Neonatal respiratory distress syndrome

Question 1

Neonetal respiratory distress syndrome:

Answer 1

Surfactant deficiency leading to high surface tension, resulting in alveolar collapse.

Question 2

Neonetal respiratory distress syndrome:

diagnosis

Answer 2

Lecithin: sphingomyelin ratio < 1.5 in amniotic fluid

Question 3

Neonetal respiratory distress syndrome

complication

Answer 3

Persistently low O2 tension -> risk of PDA

Therapeutic supplemental O2 can result in retinopathy of prematurity and bronchopulmonary dysplasia.

Question 4

Neonetal respiratory distress syndrome

Risk factors

Answer 4

Prematurity, maternal diabetes (elevated fetal insulin), C section (low release of fetal glucocorticoid)

Question 5

Neonetal respiratory distress syndrome

Treatment

Answer 5

Maternal steroid before birth,

Artificial surfactant for infant