- 1、本文档共38页,可阅读全部内容。
- 2、有哪些信誉好的足球投注网站(book118)网站文档一经付费(服务费),不意味着购买了该文档的版权,仅供个人/单位学习、研究之用,不得用于商业用途,未经授权,严禁复制、发行、汇编、翻译或者网络传播等,侵权必究。
- 3、本站所有内容均由合作方或网友上传,本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺!文档内容仅供研究参考,付费前请自行鉴别。如您付费,意味着您自己接受本站规则且自行承担风险,本站不退款、不进行额外附加服务;查看《如何避免下载的几个坑》。如果您已付费下载过本站文档,您可以点击 这里二次下载。
- 4、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等,请点击“版权申诉”(推荐),也可以打举报电话:400-050-0827(电话支持时间:9:00-18:30)。
- 5、该文档为VIP文档,如果想要下载,成为VIP会员后,下载免费。
- 6、成为VIP后,下载本文档将扣除1次下载权益。下载后,不支持退款、换文档。如有疑问请联系我们。
- 7、成为VIP后,您将拥有八大权益,权益包括:VIP文档下载权益、阅读免打扰、文档格式转换、高级专利检索、专属身份标志、高级客服、多端互通、版权登记。
- 8、VIP文档为合作方或网友上传,每下载1次, 网站将根据用户上传文档的质量评分、类型等,对文档贡献者给予高额补贴、流量扶持。如果你也想贡献VIP文档。上传文档
查看更多
Respiratory Diseases of Newborn
Focused respiratory historyAntepartumgestation and accuracy of datesantenatal ultrasound findingsmaternal diabetesmaternal Group B streptococcus (GBS) statusadministration of antenatal steroidsmaternal substance usefamily history of neonatal respiratory disorders
Focused respiratory historyIntrapartum fetal distress during labour and deliverypresence of meconium stained liquorduration of rupture of membranes evidence of chorioamnionitis (maternal fever)nature of labour and route of delivery medicationsadministration of intrapartum antibiotics for GBS prophylaxis
Focused respiratory historyNeonatalumbilical cord blood gascondition at birth, including Apgar scoreresuscitation efforts required and responsetime of onset of symptoms, i.e., present from birth or developed after a period of normal respiratory function gestational age and birth weight
Physical examinationObservationsymmetry of chest movementindicators of laboured respirationskin colour and mucous membranes for evidence of central cyanosisrespiratory supportvital signs: RR, HR, T, BP, SpO2
Physical examinationExaminationAuscultation of breath soundspresence of grunting, inspiratory stridor, audible expiratory wheeze, crackles)presence of cleft palate or micrognathia (small jaw)
Diagnostic testsChest radiograph Blood gases
Case 1Born at 30 weeks gestationApgar score 61, 85Birth weight 1500 gramsDeveloped signs of respiratory distress at 30 minutes
Case 1PinkRR 88/min and regular, HR 140 bpmLaboured respiration Well perfused, BP 47/25 mean 33 Tone normalTemperature 36.4°C
Case 1
Respiratory Distress Syndrome (RDS)Healthy lungRespiratory distress syndrome
Lack of surfactant, resulting in progressive collapse of the alveoliPrimarily a disease of preterm babies; its incidence increases with decreasing gestational age.
Surfactant administration
Case 1 post surfactant
Case 1Ventilation setting unchangedBaby deteriorated rapidly, increase oxygen concentration from 40% to 100%, mo
文档评论(0)