Name: Baby Pearl Date of Admission: March 6, 2023

Age/Sex: 9 months old / F Attending Physician: Dr. Becina

PREMATURITY

PREDISPOSING FACTORS: PRECIPITATING FACTORS:

- Maternal Diabetes -Obesity and overweight
- Maternal Asthma
-CS delivery before term
- Maternal history of
hypertension
- Male infant

Immature lung structure -Ventilation-perfusion mismatch

-Hypoxemia

Inadequate surfactant

Respiratory and Metabolic Acidosis Absent or depressed breathing

Pulmonary vasoconstriction -Fetal bradycardia

-Cyanosis

Endothelial and Epithelial cell injury Hypoxia

Diagnostic Tools:
Neonatal Respiratory Distress Syndrome
-Physical Assessment
-APGAR scoring
-Chest x-ray

PROGNOSIS

IF NOT TREATED: IF TREATED:

Respiratory Distress Syndrome if not treated may
result to the development of a serious lung
condition called Bronchopulmonary dysplasia
(BPD).
If left untreated can lead to medical condition such
as cerebral palsy, lung complications, impaired
vision, sepsis, multiple organ failure, and neonatal
death.
 Neonates with RDS may need extra
oxygen through nasal cannula or by
ventilation.
 Administration of artificial surfactant as
a preventative measure for babies that
are high risk for RDS.
 Provide medication such as antibiotics
for suspected infection.

MANAGEMENT: TETRATOLOGY OF FALLOUT

 Initiate oxygen therapy to maintain adequate

oxygen
 Place the patient on supine position to provide
clear airway
 Monitor patient’s oxygen saturation
 Consider administering a surfactant
 Monitor hemodynamics
 Manage secretions, use suctioning if necessary