INFORMATION
Mrs cross, 32 year old gave birth
to a baby girl
labour started at week 28
membranes were not ruptured,
but she had contractions, and the
cervix was dialated
the mother was given steroids
heating elements and other
equipements were prepared
the umbilical cord was cut easily
after birth
the baby is placed in resuscitaire
the newborn is tiny
oxygen mask was placed over the
lips and face
the girl is placed in a small plastic
bag
the doctor suspects a respiratory
problem
the baby is intibated and
endotracheal tube is placed
the lungs are immature
she was put in transport
incubator attached to mechanical
ventilator
Morphologically the baby looks
normal for gestation
placed in incubator at
temperature of 35ºC, 80%
humidity
blood is taken for cultures
was given benzylpenicillin and
gentamycin
nasogastric tube was fixed
surfactant was given via
endotracheal tube
mother's milk is given via the
nasogastric tube
abdomen is lowered
liver is palpated 3cm below the
costal margin
prescribed benzylpenicillin and
gentamycin again
SYMPTOMS PE, LAB RES, INVESTIGATIONS
good first breath, and had weak
cry
lips turned rosy after receiving o2
sluggish but reacts to the touch
symptoms are worsening
the newborn has a central
cyanosis
frequent tachypnoea
breathing – 80 breaths per
minute
subcostal and chest recession
the cild is less active and looks
tierd
the newborn turned rosey after
ventilation 100% O2
blood oxygen saturation improves
her immune system is weak
against infections
diana's condition has improved
lost some weight as should, then
started gaining 50 grams a day
diana's heart rate has increased
heart murmurs – systolic
murmurs, are heard
moderate subcostal recession
bilateral
crackles on inspiration
pulse= 70 bpm at umbilical cord
pulse but reaches 160bpm
Apgar score notes 6 at the first
minute and 8 after 5 min
Weight = 1.72kg
Temperature = 34.5 C
Heart rate = 146 bpm
Blood pressure =
52/31
2 weeks later, her temp is normal
she is eating fine
heart rate has increased
pulse rate = 168
pressure = 64/26 mmHg
respiratory rate = 57 per min
HYPOTHESIS LOB's
effects of prematurity on the
respiratory distress syndrome
normal adaptations at birth
immediate management of the
patent ductis arteriosus- PDA
neonate
heart failure, associated with liver
APGAR SCORE
failure
common causes of respiratory
distress of the newborn
pathophysiology of Respiratory
Distress Syndrome DS
presentation, complications and
clinical course of RDS
action of ventilation, surfactant
and antenatal steroids in RDS
changes in respiratory system and
circulation at birth
fetal and adult haemoglobin
differences
lung compliance, and the elasticity
of the lungs
features suggesting that a murmur
is not innocent
investigation in a neonate with
suspected heart disease
physiological mechanisms that
open and close the ductus
how neonatal units are able to
overcome problems brought on by
immaturity
anatomy and physiology of
lactation and the benefits and
disadvantages of breast feeding
diagnosis and management of
breast infections
normal process of control of
breathing
anatomy of the heart
components of a neonatal or 8-
week examination