Transient tachypnea of the newborn Flashcards
1
Q
When do symptoms start?
A
Immediately or 2 hours after
2
Q
How frequent are symptoms
A
Intermittent or persistent
3
Q
Symptoms of TTN
A
Grunting
Nasal flaring
Recessions
Low sats
4
Q
Invx
A
CXR - fluid in fissures
Blood gases - resp acidosis from hypercapnia
5
Q
Mx
A
Observe if just tachypnoea
If severe, admit and then:
Fluid restrict
Give nasal CPAP/high flow o2, maintain sats over 92
Nutrition - via IV and NG tube
Consider abx
6
Q
When would you admit to NICU/SCBU?
A
Cyanosed
Low sats
Abnormal blood gas
Increased WOB
Tachypnoea
7
Q
If it’s gone on for 5 days, what do you do?
A
Echo to see if it’s a prob with the heart
8
Q
When would you give abx
A
if over 4-6 hours
Ampicillin
Gentamicin
9
Q
Prognosis
A
Usually very good, resolves in 48-72hrs
Can become PPHN rarely
