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Group 1 2A
Respiratory Distress Syndrome y Definition y Acute lung disease of the newborn caused by surfactant deficiency y Incidence and severity is inversely proportional to gestational age y Also known as ´Hyaline Membrane Diseaseµ .
Types of RDS y Neonatal RDS y Usually affects premature baby y Can occur if a baby is born before their lung has fully developed an capable of working properly y Acute RDS y Usually affects the adult and is brought about when the ling become seriously damage through severe infection or injury .
S/Sx: y Hypothermia y Nasal flaring y Sternal and subcostal retractions y Tachypnea >60bpm/min y Cyanotic mucous membranes .
Contributing factor .
.Epidemiology y Lung surfactant deficiency is the primary cause y 28 weeks of gestation. and begins at 24 gradually increases until full gestation. and begins at 24--28 weeks of gestation.
Pulmonary Surfactant .
Function of Pulmonary Surfactant y Decreases surface tension in during expiration y Allows the alveolus to remain partly expanded y Maintains functional residual capacity y To promote lung maturity .
Pulmonary surfactant deficiency y Causes inflammation and respiratory epithelial injury y Decrease fluid absorption and lung edema y Accumulation of neutrophils in the lung y Atelectasis causes lung inflammation .
Causes of RDS y Sepsis due to Meconium Aspiration y Severe chest trauma y Severe lung infection y Inhalation of vomited stomach contents y Inhalation of smoke .
RDS Complications y Lung complications y Blood and Blood Vessel Complications .
Diagnostic Exams y Blood Test y Use to monitor the oxygen in the blood y Can help to find out whether an infection is causing the infant·s breathing problems y Chest X-ray y Can detect problems that need an urgent treatment like collapsed lung y Can also show if the infant have a signs of RDS .
Respiratory Rate.Nursing Management y Using a radiant warmer or incubator to keep infants warm and reduce the chances of infection y Ongoing monitoring of V/S esp. Cardiac Rate and Oxygen Saturation y Give fluids and nutrients though IV to help prevent malnutrition and promotes growth .
Therapeutic Management y Surfactant Replacement y O2 Administration y Ventilation .
and illegal drugs y Controlling any ongoing medical conditions you have y Preventing Infection . alcohol.RDS Prevention y Seeing your doctor regularly during pregnancy y Following a healthy diet y Avoiding Tobacco smoke.
SILVERMAN ANDERSEN INDEX .