{"id":2155,"date":"2018-02-01T08:56:31","date_gmt":"2018-02-01T13:56:31","guid":{"rendered":"https:\/\/www.roshreview.com\/?p=2155"},"modified":"2024-02-21T17:26:30","modified_gmt":"2024-02-21T17:26:30","slug":"rapid-review-respiratory-distress-syndrome","status":"publish","type":"post","link":"https:\/\/www.roshreview.com\/blog\/rapid-review-respiratory-distress-syndrome\/","title":{"rendered":"Rapid Review: Respiratory Distress Syndrome"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><em>Reviewed February 2024<\/em><\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"664\" height=\"1024\" src=\"https:\/\/www.roshreview.com\/blog\/wp-content\/uploads\/sites\/2\/2024\/02\/Image-Respiratory-Distress-Syndrome-Hyaline-Membrane-Disease-@8x-664x1024.png\" alt=\"\" class=\"wp-image-13402\" srcset=\"https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/2024\/02\/Image-Respiratory-Distress-Syndrome-Hyaline-Membrane-Disease-@8x-664x1024.png 664w, https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/2024\/02\/Image-Respiratory-Distress-Syndrome-Hyaline-Membrane-Disease-@8x-195x300.png 195w, https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/2024\/02\/Image-Respiratory-Distress-Syndrome-Hyaline-Membrane-Disease-@8x-768x1184.png 768w, https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/2024\/02\/Image-Respiratory-Distress-Syndrome-Hyaline-Membrane-Disease-@8x-996x1536.png 996w, https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/2024\/02\/Image-Respiratory-Distress-Syndrome-Hyaline-Membrane-Disease-@8x-1328x2048.png 1328w\" sizes=\"auto, (max-width: 664px) 100vw, 664px\" \/><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\"><strong><span style=\"text-decoration: underline;\">(Neonatal) Respiratory Distress Syndrome<\/span><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Patient will be a <strong>premature<\/strong> infant<\/li>\n\n\n\n<li>Respiratory difficulty within a few hours after birth<\/li>\n\n\n\n<li>PE will show tachypnea, tachycardia, cyanosis, nasal flaring, expiratory grunting, and chest wall retractions<\/li>\n\n\n\n<li>CXR will show decreased lung volume, air bronchograms, and a <strong>ground-glass appearance<\/strong><\/li>\n\n\n\n<li>Diagnosis is made clinically and radiographically<\/li>\n\n\n\n<li>Most commonly caused by a <strong>deficiency of surfactant<\/strong><\/li>\n\n\n\n<li>Treatment is O2, intubation, CPAP, surfactant<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><span style=\"text-decoration: underline;\"><strong>Sample question:<\/strong><\/span><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A newborn boy born at <strong>32 weeks gestation<\/strong> is admitted to the NICU because of <strong>respiratory distress<\/strong>. He was born by cesarean section for breech presentation, premature labor, and rupture of membranes for approximately 2 hours. He weighed 1,845 g and appeared vigorous, with spontaneous respirations. His Apgar scores were 7 and 9 at 1 and 5 minutes, respectively. Shortly after birth, he developed respiratory distress. On examination, there are <strong>moderate subcostal retractions<\/strong>, <strong>shallow respirations<\/strong>, and bronchial breath sounds that are slightly diminished in intensity. The remainder of the examination is normal for the gestational age. The temperature is 37.2\u00b0C under radiant heat, heart rate is 119 bpm, respiratory rate is 75\/min, blood pressure is 70\/44 mm Hg, and oxygen saturation is 84\u201390% while the patient is breathing 50% oxygen with CPAP. Which chest X-ray finding is most consistent with the diagnosis?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Reviewed February 2024 (Neonatal) Respiratory Distress Syndrome Sample question: A newborn boy born at 32 weeks gestation is admitted to the NICU because of respiratory distress. He was born by cesarean section for breech presentation, premature labor, and rupture of membranes for approximately 2 hours. He weighed 1,845 g and appeared vigorous, with spontaneous respirations. <a href=\"https:\/\/www.roshreview.com\/blog\/rapid-review-respiratory-distress-syndrome\/\">read more&#8230;<\/a><\/p>\n","protected":false},"author":15,"featured_media":6906,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[1996,2021,2022,2023,2024,2025,2026,2027,2029,2010,2011,2012,2013,2000],"tags":[3203,3215,3265,3410],"coauthors":[3864],"class_list":["post-2155","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blogtype","category-pa-certified","category-certified-emergency-nurse","category-clinical-year","category-didactic-year","category-emergency-medicine","category-emergency-nurse-practitioner","category-family-medicine","category-internal-medicine","category-ob-gyn","category-pediatric-emergency-medicine","category-pediatric-primary-care","category-pediatrics","category-rapid-review","tag-pance","tag-panre","tag-pediatrics","tag-pulmonary"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.2 (Yoast SEO v28.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Rapid Review: Respiratory Distress Syndrome - RoshReview.com<\/title>\n<meta name=\"description\" content=\"This Rapid Review distills the important facts about respiratory distress syndrome, so you can brush up your knowledge and be a confident medical professional. 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