Neonatal Medicine: Cpap And Ventilation In Neonatal Respiratory Distress

Neonatal Medicine : CPAP and Ventilation in Neonatal respiratory Distresslanguage ScenarioYou are reviewing Nathan , a 12 hour old new natural with respiratory distress . He is 37 weeks gestation and was innate(p) by caesarean section following failure to turn over . The oxygen saturation is 94 in 50 FiO2 the respiratory rate is 80 . There is moderate intercostal ecological niche and an occasional grunt . Your hospital participated in the bubbles for babies running play and you aim just started to spend CPAP in your unit now the trial is finished . Your registrar suggests using CPAP on this neonate , still the nursing staff have called you to arrange transferQuestionsWould you use CPAP or ventilate and transfer this neonategive reasons for your choice with reference to the current literatureIn your firmness you should also consider the following main points the benefits of CPAP over ventilation system , particularly with reference to your current practice environment the potential drop complications of CPAP reasons why ventilation may be required correct though CPAP is in situThe baby Nathan is suffering from Neonatal respiratory distress syndrome , which is a condition most often seen in new born(p) babies and is characterized by a difficulty in airing . The condition more frequently develops in prematurely born babies as their lungs are not fully developed . The lubricator that lines the inner membranes of the lungs (known as ` wetter ) is deficient , gum olibanum causation difficulty in inflating the lungs and resulting in the air sacs collapsing Surfactant helps to demean the surface tension of water that is present on the alveoli , thus helping to prevent the lung sacs from collapsing Usually , the condition develops in childs born before the 38 week . The baby is cyanosed and has difficulty in respiration . The accessory muscles of respiration are active and a frequent grunting sound is heard .

The other symptoms that may be observed include nasal flaring , shallow breathing , swollen legs , unusual movement of the chest wall , etc . The infant may be hypoxic and the CO2 levels in the root examine . The symptoms usually develop at birth , or a little while after birth . The symptoms tend to slump and may progress to respiratory failure and death . As the prematurity increases , so does the chance of developing this condition . This is because surfactant is produced only during the later stages of gestation in the infant . The diagnosis of RDS in babies is made based on the history , heading of accepted risk factors , Chest X-ray , Blood tests , CSF studies , lung tests , blood gas analysis , etc (Greene , 2007 Merck , 2005When a neonatal is born , certain signs are observed which include :-a heart rate between 110 to 150 beats per minutea respiratory rate between 40 to 70 breathes per minuteabsence of cyanosis , nasal flaring , grunting sounds , forceful use of accessory muscles during respiration , etcOxygen saturation which is more or less 95theao2 is higher than 50the FiO2 is about 40 to 50 (CCM , 2007 , NGC , 2008 Millar et al 2004Previously , for the treatment of...If you want to quarter a full essay, order it on our website: Ordercustompaper.com

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