Treatment of pda

848 views

Published on

0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
848
On SlideShare
0
From Embeds
0
Number of Embeds
13
Actions
Shares
0
Downloads
9
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Treatment of pda

  1. 1. TREATMENT
  2. 2. Ideal age for intervention:• Small PDA wait & follow till spontaneous closure• Moderate PDA wait upto 2yrs or till baby is 10kg• If PDA is present with symptoms like CCF or infective endocarditis SURGICAL intervention( closure of PDA)
  3. 3. Medical ManagementIndicated when PDA is preterm baby or is likely to close spontaneously:• Indomethacin: 0.1-0.2mg/kg 12 hourly for 3 doses( most effective in pre terms). Started 48-72 hrs within birth. It acts by reducing PGE.• Ibuprofen: given in baby with renal problem
  4. 4. Treatment of associated conditionsCARDIAC FAILURE:• Avoid fluid overload( fluid restriction)• Diuretics• Digoxin
  5. 5. INTERVENTIONAL Procedures• Indicated when term baby, PDA with CCF, failure of medical measures• Optimal age: 1st year of life• It involves non surgical closure using UMBRELLA device using transcatheter method• C/I: high pulm. Artery pressure, Eisenmenger’s syndrome
  6. 6. SURGICAL CLOSURE• Indications: small infant with large PDA, pre term.• Double ligation of PDA
  7. 7. Baby is on the following:• i.v. Isolyte P (18ml/hr)• Syrup Digoxin (0.5ml BD)• Syp. Maclar (1.3 ml BD)• Syp. Calpol (2ml ;SOS)• Tab. Lasilactone (12.5mg OD)• Nebulisation with Levolin• Tab. Envas (2.5mg; 0.5ml-0-0.5ml)

×