A neonate delivered at 38 weeks of gestation with a bih weight of 2.2 kg develops intolerance to feed /abdominal distension on second day. Physical examination is unremarkable. Sepsis screen is negative. PCV is observed to be 72%. Which of the following represents the best management option?
Neonate mentioned in the case is suffering from neonatal polycythemia. Long term complications of neonatal polycythemia can be prevented by treating symptomatic children with paial exchange transfusion of blood. Ref: Neurology in Clinical Practice: The neurological disorders - Page 1108; Blueprints pediatrics By Bradley S. Marino, Katie Snead Fine, Julia A. McMillan, Page 183.
Hydration with IV Fluids
Paial Exchange Transfusion
Presumptive treatment for sepsis
Medical Management for intestinal obstruction