A
What is RDS?
Condition caused by insufficient surfactant in the lungs
Name the most common symptoms?
Tachypnea
Nasal Flaring
Retraction
Cyanosis
Treatment ?
Surfactant
Oxygen
CPAP
Ventilation
Patent ductus arteriosus
Bronchpulmonary dysplasia
Shock
Before surfactant, what was the past treatment?
Oxygen therapy
Ventilation
Treatment of symptoms
When do you first notice symtpoms?
Within the first 72 hours.
ABGS
Chest Xray
Labs- Correction of acidosis
What puts the baby at risk?
- Diabetic Mother
- Multiple Births
- Drug addiction
What was the first surfactant extracted from?
Pig
T/F: For neonates in RDS grunting is heard on inspiration.
False
Nursing Interventions?
Observe VS
Monitor S/S that could indicate complication
Cool, calm environment
Gentle handling
Staying thermoregulated
What is the difference between RDS and TTN?
TTN occurs soon after birth and resolves within 24-72 hours. RR is between 90-120
RDS is an actual condition with damage to the lungs.
The nurse assess a newborn as follows: HR 70BPM, RR:Weak and irregular, Tone: Flaccid Color:Pale
baby grimaces when the MD attempts to insert ET tube. Whats the APGAR SCORE?
3
Four 38-week gestation gravidas have just delivered.Which of the babies should be monitored closely by the nurse for respiratory distress?
A Mom whose mother has DM
B Mom who has lung cancer
C Mom with hypothyroidism
D Mom with asthma
A
A nurse in the newborn nursery is monitoring a preterm newborn infant for respiratory distress syndrome. Which assessment signs if noted in the newborn would alert the nurse the possibility for this syndrome?
A Hypotension and bradycardia
B Tachypnea and retractions
C Acrocyanosis
D The presence of a barrel chest with grunting
B