respiratory distress syndrome Flashcards
1
Q
who does it affect
A
premature neonates born before lungs start producing adequate surfactant
commonly < 32wks
2
Q
CXR shows…
A
ground glass appearance
3
Q
pathophysiology
A
inadequate surfactant leads to high surface tension –> atelectasis –> inadequate gas exchange –> hypoxia, hypercapnia, resp distress
4
Q
management
A
antenatal steroids
I&V
endotracheal surfactant
CPAP
oxygen
5
Q
oxygen sats aim in premature neonates
A
91-95%
6
Q
short term complications
A
pneumothorax infection apnoea intraventricular haemorrhage pulmonary haemorrhage necrotising enterocolitis
7
Q
long term complications
A
chronic lung disease of prematurity
ROP
neurological, hearing, visual impairment
