Chapter 19: Bronchopulmonary Dysplasia (BPD) (Newborn)

Question 1

Bronchopulmonary Dysplasia (BPD)

Answer 1

chronic lung disease
-the newborn becomes oxygen dependent past 36 weeks gestation
-complication produced by long-term oxygen use, especially with mechanical ventilation therapy
-supplemental oxygen can also damage lung tissue by suppressing compliance
>because oxygen is administered, the lungs fail to develop normal compliance needed to force adequate levels of air in and out

Question 2

Signs and Symptoms of BPD

Answer 2

inability to wean off oxygen completely

Question 3

Diagnosis

Answer 3

chest x-ray in BPD can show changes consistent with cyst formation, increased density, and progressive hyperinflation

Question 4

Prevention of BPD

Answer 4

when treating newborns with oxygen, use the lowest amount possible to maintain acceptable oxygen saturation levels

Question 5

Nursing Care

Answer 5

wean newborns from oxygen as soon as possible

-prevent erratic oxygen levels during delivery, maintaining at a constant level of oxygen delivery

Question 6

Medical Care

Answer 6

management used to treat the symptoms of BPD

• bronchodilators such as beta-2-agonists, anti-cholinergics, and theophyllines and inhaled and systemic steroids, to decrease inflammation, have been used to increase lung compliance
• use of oxygen therapy, diuretics, and nutritional therpy

Question 7

Newborn discharged on oxygen therapy

Answer 7

• need a home care nurse to evaluate home for oxygen safety and teach parents how to care for the child
• training on use of pulse oximeter and CPR