respiratory distress syndrome is a condition that develop due to luck or insufficient safactan in lung leading to alvioli collaps.in this artical we are going to make a nursing care plan for respiratory distress syndrome
Table of Contents
signs and symptoms respiratory distress syndrome in neonates
- dificulty in breathing
- sever chest indrawing
- nosal flearing
- cynosis
- subcostle resetion
- granting sound
- irritablelaw arlasnes
- rapid breathing
assessment
subjective data
- mother reported baby born before it’s time
- baby not breastfeeding
- baby having difficulty in breathing
- baby id becoming blue
objective data
- breathing rate of 80b/m
- oxygen circulation of 81%
- cynosis blue extremities
- poor suckling reflexes
nursing diagnosis for RDS 1
impaired gaseous exchange related to deficiency of sufactan as evidenced by oxygen circulation of 81%
Goal
to increase oxygen circulation to 95% and above within 10 minutes
maintain the patient circulation at a normal range
implementations
- position the baby in in semi flaws position
- administer humidify oxygen as prescribe
- monitor oxygen circulation
- administer surfactant as prescribe by the doctor
- administer antibiotic as prescribe
Rational
- Promotes lung expansion and improves breathing.
- Improves oxygen delivery to body tissues
- Detects early signs of SPO2 deterioration.
- Replaces deficient surfactant and improves lung function.
- prevent and treat secondary infection
Evaluation
the circulation improved after 20 minutes.
Nursing diagnosis for respiratory distress syndrome 2
Ineffective Breathing Pattern related to alveolar collapse as evidenced by increased subcostle resetion,nasal flaring, and tachypnea.
Goal
improve the baby breathing pattern within 2 day
implementations
it is the same as the one of impaired gaseous exchange
Rational
it is the same as the one of impaired gaseous exchange
evaluation
babies breathing improved within 2 days
nursing management of RDS
- keep the baby warm using blanket,radian warmer or incubator
- minimal handling the baby minimize stress
- feed the baby every 2 to 3 hours to maintain energy
- maintain strict hygiene
- monitor the respiration rate regularly
- monitor arterial blood gas as order by doctor
- administer iv fluid to balance the electrolyte