Goal: Signs and symptoms of respiratory disstres, deviation of the function and the risk of infant respiratory distress syndrome can be identified. Children’s Hospital Omaha Critical Care Transport Sue Holmer RN, C-NPT . The treatment of the Respiratory Distress Syndrome (RDS) is directed at correction of the pathophysiological conditions that exist in this disease process: A) surfactant deficiency, B) hypoxia, C) acidosis, D) pulmonary vasoconstriction, E) atelectasis, and F) shock. Information from reference 29 . Identify and treat cause of the Acute respiratory distress syndrome; Administer oxygen as prescribed. Provide respiratory treatment as prescribed. A newborn is diagnosed with respiratory distress syndrome (RDS). Position client in high fowler’s position. Nursing Intervention. Nursing Management. Use a physiologic approach to understand and differentially diagnose the most common causes of respiratory distress in the newborn infant. Physical examination. Highly skilled nursing care is necessary in all aspects of the newborn‘s care. Respiratory distress syndrome (RDS) is one of the most common consequences of prematurity and a leading cause of neonatal mortality and morbidity as a result of immature lungs. 3. After completing this article, the reader should be able to: 1. She has been involved in several neonatal research studies including studies on ventilator-associated pneumonia, retinopathy of prematurity, intraventricular hemorrhage, and sibling visits and infection rates in … Respiratory Distress Syndrome - Nursing Diagnosis, Interventions and Rationale Impaired Gas Exchange related to decreased volumes and lung compliance, pulmonary perfusion and alveolar ventilation. Administer diuretics, anticoagulants or corticosteroids as prescribed. 2. Restrict fluid intake as prescribed. A routine newborn examination is conducted with emphasis on neurologic impairment. This is measured with the PaO2/FiO2 ratio of <300 (mild), <200 (moderate), or <100 (severe). Jonathan M. Klein, MD Peer Review Status: Internally Peer Reviewed. Objectives ... •Recognize respiratory distress and impending respiratory failure. 0266 612X/89/0005 055/S10.00 Problems and nursing management strategies related to Respiratory Distress Syndrome in the very preterm baby M. B. Carter A wealth of literature exists on the subject of res- piratory distress syndrome (RDS) and the vari- … Distinguish pulmonary disease from airway, cardiovascular, and other systemic causes of respiratory distress in the newborn. Pathophysiology An acute lung condition evidenced by bilateral pulmonary infiltrates and refractory hypoxemia. (RDS = respiratory distress syndrome; MAS = meconium aspiration syndrome; NICU = neonatal intensive care unit; TTN = transient tachypnea of the newborn.) The definition of refractory hypoxemia is hypoxemia that is unresponsive to treatment and a PaO2 level that remains low despite increasing FiO2. However, if the pre-term labor can’t be avoided, RDS can be prevented, or its severity decreased by the following interventions: 1. While assessing the newborn, the nurse realizes that which maternal factor would most place the infant at risk for RDS? a. prolonged rupture of membranes b. maternal gestational diabetes c. maternal smoking d. maternal narcotic addiction Affiliation 1 Susan Bedwell, DNP, APRN, CCNS-N, is a board-certified, neonatal critical care clinical nurse specialist with 30 years of neonatal intensive care unit experience. Etiology The diffuse … •Discuss management of respiratory distress and respiratory failure. Management of respiratory distress syndrome Rashmi Jeenakeri mark Drayton Abstract Respiratory distress syndrome is the most common pathology of preterm infants managed in neonatal intensive care units worldwide. Management of IRDS Prevention of neonatal respiratory distress syndrome. Treatment of Respiratory Distress Syndrome (RDS). Nursing Assessment. As respiratory distress syndrome is a disease of prematurity, the most effective preventive method is to avoid pre-term labor.