Cardiac - i would like to start 1mg/kg/dose twice a day on ciplar i.e 1/2 tablet of 10 mg twice a day.Monitor the Pulse Oximetry at 15 days interval. if pesistently > 75-80% do a complete surgical repair at a good centre ( Kochi, bangalore, hyderabad, asian heart) by 6 months time.Prognosis for heart is good as biventricular functions are normal.
The child presently should be immunised for hepatitis b . Also T3,T4 , tSH for hypothyroidism, USG abd for kidney anomalies and karyotype need to be evaluated.Child need infective endocarditis prophylaxis ( antibiotics) if she has to to undergo some
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