Ccrn-Neonatal Respiratory

Transient tachypnea of the newborn What gestational age will you see a tran- sient tachypnea of the newborn What are some things that could lead to TTN What would you expect to see on x-ray for TTN What is the nursing management for transient tachypnea of the newborn What order would you expect for a tran- sient tachypnea of the newborn if no im- provement as seen after four hours What is central apnea What is obstructive apnea What is mixed apnea What medications can you anticipate be￾ing ordered for apnea of prematurity What gestational age do you normally see respiratory distress syndrome RDS What maternal factor would increase the chance of having RDS When do you normally see symptoms of RDS What will the x-ray look like for respirato￾ry distress syndrome Most common respiratory distress in the term newborn Term till late preterm infants C-section or precipitous delivery Sunburst pattern, perry hilar streaking, fluid in the fisher Some oxygen requirements but usually is a self-limiting disease expect to give device feedings during severe respirato￾ry distress Expect to start a sepsis work up and consider antibiotics Stop breathing related to loss of di- aphragm and respiratory muscle function There are respiratory effort's without movement of air flow due to an obstruc￾tion Combination of Central and obstructive apnea Caffeine, bronchodilators, oxygen, intu- bated & ventilated Usually seen an infants less than 30 weeks Maternal diabetes since insulin deacti- vates surfactant Within the first six hours of life Ground glass pattern air bronchograms in the periphery Surfactant CCRN-Neonatal RESPIRATORY 2 / 4 What is nursing management for respira￾tory distress syndrome What is the sign of recovery from RDS What are some causes. Of pneumonia in the newborn What is one of the primary reasons for pneumonia What would you see in the baby for signs of pneumonia What would you expect to see an x-ray for a baby with pneumonia What medications would you expect to be given for pneumonia What babies do you normally see air leak syndrome and What is pulmonary interstitial emphyse- ma PIE What clinical presentation would you see with PIE What would you expect to see on x-ray for a baby with PIE With PIE do you want to try and increase or decrease ventilator support How do you want to position a baby with PIE Increase diuresis moving fluid from the lungs Crossing the placenta coming from vagi- nal flora or bacteria or GBS an ammonia from mom Prolonged rupture of membranes or GBS positive mom Tachycardia loss of beat to beat variabil￾ity temperature instability Patchy opacification commonly looks like severe RDS Ampicillin and gentamicin Babies with respiratory distress syn- drome Frequent complication and pre-terms with RDS due to uneven ventilation or barotrauma Air crepitus or air dissension into the neck Salt and pepper aperient's over inflation of the Lungs and flattening of the di- aphragm You want to try and decrease Ventila￾tor support. Increased ventilator support may worsen the symptoms You want to place the affected lying down To help prevent the lung from over ex- panding. The added pressure helps it to collapse down to help prevent the long from over expanding. The added pres- sure helps it to collapse downand con- CCRN-Neonatal RESPIRATORY 3 / 4 Pneumomediastinum What would you expect the heart sounds to be for a pneumomediastinum? What would you see on X-ray for a pneu- momediastinum What does bubbling in the drainage chamber of a chest tube mean What would you expect to see in the drainage chamber of a chest tube that's working properly What term is commonly used to describe meconium aspiration syndrome What is treatment for meconium aspiration syndrome with MAS would you expect for symptoms to worsen? what would an x-ray for MAS look like? PPHN What causes PPHN? Maldevelopment PPHN Maladaptive PPHN sider selective intubation of one of the Broncus Air accumulation along the perivascular plane. Air accumulation around the heart and lungs. Muffled because of the air around the heart Dark pocket of air along spinal column. Spinnaker Sail Sign from lifting of thymus Active air leak Tidaling is what you want to see. Ball valve phenomenon because of the trapping of the airways Surfactant therapy I&O volume ex- panders cardiac drugs and potentially ECMO yes, within 24 hours flattened diaphragm from gas trapping, hyper inflated, Persistent Pulmonary Hypertension of the Newborn the drop in vascular resistance does NOT drop so blood is shunted away from lungs through the PDA/PFO didn't develop correctly so maintains a high vascular resistance.....diaphragmatic hernia, Potters sequence didn't adapt to drop in vascular resistance r/t MAS, sepsis, pneumonia