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 Goals reduce the symptoms treat the underlying cause prevent mortality and prolong life improve the cardiac function compensate for weight loss and nutrition initial should be hospitilized diuritcs digoxin ACE-I oxygen supplement caloric supplement antibiotics prophylaxis on going surgery

2.1.2. down's Goals increase the intellectual ability to the max control complication prevent infection prolong lifespan encourage family to admit the baby in special program family support should develop the language and motor skills during first year exercising under supervision screening hearing ophthalmology hematology genetic counseling behavioral and psychiatry body weight investigations to detect of cardiac diseases thyroid OSA infections enrollment in schools and educational programs atlantoaxial instability yearly x-ray assessment family and society education to get familiar with down's abnormalities not to stare at them provide suitable work chances campaigns and activities to prevent any kind of abuse some resources antioxidants no sufficient evidence

2.2. Prevention

2.2.1. primary having babies early, not after 40 yo 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