Medication | Durations/Risk Factors | Side Effects/MOA/Route |
---|---|---|
Indomethacin
Which medication can be used as a prophylactic agent for PDA to decrease incidence of IVH. but does not improve overall morbidity and mortality?
|
72 hours (3 days)
How long does it a take for a term baby’s PDA to functionally close?
|
GI Bleeds
What is the main concerning side effect of ibuprofen?
|
APAP
Which medication is currently not FDA approved for PDA?
|
3 days
What is the duration of therapy for PO APAP for PDA?
|
Oral
According the current literature, which route of ibuprofen and APAP seems to be “better”?
|
APAP
Which medication was shown to treat PDA most rapidly?
|
3 doses
What is the duration of therapy for PO ibuprofen for PDA?
|
Prostaglandin
Which hormone is thought to be responsible for PDA?
|
Chlorothiazide, because furosemide increased the incidence of PDA through a prostaglandin-mediated process.
Which medication is used to treat fluid-overloaded babies with PDA and why?
|
a. Premature infants (<30 weeks gestational age)
b. Premature infants with respiratory distress syndrome c. Very low birth weight (VLBW) infants (<1500 g) (Incidence in this population is ~30%) d. Surfactant therapy decreases pulse pressure increases atrial pressure PDA e. Mechanical ventilation f. Genetic conditions such as Down syndrome g. Mothers who had German measles (rubella) during pregnancy h. PDA is twice as common in girls as it is in boys
List two risk factors of PDA?
|
Decreased risk of NEC and transient renal insufficiency
Why is ibuprofen preferred over indomethacin (2 reasons)?
|