Blue Baby
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8w/o girl
p/w crying, blue
PMH:
Tetralogy of Fallot, awaiting operative management
37/40, home birthHx
Crying at home
Became progressively more distressed
Now blue lips -
o/e looks unwell, crying
A: no UA obstruction signs
B: high WOB, central cyanosis on ra, no clear sats trace
C: HR 180, cCRT <2
D: alert, crying, temp 36 -
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‘Tet’ Spell
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Stepwise management:
1) Minimal Handling
2) Knees to chest possition
3) 100% O2
4) 0.1mg/kg IM morphine
5) 10ml/kg NS bolus -
