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Deat h Early Diagnosis, Quick and Prompt treatment Occurs in 4-6% newborn Many are pre entable
Definition
!espiratory distress due to se eral causes wit" t"e symptom comprises #
Dyspnea $runting %ac"ypnea # *yanotic !! & 6' ()mnt *"est indrawing in room temperature
*ardiac + *ongenital ,eart Disease , Myocardial dys-unction *./ + 0sp"y(ia, 1* 2leed Metabolic + ,ypoglycemia Medical # M0/, %%., ,MD, Pneumonia , 0sp"y(ia, 0cidosis Medical # Meconeum 0spirattion /yndrome , %ransient %ac"ypnea o- .ewborn , ,yaline Membrane Disease, Pneumonia , 0sp"y(ia, 0cidosis /urgical # Pneumot"ora(, %rac"eo-oesop"ageal -istula, Diap"ragmatic "ernia
In Preterm :
,yaline Membrane Disease Pneumonia %ransient tak"ypnea 0sp"y(ia
In Term :
Meconeum aspiration /yndrome Pneumonia %ransient %ak"ypnea o- .ewborn Mal-ormation 0cidosis Ot"ers
$estation
Mira Yulianti (01-107)
KKA-172
0 < 60 None
In"estigation
Pathogenesis of RDS
Decreased or abnormal sur-actant 0l eolar collapse 1mpaired gas e(c"ange !espiratory -ailure
/peci-ic
Preterm labor >4+?4 weeks o- gestation diabetes Dose # 1n@ection Betamethasone Dexamethasone 6 mg 1M e ery 9> "rs, -our doses
Met"ods # A .asal cat"eter A .asal prongs A Mask A ,ood),ead 2o( A <entilator Mec"anic
I)*) +!uids
A A A
Depend on conditions o- baby # /"ock, De"ydrated B 2irt" weig"t Metabolic Disturbance D 7%, D 9'%, !4, .ormal saline, Mi(ing :luids
Mira Yulianti (01-107)
KKA-172
Dose # depend on body weig"t and day o- li-e *onsider Electrolyte reCuirement
Medication A 0ntibiotics # i- in-ection de elopes 0mpicilline 8 $entamicin *e-ota(ime , etc Depend on culture and)or *linical signs A /odium bicarbonate, Epinep"rine etc A *alcium $luconate A etc .utrition A 2reast :eeding :irst c"oice $i en as soon as possible regarded to baby condition # gi en oral -eeding Mig"t be gi en to entilated baby A Parenteral .utrion # %otal Parenteral .utrition Partial Parenteral .utrition .ursing + *are A A A A A
stable, possible to be
Darm, dry cot, sur-ace etc 4imited in asi e procedures6 Proper daily care !e"abilitation + P"ysiot"erapy 2lood trans-usion # i- indicated
Specific Condition
$econium Aspiration Syndrome Meconium staining # Antepartum, intrapartum %"in # Chemical pneumonitis %"ick # Atelectasis, airway blockage , airleak syndrome Post term)/:D Meconium staining # cord, nail, skin Onset wit"in 4 to 6 "rs *"est ( ray # Hyperinflated chest Management :
Pre ention by orop"aryngeal suction be-ore deli ery o- s"oulder Electi e E% suction i- baby is depressed and or t"ick meconium O(ygen t"erapy 1< -luids 0ntibiotics i- indicated
Transient Tachypnea of The ,e- orn *aesarean born Delayed clearence o- lung -luid Diagnosis by e(clusion Management supporti e Prognosis $ood Congenita! Pneumonia Predisposing -actors #
KKA-172
-oul smelling liCuor peripartal -e er unclean or multiple P)< %reatment # %"ermoneutral en ironment, .il per oral , 1< :luids, O(ygen 0ntibiotics E0mpi 8 $entaF
/udden distress 1ndistinct "eart sounds Management # .eedle aspiration *"est tube
KKA-172