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Cardiovascular care (Hypotension (Assesment hemodynamic (Physical…

- - - - Vasoconstriction
      - Vasodilation
  - - - CHD
      - Genitic disease
      - etc.
    - - Blood loss
      - Diarrhae
      - etc.
  - - - Capillary refill test (CRT)
      - Heart
      - BP
  - - - Dobutamine
      - Epinephrine
      - Dopamine
      - Norepinephrine
      - Milinone
      - Arginin vasopressine
- - - - Excessive Prostagrandin
      - Higher SVR after cord clamp
      - Leak Oxygen
      - Volumn PVR
      - Weak muscle vascular myosin
    - - Pulmonary hemorrhage
      - IVH
      - NEC
      - BPD
  - - - Medication
        
        Indomethasine
        
        Close 60 - 80% S/E GI,Renal
        
        IV Dose **Don't inject UAC
        
        Paracetamol
        
        Liver toxicity
        
        Ibuprofen
        
        S/E น้อยกว่า Indomethasine
        Form IV and Oral **มี osmolality สูง dilute ก่อนให้ยา
      - Surgical : PDA Ligation
      - Catheter closer