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Acute respiratory distress syndrome and Birth asphyxia, approach and management
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This note file covers neonatal respiratory conditions and their approach in clinical settings
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ARDSBirth Asphyxia
, ARI
¥
- → No
suction
,
Arrbronchogram
* Deficiency of surfactant in the alveoli Colapse Investigation
* Fatal termination if not treated antenataly
* Surfactant stored in Type 11 alveolar cells ↳ amniotic fluid ( Lecithin
sphingomyelin ratio)
amniotic fluid 28+32 Wks ,
mature 735Wh Lls 2 :| pulmonary maturity
* alveolar atelectasis hyaline membrane ↳ ABG 1302<50 mmHg
,
Respiratory
. . .
failure
formation + interstitial edema Pack 750mm ,+g
RF ↳ Blood PH t due to aadocis TYPE 2
1 Prematurity 6 cold stress ↳ calcium t
2 Maternal DM 7
Hxf same condition
3
multiple births 8 male + white
4 C- section 9
Sepsis
Birth
5 Asphyxia
5. S
Newborn
1
Expiratory grunting 2
Tachypnea Complication see fuss
,
3 sternal suprasternal / substernal
, + intercostal 1 Intraventricular hemorrhage 5 PDA
retraction q Bronchopulmonary dysplasia 6 Convulsion
Flaring q Pulmonary hmrg
Pneumothorax
4 inspiratory nasal 4
5 Cyanosis 6 to Breath sounds
progression : management
A 1
Peripheral edema 9 v14 Body Tempt 1 02
I 2 Muste toned
µ s
Bradycardia a nl Body Temperature
93 Cyanosis 9 6 I Breath sounds 3 Fluid , electrolyte + acid-Base balance (maintenance)
µ
metabolic acidosis =
Nations
4 Dextrose 10% . . .
nutrition
5 AB - - infection
6 Constant observation ( complications )
7 Maintain Hematocrit 40-45010
⑧ Ventilation . - . maintenance
* a surfactant Replacement therapy
to
prevent hypotension
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