Respiratory Distress Syndrome

Question 1

Respiratory Distress Syndrome is formerly termed as

Answer 1

Hyaline Membrane Disease

Question 2

Respiratory Distress Syndrome is most often seen in

Answer 2

Newborns born prematurely

Question 3

What is the pathologic feature of Respiratory Distress Syndrome is

Answer 3

A hyaline-like (fibrous) membrane

Question 4

The needed pressure to inspire first breath

Answer 4

Between 40 and 70 cm H2O

Question 5

CPAP

Answer 5

Continuous positive airway pressure

Question 6

Peep

Answer 6

Positive end-expiratory pressure

Question 7

A potent vascular dilator

Answer 7

Nitric Oxide

Question 8

Causes pulmonary vasodilation without decreasing systemic vascular tone

Answer 8

Nitric Oxide

Question 9

Means of oxygenating blood during cardiac suegery

Answer 9

Extracorporeal Membrane Oxygenation

Question 10

Synthetic surfactant is administered into an endotracheal tube by a syringe or catheter

Answer 10

Lung lavage

Question 11

What tocolytic agent can help prevent preterm birth

Answer 11

Magnesium Sulfate

Question 12

Quickens the formation of lecithin

Answer 12

Steroids/glucocorticosteroids

Question 13

What injections may prevent RDS

Answer 13

Two injections of a glucocorticosteroid such as betamethasone

Question 14

What is the advantage of CPAP or PEEP

Answer 14

The pressure exerted on the aleveoli at the end of expiration and helps keep alveoli from collapsing

Question 15

When does surfactant forms

Answer 15

Starting 34th week of gestation

Question 16

the needed pressure to maintain quiet and continued breathing

Answer 16

15 to 20 cm H2O

Question 17

the phospholipid that normally lines the alveoli and reduces surface tension to keep the alveoli from collapsing on expiration.

Answer 17

Lung Surfactant

Question 18

Surfactant does not form until what week

Answer 18

34th week of gestation

Question 19

________ occurs caused by closure of the glottis as it tries to increase the pressure in the alveoli on expiration

Answer 19

Expiratory Grunting

Question 20

Tissue Hypoxia causes the release of

Answer 20

lactic acid

Question 21

On inspiration, the anterior chest wall retracts and the abdomen protrudes; on expiration, the sternum rises

Answer 21

Seesaw respirations

Question 22

This infection in newborns is so severe that it may stop surfactant production

Answer 22

B-hemolytic, GBS infection

Question 23

Following surfactant administration, the newborn should be placed in what position.

Answer 23

Elevated position of the head.

Question 24

the advantage of CPAP and PEEP in addition to supplying oxygen

Answer 24

Pressure is exerted on the alveoli at the end of expiration

Question 25

It causes pulmonary vasodilation without decreasing systemic vascular tone.

Answer 25

Nitric Oxide

Question 26

A neonate with RDS must be kept warm because cooling increases ______ in newborns.

Answer 26

acidosis

Question 27

quickens the formation of Lecithin

Answer 27

Betamethasone

Question 28

Steroid betamethasone does not take effect before what time

Answer 28

24 hours to 48 hours