Baby Hospital Miraj.
Madhav peth.
Near water tank.
Miraj 416410.
Greetings from Baby Hospital.
RED FLAGS. Danger signs.
Illness Nasal flare
Respiratory Grunting
Refusal to feed
Signs of life risk Head bob
Chin pull during breathing
Circulation Danger signs Cold limbs
Giddiness
Episodes of dark vision on sitting from supine
Signs of life risk Weak pulse
Reduced urine
Low heart rate
Brain Drowsy
Not responding to pain
Practice tip
Pediatric convulsion Lateral position
suction
Inj Diazepam
If intravenous acess not possible
Per rectal diazepam
Per rectal administration procedure
Put the person having seizures on his/her side in a place where he/she cannot fall.
Give diazepam rectally:
Draw up the dose from an ampoule of diazepam into a appropriate syringe. Base the dose on the weight of the child,
when possible.
Age (weight) Diazepam given rectally 10 mg/2 ml Syringe.
solution Remove needle after loading
Dose 0.1 ml/kg
2 weeks to 2 months (< 4 kg) 0.3 ml 1 ml syringe
2–< 4 months (4–< 6 kg) 0.5 ml 1 ml syringe
4–< 12 months (6–< 10 kg) 1.0 ml 1 ml syringe
1–< 3 years (10–< 14 kg) 1.25 ml 2 ml syringe
3–< 5 years (14–19 kg) 1.5 ml 2 ml syringe
Then remove the needle. Put lubricating jelly on the rectal tip.
Turn the person on his/her side facing you, bend his/her upper leg forward, and separate his/her buttocks to expose
the [Link] insert the syringe tip 4-5 cm into the rectum until the rim is snug against the rectal opening.
Slowly count to 3 while pushing in the plunger until it stops.
Slowly count to 3 again, and then remove the syringe from the rectum.
Hold the buttocks together so the injection doesn't leak from the rectum, and slowly count to 3 before letting go.
Keep the person on his/her side.
Take note of what time diazepam rectal gel was given, and continue to watch the person.
DENGUE DOES AND DO NOTS.
DOES.
[Link] ON DAY 2
[Link] UP CLINICALLY AND CBC .
[Link] 1.5 LAKH TO 2 LAKH –CBC DAILY
[Link] LESS THEN 1.5 LAKH
CBC TWICE IN A DAY
[Link] THAN 1 LAKH-HAS ENTERED IN DENGUE SHOCK
SYNDROME.
BABY IN DENGUE SHOCK SYNDROME NEEDS INDOOR
CARE WITH PROPER MONITORING.
6.
IF COLD PERIPHERIES AND WEAK PULSE NEEDS PROPER
ICU CARE.
WHERE NECESSARY MONITORING CAN BE DONE WITH
AVAILABLE ON DUTY PEDIATRICIAN.
DO NOTS
1. NO USE OF SO CALLED PLATELET ENHANCING
MEDICATIONS.
DO NOT USE MEFANIMIC ACID OR IBUPRUFEN.
CAN USE PARECTMOL INM PROPER DOSE NOT MORE
THAN 60 MG/KG PER DAY.
2. AS MAIN PROBLEM IS HEMODYNAMIC COMPROMISE
3. PROPER FLUID BALANCE.
LESS FUID CAN CAUSE HEMODYNAMIC COMPROMISE
AND BLEED.
MORE OR FAST FLUID CAN CAUSE FLUID OVER LOAD
AND PULMONARY OEDEMA AND RESPIRATORY
COMPROMISE.
TREND OF HEMATOCRIT AND PLATELET IS MORE
IMPORTANT THAN ABSOLUTE VALUE.
INCREASE IN HEMATOCRIT BY 20 % OR MORE THAN
42 PERCENT ABSOLUTE IS A DANGEROUS SIGN.
DR POONAM SHANKARGOUDA
DR IMRANKHAN PUNEKAR
DR SHANKARGOUDA S N
Baby hospital Miraj.
Since 2000 our organisation is providing essential affordable care to
neonates and children under one roof.
Services available.
High technology neonatal intensive care.
High technology paediatric intensive care.
Paediatric cardiology... Including Echocardiography.
Paediatric Neurology care including EEG.
Paediatric OPD.
General pediatric care.
Facalities.
20 bed pediatric and neonatal icu.
Four ventilated beds for neonates and children up to 20 years age.
Bedside arterial blood gas and electrolyte analyser.
Bedside X ray machine.
Invasive arterial and central venous pressure.
Invasive intracranial pressure.
All bedside emergency procedures including peritoneal dialysis,
intercostal drain, tracheostomy.
Expertise.
Round the clock pediatric intensive care provider.
Experienced staff.
Emergency Echocardiography.
[Link]. S. N MD Paediatrics. 9422041034
Dr ImrankhanPunekar. MBBS Dch 9270517111
Dr Shankargouda. P. S. MBBS. 8275792870
Book post
If not delivered please return to
Dr Shankargouda
Baby hospital.
Madhav peth.
Near water tank Miraj.416410.
