What is the nursing care of an infant with RDS?
Oxygenation, thermoregulation and antibiotics are indicated to manage RDS. Infants requiring more than 40% oxygen should be managed in a Level 4-6 Neonatal Unit. Surfactant administration should follow after endotracheal intubation.
What signs of respiratory distress in the neonate should be reported immediately?
The diagnosis of respiratory distress syndrome should be suspected when grunting, retractions, or other typical distress symptoms occur in a premature infant immediately after birth. Hypoxia and cyanosis often occur.
Which therapy is the correct treatment for RDS in infants?
Surfactant replacement therapy: This can be used if a newborn struggles to breathe despite the use of nCPAP. Sometimes, giving an infant surfactant requires the use of a breathing tube.
What is management of respiratory distress?
Clearing of airway, ensuring adequate breathing and circulation are the first line of management. A baby in obvious respiratory distress needs to be on continuous pulse oximeter monitoring to decide when intubation and ventilation is required.
What is the normal heart rate of a neonate?
Normal Results For resting heart rate: Newborns 0 to 1 month old: 70 to 190 beats per minute. Infants 1 to 11 months old: 80 to 160 beats per minute. Children 1 to 2 years old: 80 to 130 beats per minute.
How do you handle a child with respiratory distress?
What to Do If Your Child Is in Respiratory Distress
- Stay calm and reassure your child.
- Place your child in a comfortable position, usually sitting up.
- If you think your child has a fever, take his temperature: In baby’s bottom (rectally) if under 4 months. Under the arm (axillary) if he is older than 4 months.
What is a normal respiratory rate for an infant?
A newborn’s normal breathing rate is about 40 to 60 times per minute. This may slow to 30 to 40 times per minute when the baby is sleeping. A baby’s breathing pattern may also be different.
How is pediatric respiratory distress treated?
Treatment for RDS may include:
- Placing an endotracheal (ET) tube into the baby’s windpipe.
- Mechanical breathing machine (to do the work of breathing for the baby)
- Supplemental oxygen (extra amounts of oxygen)
- Continuous positive airway pressure (CPAP).
- Surfactant replacement with artificial surfactant.
What is the difference between PIP and PEEP?
The difference between the peak inspiratory pressure (PIP) and Pplat is determined by resistance and flow. The difference between Pplat and PEEP is determined by tidal volume and respiratory system compliance. Pz = pressure at zero flow.
What is CPAP and PEEP?
Positive end-expiratory pressure (PEEP) is the pressure in the alveoli above atmospheric pressure at the end of expiration. CPAP is a way of delivering PEEP but also maintains the set pressure throughout the respiratory cycle, during both inspiration and expiration.
