The new baby Session 3

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The new baby Session 3 by Mind Map: The new baby Session 3

1. Step 9

1.1. Review session 2

1.2. mechanism flow chart

1.2.1. AV septal defect

1.2.2. Down's syndrome associated with many morphologic and cardiac involvement, the most common cardiac complication is AVSD, the mother's age increases the chance of getting the syndrome,

1.2.3. VSD causes dilatation in the left heart (atrium + ventricle)

1.2.4. major causes of morbidity and mortality in Down's are cardiac complication

1.3. 20 minutes

2. Step 10

2.1. Management

2.1.1. HF

2.1.1.1. Goals

2.1.1.1.1. reduce the symptoms

2.1.1.1.2. treat the underlying cause

2.1.1.1.3. prevent mortality and prolong life

2.1.1.1.4. improve the cardiac function

2.1.1.1.5. compensate for weight loss and nutrition

2.1.1.2. initial

2.1.1.2.1. should be hospitilized

2.1.1.2.2. diuritcs

2.1.1.2.3. digoxin

2.1.1.2.4. ACE-I

2.1.1.2.5. oxygen supplement

2.1.1.2.6. caloric supplement

2.1.1.2.7. antibiotics prophylaxis

2.1.1.3. on going

2.1.1.3.1. surgery

2.1.2. down's

2.1.2.1. Goals

2.1.2.1.1. increase the intellectual ability to the max

2.1.2.1.2. control complication

2.1.2.1.3. prevent infection

2.1.2.1.4. prolong lifespan

2.1.2.1.5. encourage family to admit the baby in special program

2.1.2.1.6. family support

2.1.2.2. should develop the language and motor skills

2.1.2.2.1. during first year

2.1.2.2.2. exercising under supervision

2.1.2.3. screening

2.1.2.3.1. hearing

2.1.2.3.2. ophthalmology

2.1.2.3.3. hematology

2.1.2.3.4. genetic counseling

2.1.2.3.5. behavioral and psychiatry

2.1.2.3.6. body weight

2.1.2.3.7. investigations to detect of cardiac diseases

2.1.2.3.8. thyroid

2.1.2.3.9. OSA

2.1.2.3.10. infections

2.1.2.4. enrollment in schools and educational programs

2.1.2.5. atlantoaxial instability

2.1.2.5.1. yearly x-ray assessment

2.1.2.6. family and society education

2.1.2.6.1. to get familiar with down's abnormalities

2.1.2.6.2. not to stare at them

2.1.2.6.3. provide suitable work chances

2.1.2.6.4. campaigns and activities

2.1.2.6.5. to prevent any kind of abuse

2.1.2.6.6. some resources

2.1.2.7. antioxidants

2.1.2.7.1. no sufficient evidence

2.2. Prevention

2.2.1. primary

2.2.1.1. having babies early, not after 40 yo

2.2.1.2. genetics counseling and screening test

2.3. 60 minutes

3. step 11

3.1. Review and evaluate

3.2. Group members

3.3. Chairman

3.4. Scribe

3.5. Tutor

3.6. Material

3.7. 10 minutes