COMPUTATIONS

TFR (Total Fertility Rate)

Holiday-Segar Method

https://www.slideshare.net/johngeorge123/maintenance-fluid-calculation
Drug Computation

Bhutani Chart
PHOTO LEVEL/Exchange transfusion level according to Bhutani Chart

Step 1 determine hour of life upon extraction

Step 2 determine risk of the baby
Step 3 check the total bilirubin level on the appropriate curve at the correct hour of life. This is
the photo level.
Step 4 is the baby's total bilirubin higher or lower than photo level?

If preterm, use separate parameters lifted from Harriet. See next pic.

Thanks

https://www.utmb.edu/Pedi_Ed/CoreV2/Neonatology/Neonatology26.html
COMMON CASES:
CPAP (Continuous Positive Airway Pressure)
Continuous positive airway pressure, commonly called CPAP, is a type of respiratory
support or noninvasive mechanical ventilation used in adult and pediatric patients. In
premature babies, CPAP is delivered through a set of nasal prongs or through a small
mask that fits snugly over a baby’s nose.

Like nasal cannula, CPAP is used to deliver constant air pressure into a baby’s
nose, which helps the air sacs in their lungs stay open and helps prevent apnea.
Because CPAP can deliver more pressure than the nasal cannula, it is often used for
babies who are breathing well enough on their own that they do not need more invasive
mechanical ventilation like a ventilator.

CPAP can also be used to deliver higher concentrations of oxygen to premature babies
who have trouble maintaining good oxygen levels in their blood

Why Would a Baby Need a CPAP?

Because their lungs may not be fully developed, premature babies sometimes have
trouble breathing. CPAP offers noninvasive breathing support for babies with conditions
that impact breathing.

Respiratory Distress Syndrome

CPAP in infants is mainly used to treat respiratory distress syndrome (RDS). RDS
occurs when a baby is born prematurely before their lungs have fully developed. The
lungs of these infants are deficient in surfactant, a slippery substance that enables
smooth lung expansion and contraction. Without these surfactants, breathing becomes
difficult.
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 CPAP is a non-invasive type of respiratory support which can be delivered without
endotracheal intubation although classical mechanical ventilators can also provide
CPAP. It works by providing a continuous level of positive pressure to the airways which
distends the lungs, overcomes collapse and improves ventilation. CPAP can be
generated in different ways: (1) by using a variable flow of air and oxygen, toward the
patient during inhalation and away from the patient during exhalation (variable flow
CPAP); (2) by blowing a high flow of air and oxygen (high flow nasal cannula); or (3) by
immersing the end of a respiratory circuit and making the patient exhale against a
column of water, generating bubbles (bubble CPAP)

https://www.verywellfamily.com/continuous-positive-airway-pressure-cpap-2748545
https://www.childrens.com/specialties-services/treatments/cpap

DENGUE