Can you describe your preferred method for establishing intravenous access in infants and children?

My preferred method for establishing intravenous access in children varies based on their age and size. For infants, I typically use a peripheral intravenous (IV) line in the hands or feet. In older children, I may utilize a peripheral IV line in the arms or legs, or consider central venous access if necessary.

What are the steps involved in performing an arterial puncture on a child, and what precautions do you take?

Arterial puncture in children is performed under strict aseptic technique, using a small-gauge needle. I ensure proper positioning, immobilization, and local anesthesia. The procedure involves identifying the artery, palpating the pulse, and carefully inserting the needle to collect blood.

Explain your approach to performing cardiopulmonary resuscitation (CPR) on a child, including age-specific considerations.

My approach to CPR in children emphasizes age-appropriate techniques and prioritizes early intervention. For infants, I use two fingers for chest compressions, and for older children, I use the heel of one hand. The compression rate is 100-120 compressions per minute, with two breaths given after every 30 compressions.

How do you ensure safe and effective placement of a nasogastric tube in children?

Nasogastric tube placement in children requires careful measurement and gentle insertion. I use a pre-lubricated tube, confirm placement with auscultation, and monitor for signs of discomfort or resistance.

What techniques do you use for inserting a Foley catheter in infants and children?

Foley catheter insertion in infants and children is performed with meticulous attention to sterility and technique. I lubricate the catheter, gently insert it into the urethra, and ensure proper placement by observing urine output.

How do you interpret an electrocardiogram (ECG) in children, and what are the common abnormalities you look for?

ECG interpretation in children requires an understanding of age-specific variations in heart rate and rhythm. I look for abnormalities such as bradycardia, tachycardia, arrhythmias, and evidence of myocardial ischemia.

Describe your approach to managing infectious diseases in children, including the use of antibiotics and other interventions.

Management of infectious diseases in children involves a comprehensive approach, including accurate diagnosis, prompt treatment with appropriate antibiotics or antiviral medications, and supportive care. I also focus on infection control measures to prevent spread.Exchange transfusion is indicated in neonates with severe hyperbilirubinemia, particularly those with signs of kernicterus. The procedure involves slowly removing the infant's blood and replacing it with donor blood, aiming to reduce the bilirubin levels.

What are the indications for an exchange transfusion in a neonate, and can you detail the procedure?

Endotracheal intubation in infants and children is a specialized procedure requiring specific equipment and skills. I use a laryngoscope and an appropriately sized endotracheal tube, visualizing the vocal cords and ensuring secure placement.

Dr. Sumreen Javed

Paediatrics And Neonatology (General Practitioner)

Consults at:

Aster Hospital Mankhool

Surgeries

N/A

Experience

N/A years

About

Physical Examination
Intravenous Access Technique
Arterial Puncture
CPR
Nasogastric Tube Placement
Foley Catheter Insertion
ECG and Interpretation
Management of Infectious Diseases
Exchange Transfusion
Endotracheal Intubation
Thoracentesis
Lumbar Puncture
Abdominal Paracentesis
Ventricular Tap
Vaccination
Mechanical Ventilator Operations Skills

Education

2017: FCPS (Paediatrics) College of Physicians and Surgeons Pakistan (CPSP)
2012: MBBS, Punjab Medical College, Faisalabad, University of Health Sciences, Lahore

Experience

Jul ’17 – Apr ’18: Woman Medical Officer, THQ Government General Hospital, Gojra, Punjab
July ’17 – Jun ’17: Trainee Woman Medical Officer Paediatrics, Faisalabad, Pakistan
Apr ’17 – Mar ’17: House Officer, Allied Hospital

Hospitals

Aster Hospital Mankhool

Dubai, United Arab Emirates

FAQs

A comprehensive physical examination in children includes a thorough assessment of vital signs, growth parameters, head-to-toe examination, and a focused evaluation of the child's developmental milestones. I pay particular attention to the child's respiratory status, cardiovascular function, and neurological development.

Dr. Sumreen Javed

About

Education

Experience

Hospitals

FAQs

What are the key components of a comprehensive physical examination for a child in your practice?

Can you describe your preferred method for establishing intravenous access in infants and children?

What are the steps involved in performing an arterial puncture on a child, and what precautions do you take?

Explain your approach to performing cardiopulmonary resuscitation (CPR) on a child, including age-specific considerations.

How do you ensure safe and effective placement of a nasogastric tube in children?

What techniques do you use for inserting a Foley catheter in infants and children?

How do you interpret an electrocardiogram (ECG) in children, and what are the common abnormalities you look for?

Describe your approach to managing infectious diseases in children, including the use of antibiotics and other interventions.

What are the indications for an exchange transfusion in a neonate, and can you detail the procedure?

About

Education

Experience

Hospitals