PUBHLTH 120 Lecture Notes - Lecture 6: Intensive Care Unit, Congenital Heart Defect, Nitrogen Balance
29 May 2016
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Document Summary
Chapter 12: pneumonia in severely malnourished children in. Case study: malnourished child with pneumonia: hospital admittance, initial examination and diagnosis. Admitted to the international centre for diarrheal disease research, bangladesh (icddr,b) intensive care unit (icu) Fever, cough and shortness of breath for four days. Diagnosis: severe acute malnutrition (sam) with severe pneumonia with hypoxemia. Case study: malnourished child with pneumonia: early treatment and monitoring. Treatment for pneumonia and malnutrition: continued treatment and signs of acute renal failure (arf, deteriorating condition and death. Death: cardiac failure due to severe pneumonia. Kills one child every 15 seconds: risk factors. Younger age, increasing birth order, low birth weight (lbw), young maternal age, limited parental education, daycare attendance, exposure to tobacco smoke, industrial pollution, urban residence, congenital heart disease, chronic lung disease, male gender and asthma. Top two causes of death in young children in developing nations: malnutrition alters pneumonia etiology, vicious cycle. Malnutrition exacerbates pneumonia and increases risk of secondary infection.
