IRDS 2

Question 1

What is respiratory distress?

Answer 1

Tachypnea, grunting, nasal flaring, retractions, cyanosis

Question 2

How do you evaluate a infant for respiratory distress?

Answer 2

History/physical

Glucose

CBC

CXR

Question 3

What is transient tachypnea of the newborn?

Answer 3

Failure of fetal lung fluid to be reabsorbed at the time of delivery

Hormonal changes associated with labor cause a reversal of Na channels in lung tissue

Failure of channel reversal causes increased respiratory effort to maintain adequate gas exchange

Question 4

What is TTN associated with?

Answer 4

C section

Perinatal asphyxia

Umbilical cord prolapse

Depressed newborn

Question 5

What is respiratory distress syndrome?

Answer 5

Surfactant deficiency

Leads to alveolar collpase and protein accumulation

hylaine membrane formation and impaired gas exchange

Question 6

What is the treatment for RDS?

Answer 6

Natrual surfatant

Artificial surfactant - worse than natural because it lacks protein

NCPAP/Mechanical Ventilation

Question 7

What are the risk factors for congenital pneumonia?

Answer 7

Prolonged rupture of the membranes >12 hours

Maternal fever

Uterine tenderness

Foul smelling amniotic fluid