Pediatric and perinatal Lung disease and other problems of prematurity Ch 10 GRADED A+ 2023
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Course
Comprehensive perinatal & pediatric respiratory
Institution
Comprehensive Perinatal & Pediatric Respiratory
What is the underlying etiology of RDS? correct answers surfactant deficiency
What are some complications of RDS? correct answers Intracranial hemorrhage
barotrauma
DIC
infection
PDA
What PH level should be maintained in an infant being treated for RDS? correct answers Greater than 7.25
...
Pediatric and perinatal Lung disease and other
problems of prematurity Ch 10 GRADED A+ 2023
What is the underlying etiology of RDS? correct answers surfactant deficiency
What are some complications of RDS? correct answers Intracranial hemorrhage
barotrauma
DIC
infection
PDA
What PH level should be maintained in an infant being treated for RDS? correct answers Greater than
7.25
What increases the incidence of RDS? correct answers prematurity
low birth weight
gender
persistence of fetal circulation
atelectasis
multiple generations
prenatal maternal complications
maternal diabetes
umbilical cord disorders
Treatment for RDS can actually cause what disease? correct answers bronchopulmonary dysplasia
clinical signs and symptoms of RDS correct answers begins at birth or shortly after
RR is usually >60
infant will grunt
chest retractions
nare flaring
cyanosis
chest x-ray shows: opaque, cloudy, frosted or ground glass appearance
A new born being treated for RDS beginning to experience profuse bleeding throughout the body. What
disease is most likely to be the cause? correct answers disseminated intravascular coagulation
The Treatment for RDS correct answers
symptoms of BPD without the concurrent radiologic signs is termed correct answers neonatal chronic
lung disease(NCLD)
oxygen toxicity, barotrauma, PDA, and fluid overload are all linked to the development of correct
answers BPD
The diagnosis of BPD is made by correct answers the chronic need for 02 therapy and ventilator support
, The treatment of BPD correct answers -use lowest possible airway pressures to achieved sufficient gas
exchange
-ET tubes should be small enough to allow a small leak
-chest PT
-diuretics
-Digoxin to improve the effects of right heart failure(maintain a hematocrit above 40%)
-adequate nutrition(120 to 150 cal/Kg/day)
-Vitamin E administration
The recommendation with BPD is to use pressure rates and FIO2 that maintain the Pao2 and Paco2 is
correct answers Pao2 50 to 70 mm hg
Pac02 45 to 55 mmhg
Stage I of BPD what is seen on the chest X-ray? correct answers usually 1st 3 days of life. Bilateral
frosted ground glass appearance
Stage II of BPD what is seen on the chest x-ray? correct answers 3-10 days of disease lungs are opaque
with granular infiltrates that obscure cardiac markings
Stage III of BPD what is seen on the chest X-ray? correct answers 10-20 days small multiple cyst
formations with a visible cardiac silhouette
stage IV what is seen on the chest X-ray ? correct answers following day 28 of life. increase lung density
and the formation of large irregular cysts
The radiographic picture of wilson-mikity syndrome appears similar to correct answers BPD
By what age do infants who survive pulmonary dysmaturity (wilson-mikity syndrome) clear the disease?
correct answers 2 years
What is the clinical signs of wilson-mikity syndrome? correct answers hyperpnea
transient cyanosis
retractions
arterial po2 begins to fall
respiratory acidosis
The treatment of wilson-mikity syndrome is correct answers -supportive
-pt is mechanically ventilated to treat apnea and -progressive hypercapnia
-o2 is given to treat hypoxemia
-once ventilated disease is treated like BPD
Prevention of ROP is based on correct answers cautious use of oxygen
infants with ROP are at a higher risk of developing _____ later in life correct answers myopia
In ROP, retinal vessels constrict and necrotize in the presence of high correct answers pao2
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