Question

* Question Completion Status: ho received one dosage of antental steroids on admission to the hospital. The infant's APGAR scores were 4 & 5 respectively with the infant requiring bag-mask ventilation within the DR. Infant X was intubated with a 2.5 mm ETT at 6.5 cm mid-upper lip and was placed on PRVC with the following settings: F-40 (48) Vt: 4 ml PEEP-5 cmH20 FiO2-0.25 Itime-0.34 12 hours later X is presenting with: • intercostal and substernal retractions . frequency has increased to 60 with periodic episodes of Oxygen desaturation • exhaled tidal volumes have decreased from 4 ml to 2 ml Save All Answers Clo Click Save and Submit to save and submit. Click Save All Answers to save all answers. 1 Type here to search

Answer 1

1. The rationale behind steroid administration pre delivery is for lung maturation and surfactant production to reduce surface tension .

2. The changea in the pressure volume curve indicate that there is an increase in pressure and to fix this tidal volume has to be decreased .

3. Interventions include :-

Administer the surfactant as ordered

Institute thermoregulation

Prevent hypotension hypovolemia

Correct respiratory acidosis with ventilator support

Correct metabolic acidosis by administering sodium bicarbonate

RDS Nursing Interventions :-

Continuous monitoring & close observation

Obtain necessary specimens for lab

Continuously monitor pulse oximetry

Suction as indicated, not ET suctioning

Maintain thermoregulation

Provide nutrition (parenteral, avoid oral)

Cluster nursing activities

Educate parents & provide emotional support

Silverman-Anderson Index

4. Post interventions also the PaO2 haven't reached normal ,still administration of oxygen is required .