Intermittent Tachypnea in Pediatrics — Case | Neonatology | SMLE Q#17817

SMLE Question #17817

Pediatrics Neonatology

Objective: OBJ-NEO-UCD-001

Last updated: February 2026
A 6-day-old term male has 12 hours of poor feeding, vomiting, and increasing lethargy after being well until day 4 of life. He is sleepy but arousable with intermittent tachypnea and no fever. Plasma ammonia is markedly elevated. What is the most appropriate immediate management to reduce ammonia levels?

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