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Saturday, December 22, 2018

Comparison of CDC and wh0 growth charts

it is recommended in Nelson textbook of pediatrics that for children of Pakistan India and other developing countries till 2 years of age w h o growth charts be used.it is a argued there that wh0 growth charts are superior to CDC growth charts because w h o growth charts are based on local data from India and many other countries.I have compared wh0 and CDC growth charts and I have noted that the length for age growth charts for both males and females in all age groups the w h o growth charts have higher values of percentile for 3rd and 50th that is the CDC growth charts have low values for these percentiles, so in my opinion in developing countries such as Pakistan where children are mostly undernourished CDC growth charts should be preferred for length for age. I have noted similar findings of percentiles for weight for age and in my opinion CDC growth charts should be preferred when plotting weight for age.
however , while plotting head circumference I have noted that WHO growth charts have lower values and those of CDC growth charts and so the head circumference chart of w h o should be preferred when plotting for Pakistani children.

Colic

Digas colic drops
Ezegut (lactobacillus probiotic drops)
Pasmolex drops

Friday, December 21, 2018

Calamix

Milirex Lotion

Lubrex

Carerex Lotion

Review syrups drugs medicine

Ondensetron  4mg tab
Colibid drops,lactase
Nezkil syo, linezolid
Samvy, ivy lead syp
Flexagil tablet, cyclobenzaprine

Polypep,acicon famotidine advised in neonates even by SRs

Tempramine
Prospan

Pasmole 
Infacol

Q Plex

Jardin D (desloratidine)(0.5mg/ml)

NeoSedil (levocetirizine

Syp Tercica 100mg/5ml ,5mg/kg/dose

Glycerin suppository

Sikylax drops (sodium picosulphate) 2 drops for constipation in infants

Vaseline/petroleum gel

Umbilica gel/septidyl.cream (chlorhexidine, for routine care of umbilical cord)
Sepidyl is also 4% chlorhexidine

Thursday, December 6, 2018

Neonate Discharge discussion check list

To be filled in OT.
Title my letter pad as BABY BIRTH NOTES(COPY FOR PARENTS, THIS IS NOT DISCHARGE SLIP)

document time&date of birth,apgars at 1min 5min 20min,  wt,ofc,vital signs at 1min and at 45 mins of birth
>>See birth notes sheet

Counsel regarding breast feeding
Counsel regarding vaccinations
Counsel regarding puerperal psychosis
Counsel regarding heart lesions that appear late
And general care of baby(feeding,burping, laying on bed, cleaning/hygiene, etc)
And danger signs
And evaluation of baby by doctor before discharge,