Question

32. A neonate has been diagnosed with respiratory distress syndrome. The nurse notes the neonate is retracting and is hypoxic. The best intervention at this time would be:

Answer 1

Q No-1

A neonate has been diagnosed with respiratory distress syndrome. The nurse notes that the neonate is retracting and is hypoxic. The best intervention at this time would be?

Neonatal respiratory distress syndrome is the conditions in which the infant face difficulty in breathing because of surfactant deficiency at the time of birth, it is also called as hyaline membrane disease and predominantly found in premature infants. The main signs and symptoms of this is

• Fast Breathing
• Grunting -"Ugh" sound with each breath
• Flaring /widening of the nostrils with each breath
• Retractions -skin pulls in between the ribs or under the rib cage during fast and hard breathing

The immediate nursing response in a situation of retraction with hypoxia is to provide immediate supply of supplemental oxygen. Which can be achieved via CPAP (Continuous Positive Airway Pressure). This is a machine that gently pushes air or oxygen into the lungs to keep the air sacs open. In less severe cases oxygen can be administered using nasal cannula applied directly to the nostrils. The infant needed to be intubated into an intermittent positive pressure ventilation (IPPV) in advanced conditions and the decisions to be made by the neonatologist. Oxygen saturation monitors must be attached to the infant’s right hand (pre-ductal) and the desired range should be between 91-95 %

IV (intravenous) catheterisation- a catheter is placed into one or two of the blood vessels in the umbilical cord. This will help to provide essential nutrition, fluids and medications. Blood samples for investigations can also be collected through this. Samples need to be send to assess the Capillary acid base status (CAB) and Arterial blood gases (ABG).

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Q No- 2

A newly admitted client is diagnosed with PTSD.( Post traumatic stress disorder) Which behavioral symptom should the nurse expect to assess?

The main behavioral symptom is recurrent distressing flashback.