Apnea at birth

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Apnea at birth :

Causes : MC cause in Preterm is MIXED

Central	Obstructive
Preterm babies	(Normally - All Newborns are Nose breathers till 4 months.)
Asphyxia	Secretions in Nose
Sepsis	Preterm
Hypoglycemia

Apnea of Prematurity (rare cause of Apnea) :

<28 wks --> 100% have apnea
28-34 wks --> 25%

Onset - Usually 1st 2 days of life (Never after 1st week of life)

T/t -

1. CPAP
2. MethylXanthines (Theophyline , Aminophyline)
3. Caffeine Citrate (DOC for Apnea of Prematurity)

Aminophyline :
Used in

1. Status asthamaticus
2. Apnea of Prematurity

Loading Dose        : 5 - 6 mg/kg
Maintenance dose  : 1-2 mg/kg (every 6-8 hrs)

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