Respiratory Distress: TTN vs. RDS
Respiratory Distress: TTN vs. RDS
Respiratory Distress: TTN vs. RDS
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4/14/2010<br />
QUICK GAME – WHAT’S THE DX<br />
26 weeker <br />
40 weeker, c-section <br />
36 weeker, Infant of Diabetic mother <br />
UNCERTAIN DIAGNOSIS STRATEGERY<br />
Based on possible Pulmonary and Non-Pulmonary<br />
Diseases<br />
Oxygen<br />
CPAP<br />
Surfactant – even if term, now used with<br />
meconium aspiration, pneumonia, etc…<br />
95% of the time, History yields Dx<br />
Antibiotics<br />
If you have any concern for CHD → start prostins<br />
Monitor BP and blood sugar → treat as needed<br />
T-PIECE RESUSCITATOR (NEOPUFF)<br />
Strength – consistent ventilation in midst of crisis<br />
Caution! Opening pressure can be 40-60<br />
• Watch for adequate chest wall movement<br />
• Change ventilation strategy if needed<br />
Remember….. In the delivery room…<br />
#1 way to get HR up is adequate<br />
ventilation!!!<br />
Move the Chest!<br />
X-RAY VISION<br />
To determine if surgical intervention<br />
is needed<br />
Downloaded from: StudentConsult<br />
© 2005 Elsevier<br />
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