docash
Forum Junior
Topics: 13
Posts: 61
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Hi guys,
I rememeber this question from NBME,please answer:
A baby is born at 28th weeks gestation,what drug should be given for surfactant deficiency.
Choices(i dont rememeber all of the choices)
1)imdomethacin
2)prednisone
there were three more but i forgot,please answer this question.tnx.
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| docash
Forum Junior
Topics: 13
Posts: 61
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Or is it that we don't give any drug because surfactant is already being formed by the neonatal lungs?If so then by which week fetal lungs start making surfactant?
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| docash
Forum Junior
Topics: 13
Posts: 61
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anyone?
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| new_n_lost
Politically InCorrect
Topics: 650
Posts: 6,061
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Cortisol Increases the Production of Surfactant and it is started to produced by 28th wk of pregnancy. I did reply to ur post earlier but i think it never got posted.
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| doc-o8
Forum Elite
Topics: 28
Posts: 370
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if the baby is borne then u dont give steroids for it. i dont know about the answer to this qs as it is incomplete but artificial surfactant is available and then only the symptomatic traetment of RDS.
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| new_n_lost
Politically InCorrect
Topics: 650
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Yes Cortisol is to be used Antenatally but after birth Assited ventilation and Aritficial Surfactant is Rx of choice.
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FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| docash
Forum Junior
Topics: 13
Posts: 61
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Tnx guys,today i was listening to Goljan audios for respiratory system and yes he said that cortisol produces surfactant.Tnx NNL.
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| Ig F
Forum Elite
Topics: 3
Posts: 439
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i m not perfect but i wanna get close to it......
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| sidiyaa
Forum Newbie
Topics: 0
Posts: 39
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I agree with new_n_lost that after birth we give artificial surfactant injected in the lungs directly.
there is one fact that should give dexamethasone IM before 33-33 weeks. after that no benefit.
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