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Neonatl 3day on vantilation today rt through bleeding start what is dx and rx please... Mero Va

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U are short on history . Bleeding from where. In paediatrics proper history matters the most .is it pulmonary haemorrhage bleeding from git tract. Give inj kenadion n whole fresh blood transfusion . Baby might b in DIC. Might b hemorrhagic disease of newborn. Cbc crp pt aptt inr blood c/s abg look for electrolyte imbalance serum lactate .patient b in hypovolemic shock septic shock should b ruled out . Start an ionotrop like dopamine inj ranitidine if bleeding from gi tract . Usg cranium to look for intracranial bleed . Take history of perinatal asphyxia .sometimes severe asphyxia induces dic too.

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U are short on history . Bleeding from where. In paediatrics proper history matters the most .is it pulmonary haemorrhage bleeding from git tract. Give inj kenadion n whole fresh blood transfusion . Baby might b in DIC. Might b hemorrhagic disease of newborn. Cbc crp pt aptt inr blood c/s abg look for electrolyte imbalance serum lactate .patient b in hypovolemic shock septic shock should b ruled out . Start an ionotrop like dopamine inj ranitidine if bleeding from gi tract . Usg cranium to look for intracranial bleed . Take history of perinatal asphyxia .sometimes severe asphyxia induces dic too.

Thank you doctor
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SEPSIS work up, PT, aPTT, INR. FFP if indicated.

Thank you doctor
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??If preterm,Necrotising Enterocolitis.

What is the rx..? Can i use trenexa..??same like adult??
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