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Margaret heart rate now is low.

Merchak Case Challenge # 72 - December 2025 Margaret heart rate now is low.You are caring for Margaret. Margaret is a 6-day old female, born at 26 weeks GA via vaginal delivery due to preterm labor. Her mother’s serology is negative, and she received one dose of antenatal steroids. Margaret received exogenous surfactant therapy, on conventional ventilation, on trophic feeds of donor breast milk, TPN support via UV Cand on Caffeine. Last 36 hours, Margaret had increased frequency of desaturations requiring increased vent support, so she was placed on broad spectrum antibiotics. Repeat blood culture is growing Klebsiella Pneumonia. Margaret urine output is decreasing and now, she is having frequent events of bradycardia.

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