Respiratory Distress Syndrome
Transient Tachypnea
Complications of 02
Random
Random
100
Appears with ____ of birth
6 hours
100
Can be caused by.. (5 things)
maternal sedation, bleeding, prolapsed cord, breech birth, maternal diabetes
100
What is retinopathy of prematurity?
irreversible blindness bc of partial or total retinal detachment
100
What is gavage feeding
nasogastric/orogastric for inadequate suck/swallow
100
Three symptoms of patent ductus arteriosus
heart murmur, bounding pulses, tachypnea
200
3 people who have a decreased incident
African american females Mothers who received betamethasone Anything putting baby under stress (gestational HTN, maternal drug use)
200
Two risk factors
Csection, LGA babies
200
How do you get bronchopulmonary dysplacia?
damage from the ventilator
200
What must you do before garage feeding?
verification of tube placement prior to each feeding?
200
What is kernicterus?
extreme baby jaundice
300
S/S
tachypnea > 60 retractions chest wall Labored breathing, grunting, central cyanosis
300
Normally occurs when? and subsides when?
right after birth, subsides after 2-3 days
300
S/s of bronchopulmonary dysplacia
tachypnea, retractions, nasal flaring, intolerant of handling, poor feedings, crackles, expiratory wheezing
300
What is necrotizing enterocolitis and when does it occur?
acute inflammatory disease of GI mucosa usually occurs in 4-10 days of birth
300
three s/s of kernicterus
glowing yellow, high pitch cry, poor feeding, absent startle reflex, bulging fontanel
400
Treatment
exogenous surfactant administration (admin through ET tube) maintain acid base balance prevent hypotension avoid feedings
400
Treatment
o2 concentration less than 40% Hold their feedings
400
Treatment for retinopathy of prematurity?
circumferential cryopexy, laser photocoagulation, vitamin E therapy, decreased intensity of bright light, early screening/detection
400
Gi s/s of necrotizing entercolitis?
abdominal distension gastric residuals vomiting gross bloody stools abdominal tenderness erythema of abdominal wall
400
S/S of infection
hypothermia, hyperthermia, cyanotic, mottling skin, grunting
500
7 people who have increased incident
Multiple gestations diabetic mothers babies Caucasian males Cold stress Asphyxia precipitous delivery (less than 3 hours) Section babies
500
Generally effects ______
late preterm or term infants (35-38 weeks)
500
How do you prevent periventricular-intraventricular hemorrhage?
head midline and slightly elevated, maintain neutral thermal environment
500
Treatment of necrotizing enterocolitis
stop all oral and tube feedings to allow GI tract to rest NG tube to low suction oxygen therapy TPN
500
s/s of anemia
pale skin, lethargy, low BP, tachycardia, poor weight gain
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