Neonatal Lung Disease Flashcards
1
Q
What age do the lungs develop till?
A
- 7
2
Q
What is neonatal respiratory distress syndrome (RDS)?
A
- Ground-glass lungs
- Lack of surfactant
- Lungs cannot expand
3
Q
Why do we give steroids to women who have gone into labour?
A
- To increase surfactant
4
Q
What is meconium?
A
- The baby’s first stool containing all the things swallowed.
5
Q
How to treat RDS?
A
- Ventilation
- Endogenous surfactant administered
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6
Q
What are the long term risks of RDS?
A
- Chronic lung disease
- BPD
7
Q
What is Chronic Lung Disease?
A
- On oxygen for more than 28 days when over 36 weeks of age.
8
Q
What is Old BPD?
A
- Baby can’t create negtive pressure in lungs, so ventilate w + pressure
- Damage lungs, destory alveoli
- Structural injury to lungs via ventilation
9
Q
What is New BPD?
A
- Developmental arrest
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10
Q
What is Bronchopulmonary Dysplasia (BPD)?
A
11
Q
What is the Germinal Matrix?
A
- Origin of all brain cells
- Cells migrate out, takes 2 years
- Blood vessels congregate here
12
Q
Possible outcomes of germinal matrix bleeding?
A
- Cerebral palsy
- Depends on grade of bleed
13
Q
What is IVH?
A
- Intraventricular hemorrhage
- Bleeding into ventricles of a newborn
- Graded
14
Q
What is Periventricular Leukomalacia?
A
- Softening of white matter
- Preterm brain injury
- Very high risk of cerebral palsy
15
Q
When are the T cells in Thymus at sufficient function?
A
- 28 weeks
