Meconium Aspiration Syndrome Flashcards

1
Q

First stool passed by a newborn

A

Meconium

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2
Q

It happens when the stool went to the infant’s amniotic fluid

A

Meconium stained

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3
Q

Inhaled/Consumed by the infant in the amniotic fluid

A

Meconium aspiration

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4
Q

What AOG is meconium present?

A

10 weeks gestation

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5
Q

It causes the vagus reflex to be stimulated, resulting in the relaxation of the rectal sphincter that relaxes the meconium into the amniotic fluid.

A

Hypoxia

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6
Q

It is a fetal position that has a high possibility to expel meconium into the amniotic fluid from pressure on the buttocks.

A

Breech position

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7
Q

Color of amniotic fluid due to meconium staining

A

Greenish

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8
Q

Normal characteristics of amniotic fluid

A

Almost colorless with white spects.

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9
Q

How many percent do meconium staining occur of all births.

A

10% to 20%

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10
Q

how many of the newborns out of 10% to 20% of births will aspirate enough meconium to cause MAS

A

2 to 4

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11
Q

When will the infant may aspirate meconium

A

Either in utero or within the first hour at birth

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12
Q

It is avoided during 1st hour of birth due to tendency of meconium staining/aspirration

A

Fundal push

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13
Q

Assessment of a meconium aspiration syndrome

A

Difficulty in respirations
Low APGAR
Immediate tachypnea, retractions and cyanosis after birth.

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14
Q

The inflammation of bronchi that tends to trap air in the alveoli, limiting entrance of oxygen that causes barrel chest

A

Retractions

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15
Q

It is caused by trapped air that results to enlargement of the anteroposterior diameter of the chest.

A

Barrel chest

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16
Q

Meconium can cause Respiratory Distress in 3 ways

A

Inflammation of bronchioles due to foreign substance
Block the small bronchioles by mechanical plugging
Decrease in surfactant production through lung trauma.

17
Q

Therapeutic Management of MAS

A

Amnioinfusion
Cesarean for deeply stained amniotic fluid
Tracheal suctioning
Oxygen and assisted ventilation
Antibiotic therapy
Administration of Surfactant if lung compliance is poor
Observe for air trapping in the alveoli
Warm environment
Chest physiotherapy with percussion and vibration

18
Q

It can be used to dilute the amount of meconium in the amniotic fluid and reduce risks for aspirations.

A

Amnioinfusion

19
Q

This is to prevent the development of Pneumonia as a secondary problem

A

Antibiotic therapy

20
Q

Antibiotics for newborns

A

Ampicillin and Gentamycin sulfate - IM vastus lateralis

21
Q

It encourage removal of remnant of meconium from the lungs

A

Chest physiotherapy with percussion and vibration