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  • Mortality and Morbidity

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    Datulna Benito Mamaluba Jr.
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    This document summarizes the case of a newborn infant admitted for treatment of clinical sepsis. The infant was born via normal spontaneous vaginal delivery and discharged after 5 days of treatment, but was readmitted at 7 days of life with symptoms of low blood pressure, fever, dyspnea, and cyanosis. Despite resuscitative efforts including intubation, epinephrine, and CPR, the infant's condition deteriorated and the infant died with a final diagnosis of neonatal sepsis.

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    This document summarizes the case of a newborn infant admitted for treatment of clinical sepsis. The infant was born via normal spontaneous vaginal delivery and discharged after 5 days of treatment, but was readmitted at 7 days of life with symptoms of low blood pressure, fever, dyspnea, and cyanosis. Despite resuscitative efforts including intubation, epinephrine, and CPR, the infant's condition deteriorated and the infant died with a final diagnosis of neonatal sepsis.

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    2 views10 pages

    Mortality and Morbidity

    Uploaded by

    Datulna Benito Mamaluba Jr.
    This document summarizes the case of a newborn infant admitted for treatment of clinical sepsis. The infant was born via normal spontaneous vaginal delivery and discharged after 5 days of treatment, but was readmitted at 7 days of life with symptoms of low blood pressure, fever, dyspnea, and cyanosis. Despite resuscitative efforts including intubation, epinephrine, and CPR, the infant's condition deteriorated and the infant died with a final diagnosis of neonatal sepsis.

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    Mortality and Morbidity

    PUDONG, MOHAMAD EIRSHAD


    MATERNAL and NEONATAL HISTORY
    G1P1
    NSVD
    CRMC
    Admitted: Clinical sepsis for 5days
    Had prenatal check-up at OPD
    Denies maternal illnesses
    Bottle fed: Nestogen; 1:1 dilution
    HISTORY OF PRESENT ILLNESS
    Born to G1P1 mother via NSVD in this
    institution with fair cry and activity
    Admitted and managed as a case of clinical
    sepsis, discharged improve after 5 days,
    cefixime as home medication
    1 day PTA (7 days of life), LBM for 3 episodes,
    no vomiting, intemittent, undocumented
    fever, dyspnea and cyanosis admitted
    Physical Examination
    awake, in CP distress, febrile, apneic
    cyanotic, warm to touch
    (+) alar flaring
    ECE, HBS, apneic episodes, no retractions
    RR: 22cpm, CR: 84 bpm, T: 39.1 C, HT: 45cm,
    weight: 2.1kgs
    globular, soft, dry umbilical cord
    grossly male
    Admitting Orders
    7/16/16 (1:00pm)
    Admit under Neo Service
    NPO
    suction secretions
    CBC,BT; blood CS, ABG, UA, chest xray; s. electrolytes, hgt:
    124mg/dl; UA; S/E; S/E for rotavirus
    ampicillin, cefotaxime, paracetamol, ranitidine
    PPV
    Intubate
    Epinephrine 1amp now
    OGT
    Attach to pulse oximeter
    Close watch!
    Course in the Ward
    7/16/16 (6:00pm) 8days of life

    S/O: intubated, afebrile


    A: Neonatal Sepsis
    P: transfer to PICU
    cont meds
    Close watch!
    COURSE IN THE WARD
    7/16/16 (8:00-8:30pm) 8days of life

    S/O: intubated, afebrile, mottled skin RR: 0; CR:


    0, pupils fixed dilated
    A: Neonatal Sepsis
    P: CPR
    reintubate
    epinephrine 1/2amp x 8 doses
    cont CPR
    PNSS 20cc x 3 cycles pronounced dead
    FINAL DIAGNOSIS
    NEONATAL SEPSIS

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