontanelle, pink palpebral, conjunctivae, patent nostrils, no
    HEENT:
    alar flaring, no cleft lip, moist lips/oral mucosa
    CHEST & Symmetrical chest expansion clear breath sounds,
    LUNGS: (+) subcostal retractions
    HEART & Adynamic precordium, Normal Rate, Regular Rhythms, No
    VASCULAR: murmurs.
    Soft abd, non distended, no palpable mass, normoactive bowel
    ABDOMEN:
    sounds, umbilical cord with 2 arteries & 1 vein, no bleeding
    GENITO-
    Grossly Normal Male Genitalia
    URINARY:
    ANUS &
    Patent anus, (-) urine output at birth, (-) bowel movement at birth
    RECTUM:
    EXTREMITIES: No deformities, No edema, full & equal pulses
    Spine in midline, no tuft of hair, no sacral dimpling, no deformities,
    SPINE:
    no masses

    NEURO EXAM: Active


    ABNORMAL LAB
    VALUES
    June 20, 2023

    Result Indication
    WBC 24.66 High
    Result Indication
    RBC 6.35 High
    Monocyte 12.7 High
    Hemoglobin 22.1 High MCV 101.5 High

    Hematocrit 64.4 High MCH 34.9 High

    RDW 15.2 High


    June 23, 2023

    Result Indication
    WBC 10.43 High
    RBC 4.55 Low

    Neutrophil 45.8 Low

    Monocyte 15.10 High

    MCH 32.4 High


    COURSE IN
    THE WARD
    DAYS DESCRIPTION

    1 • Pt. was hooked to CPAP & IV fluid


    • Dx req: CBC w/platelet count @ 6th Hol, CRP 24th Hol, BCS, Babygram AP,
    CBG 2nd Hol then @6th Hol
    • OGT inserted and put on NPO
    • Hooked to pulse oximeter
    • Antibiotic were started
    2 • CPAP shifted to IV nasal cannula @ 1-2 LPM
    3 • Noted jaundice up to abdomen
    • No apnea
    • Retractions on auscultation, clear breath sounds
    • Started phototherapy w/proper eye precaution
    4 • Still w/jaundice
    • Started aminophylline & OGT
    DAYS DESCRIPTION

    6 • Tolerated feeding w/2 episodes of BM


    • PE was unremarkable w/stable vital signs
    • Present OGT was continued

    8 • Jaundice up to chest
    • Decrease feeding
    • Phototherapy started
    9 • Continued phototherapy
    10 • R facial jaundice
    • Other PE was unremarkable
    • Increase feeding
    11 • d/c phototherapy
    • Aminophylline shifted to oral theophylline
    • Flotera drops was started
    DAYS DESCRIPTION

    12 • Pt. started MTV 0.3 mL OD


    13 • Increase feeding
    • Decrease IVF
    15 • Light jaundice
    • Increase feeding
    17 • Stable w/facial jaundice
    18 • Stable w/noted decrease in facial jaundice
    21 • Scheduled for ROP screening
    • Calmoseptine ointment for rashes
    DRUG
    STUDY
    Theophylline 3mg/pptab; 1 pptab Q8
    Ferrous (Ferlin Drops) 0.4mL OD HS
    Hydroxyl Eyedrops, 1 drop on each eye x 4
    doses Q15 minutes
    Calmoseptine ointment for rashes Q diaper
    Change

    You might also like