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The answer of case 2 renal failure

 1. Studies have shown that almost 100% of newborns have  the first void within 24 hours after birth and nearly half of  them void 8 hours after birth (Clark, 1977). Although very  few infants of less than 32 weeks’ gestation were documented in these studies and the time of the first void varies considerably, failing to pass urine beyond 24 hours  should prompt the physician to evaluate and intervene for  newborns of any gestational age. 2. She required resuscitation at birth and has a persistently  low blood pressure that may be limiting perfusion of vital  organs, including the heart and kidneys. Prolonged hypotension could serve as a prerenal etiology for acute ischemic and hypoxic injury to the kidney and should be  corrected immediately. A normal saline infusion at 10 mL/kg (over 30 minutes) can be given at this time, and a re- peated dose with the same volume could be considered if  there is no significant improvement in the blood pressure.  A renal ultrasound is also recommended
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Renal failure case study

 CASE STUDY 2 This is a 1-day-old girl born at 26 weeks’ gestation via a spon- taneous vaginal delivery 2 days following premature rupture of membranes. Her birth weight was 750 g and her Apgar scores were 5 and 6 at 1 and 5 minutes of life. She was intu- bated and given surfactant. After a blood specimen was drawn for culture, she was started on ampicillin and gentami- cin and given maintenance intravenous (IV) fluid. She fails to pass urine in the first 24 hours after birth, and her blood pres- sures are persistently low at 30/20 mm Hg. Questions 1. When should newborns pass the first urine after birth? 2. What should you do first to evaluate and treat this infant? 3. Is she at risk for gentamicin toxicity?
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Neonatal renal dose adjustment

  If you have a problem calculating creatinine clearance for neonates with kidney disorders  Or you need an accurate reference for renal dose adjustment for neonates then you need to : Check out "Neonatal drug renal dose adjustment" https://play.google.com/store/apps/details?id=com.my.renalll
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The proper use of Surfactant

 Surfactant use in neonatal ICU is one of the main challenges that healthcare professionals due to the high risk of mortality and the various benefits  That's why we have to know the proper guidelines to use surfactant  When to use it?  What is the difference between Curosurf and survanta?  Which is better survanta or CPAP?  And a lot more  To get the answer visit this link and learn: https://youtu.be/7XMguJfRGlo
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neonatal pharmacokinetics

 One of the most important things in neonates is their pharmacokinetics as it differs a lot from adult one must know to be able to use the medications effectively  Use this link to know everything you need about neonatal pharmacokinetics   https://youtu.be/5IkWtCFyIoo
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Pediatric renal dose adjustment

 Pediatric Drug dosing in renal , hepatic impairments &CrCl calculator Have a handy access to information on drug dosage adjustments in renal and hepatic impairment in pediatric through our application  The app also contains: CrCl (creatinine clearance) calculator Check out "Pediatric Renal dose adjustment" https://play.google.com/store/apps/details?id=com.my.renalll
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Neonatal fluid calculator app

 The most accrediable app for neonatal fluid calculation EThe health professional can easily calculate the venoclisis to young children. Fluid therapy is the procedure in wich intravenous or oral fluid is given to patients (of all ages) When dehydrated, or in all kinds of clinical situations when it’s necessary to offer the patient fluid, glucose or electrolytes. In order to calculate the maintenance fluid for a newborn, one needs to know the fluid requirements for age, the glucose infusion rate and electrolytes needs for each individual.  With Newborn Fluid Therapy, the health professional can easily calculate the venoclisis to young children with no mistakes, with an easy tutorial for better learning. It also provides the information on glucose grams, Infusion rate (in ml/h, drips/min or microdrips/min), glucose and potassium concentrations, to make your prescription safer. No more sheets of paper thrown away with the math! Download Newborn Fluid Therapy now!! Destined to pediatricia
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