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9/14/2016

FamilyofDoctors

NeonatalMnemonics
GeneralNeonatology
APGARScore
Scoringsystemtoassessthewellbeingofanewbornafterbirth
A:Appearance
P:Pulse
G:Grimace
A:Activity
R:Respiration
SBAR
Usedforeffectivecommunicationofpatientproblemsandhandover
Subject
Background
Assessment
Recommendation
SOAP
Communicationanddocumentationmnemonic,similartoSBAR
Subjective
Objective
Assessment
Plan
RIN
Antenatalsteroidsdecreaseincidenceof:
RDS
IVH
NEC
"BabyFriendlyHospitalInitiativeonaRAINydayinaMedicalHospital"
Frequentcomplicationsofprematurity:
Birthasphyxia
Feedingdifficulties
Hypothermia
Interventricularhaemorrhage
RespiratoryDistress
Apnoea
Infections
Nectrotisingenterocolitis
Metabolicacidosis/Meconiumaspiration
Hypoglycemia
CHAMP
SmallforgestationalagebabygetsfollowingproblemsrememberthatanSGAbabywillbecomeaChamp
Congenitalanomaly
Hypoglycaemia,Hypocalcaemia
Asphyxia
Meconiumaspiration
Polycythaemia
Respiratory
DOPE
Frequentcausesofacutedeteriorationinventilatedinfants:
D:Dislocation/Displacementofendotrachealtube
O:Obstructionofendotrachealtube
P:Pneumothorax
E:Equipmentfailure
Thesepossibilitiesneedtobeconsideredandruledoutbeforedeteriorationoflungdiseaseisassumed
Cardiovascular
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9/14/2016

FamilyofDoctors

PROVe
FeaturesofTetralogyofFallot
Pulmonarystenosis
Rightventricularhypertrophy
Overridingofaorta
Ventricularseptaldefect
Useyourfingers
Cyanoticheartdiseases:5typesUseyourfivefingers:
1fingerup:TruncusArteriosus(1vessel)
2fingersup:TranspositionoftheGreatArteries(2vesselstransposed)
3fingersup:TricuspidAtresia(3=Tri)
4fingersup:TetralogyofFallot(4=Tetra)
5fingersup:TotalAnomalousPulmonaryVenousReturn(5=5words)
5Ts
Cyanoticcongenitalheartdiseases5T's:
1.Truncusarteriosus
2.Transpositionofthegreatarteries
3.Tricuspidatresia
4.TetralogyofFallot
5.Totalanomalouspulmonaryvenousreturn
PEST
WhattolookforinalimbwhensuspectingDVT:
Pain
Erythema
Swelling
Tenderness
FeedingandGastrointestinal
BREAST
Breastfeeding:contraindicateddrugs:
Bromocriptine/Benzodiazepines
Radioactiveisotopes/Rizatriptan
Ergotamine/Ethosuximide
Amiodarone/Amphetamines
Stimulantlaxatives/Sexhormones
Tetracycline/Tretinoin
ABCDEFGH
Benefitsofbreastfeeding:
Infant:
Allergicconditionreduced
Bestfoodforinfant
Closerelationshipwithmother
DevelopmentofIQ,jaws,mouth
Mother:
Economical
Fitness:quickreturntoprepregnancybodyshape
Guardsagainstcancer:breast,ovary,uterus
Haemorrhage(postpartum)reduced
CAT
Additionalessentialaminoacidsinpretermbabies:
Cystine
Arginine
Taurine
HAT
Triadoflaboratoryresultsinnecrotizingenterocolitis:
Hyponatremia
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9/14/2016

FamilyofDoctors

Acidosis(metabolic)
Thrombocytopenia
3Ps
Presentationofcongenitalpyloricstenosis:
Palpablemass
Paristalsisvisible
Projectilevomiting(24weeksafterbirth)
MetabolismandJaundice
"BabiesHatePediatriciansBecausePainisInevitable"
Frequentcausesofneonataljaundicebetween24hoursto2weeks:
Breastmilkjaundice
Haemolysis
Physiological
Bruising
Polycythemia
Infection
"HOTBILE"
Frequentcausesofunconjugatedneonataljaundice:
Hereditarysphaerocytosis
Obstructionofbowel
Thalassaemiaalpha
Bloodgroupincompatibility
Infection
LuceyDiscrollsyndrome
Enzymedeficiency(G6PD,PK)
RAGS
Frequentcausesofhaemolyticneonataljaundiceat24hoursofage:
Rhesusincompatibility
ABOincompatibility
G6PDdeficiency
Spherocytosis
FIRST
Frequentcausesofneonataljaundicecausedbyincreasedbilirubinproduction):
Fetomaternalbloodincomptabilitye.g.RhorABO
Infections,Increasedenterohepaticcirculation(largebowelobstruction)
RedCellenzymopathies:(G6PDorPyruvatekinasedeficiency)
Spherocytosishereditary
Thalassemiaalpha

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