Neonatal respiratory distress syndrome (RDS) is most commonly a complication seen in premature infants. The condition makes it difficult to breathe.
Symptoms of Respiratory Distress Syndrome (RDS)
The symptoms usually appear within minutes of birth, although they may not be seen for several hours. Symptoms may include:
- Bluish color of the skin and mucus membranes (cyanosis)
- Brief stop in breathing (apnea)
- Decreased urine output
- Grunting
- Nasal flaring
- Puffy or swollen arms or legs
- Rapid breathing
- Shallow breathing
- Shortness of breath and grunting sounds while breathing
- Unusual breathing movement -- drawing back of the chest muscles with breathing
Nursing Intervention for Respiratory Distress Syndrome (RDS)
Goal :
Signs and symptoms of respiratory disstres, deviation from the function and the risk of infant against Respiratory Distress Syndrome (RDS)can be identified.
- Assess the infant is at risk for Respiratory Distress Syndrome (RDS), namely:
- mothers with diabetes mellitus or bleeding placenta.
- Prematurity baby.
- Fetal Hypoxia.
- births by caesarean section.
Rational:
Assessment of immediate intervention is needed to determine if the baby showed signs of disstres breath and especially to improve the prognosis. - Assess respiratory status changes include:
- Tachypnoea (respiratory above 60 x per minute, maybe 80-100 x)
- Breath grunting
- Nasal flaring
- Intercostal retraction, suprasternal or Substernal with the use of auxiliary respiratory muscles
- Cyanosis
- Episodes of apnea, decreased breath sounds and presence crakles.
Rational:
These changes indicate the RDS has occurred, call a doctor for immediate action
- Respiratory infants increased due to increased oxygen demand
- Voice is a voice taps ekhalasi closing glottis to stop the air by pressing the vocal cords
- Represents the state to lower the resistance of respiration with wide open airway
- Retraction indicates inadequate lung expansion during inspiration
- CNS occurs as a sign-up with PO2 below 40 mmHg
- Episode apneu and decreased breath sounds indicating increasingly severe respiratory distress