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# Mometrix ## Naloxone. ### Supplies & Equipment - Various sterile surgical packs, dressings, chest tubes, scalpels, hemostat. - Arterial blood gas equipment and portable x-ray machine. ## Transient Tachypnea of Newborn - TTN Transient tachypnea of newborn (TTN) occurs when fluid in the lungs i...

# Mometrix ## Naloxone. ### Supplies & Equipment - Various sterile surgical packs, dressings, chest tubes, scalpels, hemostat. - Arterial blood gas equipment and portable x-ray machine. ## Transient Tachypnea of Newborn - TTN Transient tachypnea of newborn (TTN) occurs when fluid in the lungs is not adequately absorbed after birth. The neonate usually exhibits symptoms within 36 hours of birth and the condition typically resolves within 3 days. TTN is most common in infants delivered by Cesarean section, but premature birth and mothers who smoke or have diabetes increase risk to infant. Symptoms include: - Dyspnea (>60/min). - Sternal retraction (mild). - Expiratory grunt. - Nasal flaring. - Poor feeding (because of increased respiratory rate). ### Laboratory Findings - ABGs: Hypoxemia. - Chest radiograph: Fluid in lungs. ### Treatment - Monitor oxygen saturation levels. - Provide supplemental oxygen as indicated. - Provide intravenous fluids or nasogastric feedings if unable to take oral feedings. ## RDS - Symptoms and Complications Respiratory distress syndrome (formerly hyaline membrane disease) occurs in premature infants and is characterized by immature development of the lungs and inadequate production of surfactant, which results in pulmonary edema, alveolar atelectasis, and injury to tissue. Symptoms include: - Respiratory distress within hours of birth with progressive decrease in breath sounds. - Tachypnea >60/min with increasing crackles. - Expiratory grunt. - Nasal flaring. - Cyanosis. - Paradoxical respirations. - Decreased capillary filling time (> 3 to 4 seconds). - Edema of face and distal extremities (hands, soles of feet). - Oliguria. - Tachycardia (>160 BPM). - Hypoxemia, respiratory failure.