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CONGENITALLY ACQUIRED INFECTIONS (Treatment)
Herpes Simplex Virus: Treatment a. Management of neonates with symptomatic/proven HSV disease i. Intravenous acyclovir (20 mg/kg/dose...


CONGENITALLY ACQUIRED INFECTIONS
Herpes Simplex Virus (HSV) 1. Background a. HSV type 2 is the most common cause of neonatal herpes disease. b. Transmission is usually...


PERSISTENT PULMONARY HYPERTENSION OF THE NEWBORN
Targeted therapies: 1. Inhaled nitric oxide 2. Prostacyclin analogs – (Prostacyclin produces vasodilation by stimulating cyclic adenosine...


PERSISTENT PULMONARY HYPERTENSION OF THE NEWBORN (Treatment)
1. Goals: Maintain systemic blood pressure to overcome right-to-left shunt and decrease pulmonary vascular resistance to facilitate...


PERSISTENT PULMONARY HYPERTENSION OF THE NEWBORN
B. Clinical Presentation 1. Symptoms – Evidence of respiratory distress, tachypnea, oxygen desaturation, cyanosis 2. Oxygenation index...


PERSISTENT PULMONARY HYPERTENSION OF THE NEWBORN
A. Background 1. Characterized by elevated pulmonary pressures after birth in conjunction with a right-to-left shunt across the ductus...


NECROTIZING ENTEROCOLITIS Treatment
Antibiotics i. The goals are to prevent ongoing GI mucosal injury, prevent translocation of enteric bacteria into the bloodstream, and...


NECROTIZING ENTEROCOLITIS
Background 1. Pathogenesis is multifactorial. a. Immaturity of the GI tract is the most important factor. i. Immaturity results in...


Patent Ductus Arteriosus (Treatment)
Treatment 1. Supportive care, including fluid restriction and respiratory support, may be sufficient to manage the symptoms of PDA...


Patent Ductus Arteriosus
Clinical Presentation 1. Symptoms – Murmur, hyperactive precordium, bounding pulses, widened pulse pressure, hypotension, worsening...
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