Blood glucose (stat)
Sepsis workup
Blood gas
ECG
Treatable conditions include SVT
Ammonia, pyruvate and lactate to  rule in inborn errors of metabolism
Need to look up values for neonate. Ammonia is high as liver is immature (i.e. that's why neonates are jaundice). Ammonia > 200 requires dialysis
Treatable conditions include SVT
Need to look up values for neonate. Ammonia is high as liver is immature (i.e. that's why neonates are jaundice). Ammonia > 200 requires dialysis
If hypoxic or evidence of CHF assume CHD
CHF in neonate = hepatomegaly, wheezing, gallop
if unclear, do Hyperoxia test
place infant on 100% O2 for 10 minutes
check ABG, if O2<100 torr, highly predictive of CHD
some use Pulse Ox <95%, less sensitive
Abdominal xrays may help rule in intestinal disaster early
place infant on 100% O2 for 10 minutes
check ABG, if O2<100 torr, highly predictive of CHD
some use Pulse Ox <95%, less sensitive
D10W:
6 mL/kg/h for first 10 kg
+ 3 mL/kg/h for 11–20 kg
+ 1.5 mL/kg/h for each additional kg >20 kg
Consider diluting the D25 or D50 bolus, with NS 1-to-1, as those concentrations may be sclerosing to veins
Recheck 5 minutes after dose and repeat dose if low.
Consider glucagon IM/SQ if IV access is not readily available
Neonatal resuscitation
THE MISFITS [1]
Newborn resuscitation
Trauma
Baby feeding and nutrition
Heart
Umbilical vein catheterization
Congenital heart disease