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Min Qolbi
Min Qolbi

This case discusses a preterm infant born at 24 weeks gestation and 1770 grams who was admitted to the intensive care unit with pneumonia and metabolic acidosis. Over the course of treatment, the infant's respiratory status and metabolic acidosis improved. Care included antibiotics, respiratory support, and intravenous sodium bicarbonate to treat electrolyte imbalances. After two weeks of care, the infant's condition continued to stabilize.

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CASE CONFERENCE Pneumonia with Metabolic acidosis 3 19
: Pneumonia : Pneumonia with Metabolic acidosis : Case Preterm
: 1 8 2 18 2556 Case Preterm 4 retraction Active
: : 24 wks 1770 gms Case Normal Labour EMS Active retraction Admit IMC
2 2,070 active crepitation BL on 5%D/N/5 50 ml +7.5% NAHCO3
4. 60 / 187 / ,O sat 89
5. 6. 7.
8. 9.
10. 11.
12/02/2556 BUN 7.0 mg/dl Creatinine 0.3 mg/dl CO2 12.0 mmol/l metabolicacidosis Cl 110.0 mmol/l K 5.50 mmol/l Anion gap 21.30 mmol/l Osmolality 274.2 Electrolyte Imbalance TP 5.9 g/dl Albumin 3.4 g/dl Globulin
14/2/2556 CO2 20.0 mmol/l Cl 110.0 mmol/l K 5.00 mmol/l Anion gap 12 Electrolyte Imbalance 18/2/2556 RBC 3.57/ul HGB 10.8 g/dl Hct 32.6 % RDW 22.3 % NE 41.7 % MO 12.7 %
2550 2 : 2551 6 -10 : 2 :
2552 : 3 : 2547 1 : 2549 HAND BOOK DRUG 7 : NP Press Limited partnership
Siswanto E. ,bhuiyan S.U. and Chompikul J.Mothers of Children under Five Years attending Nakhon Pathom General Hospital, Thailand. Health and Development. 2008 IMCI, Integrated management of childhood illnesses. [Online] Available from: www.redcross.org/services/intl/imci/. [ Accessed 2006 Sep 19] Caulfield LE, de Onis M, Bl?ssner M,
Bryce J, Boschi-Pinto C, Shibuya K, Black RE, and the WHO Child Health Epidemiology Reference Group. WHO estimates of the causes of death in children. Lancet. 2005 March 26; Vol 365(9465): 1147-52. Black RE, Morris SS, Bryce J. Where and why are 10 million children dying every year? The Lancet. 2003 Jun 28; 361(9376): 2226-34. Ministry of Health Republic of Indonesia. Indonesia health profile 2003. Jakarta: MOH; 2005
Muhe L, Lulseged S, Mason KE, Simoes EAF. Case-control study of the role of nutritional rickets in the risk of developing pneumonia in Ethiopian children. Lancet. 1997 Jun 21; 349(9068): 1801-4. Reyes H, Perez-Cuevas R, Salmeron J, Tome P, et al. Infant mortality due to acute respiratory infections: the influence of primary health care process. Health Policy and Planning.1997; 12(3): 214-23.

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Case conference

  • 2. : Pneumonia : Pneumonia with Metabolic acidosis : Case Preterm
  • 3. : 1 8 2 18 2556 Case Preterm 4 retraction Active
  • 4. : : 24 wks 1770 gms Case Normal Labour EMS Active retraction Admit IMC
  • 5. 2 2,070 active crepitation BL on 5%D/N/5 50 ml +7.5% NAHCO3
  • 6. 4. 60 / 187 / ,O sat 89
  • 7. 5. 6. 7.
  • 10. 12/02/2556 BUN 7.0 mg/dl Creatinine 0.3 mg/dl CO2 12.0 mmol/l metabolicacidosis Cl 110.0 mmol/l K 5.50 mmol/l Anion gap 21.30 mmol/l Osmolality 274.2 Electrolyte Imbalance TP 5.9 g/dl Albumin 3.4 g/dl Globulin
  • 11. 14/2/2556 CO2 20.0 mmol/l Cl 110.0 mmol/l K 5.00 mmol/l Anion gap 12 Electrolyte Imbalance 18/2/2556 RBC 3.57/ul HGB 10.8 g/dl Hct 32.6 % RDW 22.3 % NE 41.7 % MO 12.7 %
  • 12. 2550 2 : 2551 6 -10 : 2 :
  • 13. 2552 : 3 : 2547 1 : 2549 HAND BOOK DRUG 7 : NP Press Limited partnership
  • 14. Siswanto E. ,bhuiyan S.U. and Chompikul J.Mothers of Children under Five Years attending Nakhon Pathom General Hospital, Thailand. Health and Development. 2008 IMCI, Integrated management of childhood illnesses. [Online] Available from: www.redcross.org/services/intl/imci/. [ Accessed 2006 Sep 19] Caulfield LE, de Onis M, Bl?ssner M,
  • 15. Bryce J, Boschi-Pinto C, Shibuya K, Black RE, and the WHO Child Health Epidemiology Reference Group. WHO estimates of the causes of death in children. Lancet. 2005 March 26; Vol 365(9465): 1147-52. Black RE, Morris SS, Bryce J. Where and why are 10 million children dying every year? The Lancet. 2003 Jun 28; 361(9376): 2226-34. Ministry of Health Republic of Indonesia. Indonesia health profile 2003. Jakarta: MOH; 2005
  • 16. Muhe L, Lulseged S, Mason KE, Simoes EAF. Case-control study of the role of nutritional rickets in the risk of developing pneumonia in Ethiopian children. Lancet. 1997 Jun 21; 349(9068): 1801-4. Reyes H, Perez-Cuevas R, Salmeron J, Tome P, et al. Infant mortality due to acute respiratory infections: the influence of primary health care process. Health Policy and Planning.1997; 12(3): 214-23.