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Topic 5 Tips to Help Prevent Osteoporosis

  • Tue 21st Aug 2018 - 6:33am

    Chest physiotherapy and suctioning
    Transcutaneous oxygen saturation monitoring Nuculture Review with use of supplemental oxygen to prevent hypoxemia and hypoxic pulmonary vasoconstriction, which may result in PPHN
    ABG monitoring for prompt recognition and treatment of acidosis, hypoxemia, and hypercarbia
    CPAP or mechanical ventilation to maintain normal oxygenation and ventilation
    Sedation or neuromuscular paralysis for infants on high ventilator settings
    Routine administration of antibiotics due to possible secondary bacterial pneumonia
    Exogenous surfactant administration
    Persistent Pulmonary Hypertension Of The Newborn

    Persistent Pulmonary Hypertension Of The Newborn (PPHN), also historically known as persistent fetal circulation, is the combination of pulmonary hypertension and right-to-left shunting of desaturated blood through fetal pathways (a Patent Foramen Pvale [PFO] or a PDA) in a structurally normal heart. This pathologic process is due to a sustained elevation in Pulmonary Vascular Resistance (PVR) after birth. In contrast, the Systemic Vascular Resistance (SVR) increases rapidly with cord clamping. These events result in functional closure of the PFO and constriction of the PDA with separation of the pulmonary and systemic circulations. The elevation in PVR may be idiopathic or secondary to MAS, congenital diaphragmatic hernia, hyperviscosity, sepsis, or other causes. This abnormality results in a decrease in the cross-sectional area of the pulmonary vascular bed and an increased resistance to pulmonary blood flow. The management of PPHN has changed dramatically with recent medical advances.

     

     

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