1 / 13

Respiratory Distress Syndrome

Respiratory Distress Syndrome. Capili , Datukon , De Castro, de la Llana , Golepang. General Data. Baby Boy of Phoebe Santos NB/M From Cainta Admitted November 18, 2009. History of Present Illness. Born 27 weeks and 5 days to a 17 y/o primigravid

jena
Télécharger la présentation

Respiratory Distress Syndrome

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Respiratory Distress Syndrome Capili, Datukon, De Castro, de la Llana, Golepang

  2. General Data • Baby Boy of Phoebe Santos • NB/M • From Cainta • Admitted November 18, 2009

  3. History of Present Illness • Born 27 weeks and 5 days to a 17 y/o primigravid • Cephalic presentation, delivered via SVD

  4. History of Present Illness

  5. History of Present Illness

  6. Maternal History • Mother is a 17 y/o primigravid, 4 PNCU’s c/o LHC

  7. Family Medical History • (+) HPN – mother’s side • (+) heart disease (mother) • (-) DM, PTB, BA, allergies • (-) history of kidney or liver disease

  8. Personal/Social History • Mother is 17 years old, unemployed • Father is 20 years old, unemployed

  9. Physical Examination • HR 140’s RR T 37.1oC • Awake, active, (+) jaundice, anterior fontanelle soft and flat • Equal chest expansion, (+) retractions, (+) rales over lower lung fields • (-) heaves/thrills, distinct heart sounds, (+) grade 2/6 holosystolic murmur, LPSB • soft, globular, (-) masses • Bounding pulses, pink nail beds, necrotic first digit of LLE, (-) cyanosis/clubbing/edema

  10. Problem List • Respiratory Distress Syndrome • Intubated ET 2.5 L 7 • Multiple episodes of cyanosis and desaturation • (+) rales on bilateral lower lung fields • (+) retractions • Cardiac: t/c PDA • Grade 2 Holosystolic murmur, best heard on LPSB; bounding pulses • Referred to Pedia Cardio for 2D Echo • Currently on Ibuprofen for medical closure

  11. Problem List • Infectious: t/c sepsis • Awaiting final blood CS results • Meropenem, amikacin • Vitamin K, FFP • Vascular: necrotic 1st digit of LLE • Referred to TCVS, awaiting entries • Hyperbilirubinemiaprob 2o to sepsis • CPT • Monitoring of TB DB IB

  12. Present Working Impression • Pre Term 28 weeks by Pediatric Aging, 800g, appropriate for gestational age, cephalic presentation delivered via spontaneous vaginal delivery, live baby boy, APGAR 9, 9 • Respiratory distress syndrome (HMD) • Hyperbilirubinemia probably 2o to sepsis • r/o sepsis • t/c PDA • Necrotic first digit of L lower extremity

  13. Current Medications

More Related