Airway
description
Transcript of Airway
![Page 1: Airway](https://reader034.fdocuments.in/reader034/viewer/2022051820/563dbba5550346aa9aaf086d/html5/thumbnails/1.jpg)
![Page 2: Airway](https://reader034.fdocuments.in/reader034/viewer/2022051820/563dbba5550346aa9aaf086d/html5/thumbnails/2.jpg)
(if available)
![Page 3: Airway](https://reader034.fdocuments.in/reader034/viewer/2022051820/563dbba5550346aa9aaf086d/html5/thumbnails/3.jpg)
RESPIRATORY DISTRESS EVALUATION Downe Score
0 1 2 Respiratory Rate
< 60x/minute 60-80 x/minute >80x/minute
Retraction No retraction Mild retraction Severe Retraction
Cyanosis No cyanosis Cyanosis disapeared with O2
Cyanosis (+) with O2
Air Entry (+) Air entry decrase NO air entry
Gasping No gasping Dapat didengar dengan stetoskop
Dapat didengar tanpa alat bantu
3
![Page 4: Airway](https://reader034.fdocuments.in/reader034/viewer/2022051820/563dbba5550346aa9aaf086d/html5/thumbnails/4.jpg)
Score < 4 Mild Respiratory Distress
Score 4 – 5 Moderate Respiratory Distress
Score > 6 Severe Respiratory Distress (blood gas analysis should be performed)
4
RESPIRATORY DISTRESS EVALUATION … Downe Score
![Page 5: Airway](https://reader034.fdocuments.in/reader034/viewer/2022051820/563dbba5550346aa9aaf086d/html5/thumbnails/5.jpg)
Apnoea Definition
Neonatal Handbook, Royal Women Hospital 2005
Apnoea is defined as no inspiratory gas flow for 20 seconds or shorter if associated with bradycardia (<100bpm), cyanosis or pallor.
![Page 6: Airway](https://reader034.fdocuments.in/reader034/viewer/2022051820/563dbba5550346aa9aaf086d/html5/thumbnails/6.jpg)
Aminophylline Neonatal Apnoea Loading dose IV : 6 mg/kg/dose Maintenance dose Commence ≤ 1 kg 24 hrs after loading 1 kg 12 hrs after loading IV : Age ≤ 7 days 2.5 mg/kg/dose 12 hrly Age 8-14 days 3 mg/kg/dose 12 hrly Age >14 days 4 mg/kg/dose 12 hrly
![Page 7: Airway](https://reader034.fdocuments.in/reader034/viewer/2022051820/563dbba5550346aa9aaf086d/html5/thumbnails/7.jpg)
Coffeine Citrate
Neonatal Apnoea • Loading dose IV, Oral : 20 mg/kg • Maintenance dose (commence 24 hrs after loading dose) IV, Oral : 5 mg/kg/daily Maintenance dose can be increased to a
maximum of 10 mg/kg/day
![Page 8: Airway](https://reader034.fdocuments.in/reader034/viewer/2022051820/563dbba5550346aa9aaf086d/html5/thumbnails/8.jpg)
![Page 9: Airway](https://reader034.fdocuments.in/reader034/viewer/2022051820/563dbba5550346aa9aaf086d/html5/thumbnails/9.jpg)
![Page 10: Airway](https://reader034.fdocuments.in/reader034/viewer/2022051820/563dbba5550346aa9aaf086d/html5/thumbnails/10.jpg)
![Page 11: Airway](https://reader034.fdocuments.in/reader034/viewer/2022051820/563dbba5550346aa9aaf086d/html5/thumbnails/11.jpg)
![Page 12: Airway](https://reader034.fdocuments.in/reader034/viewer/2022051820/563dbba5550346aa9aaf086d/html5/thumbnails/12.jpg)
![Page 13: Airway](https://reader034.fdocuments.in/reader034/viewer/2022051820/563dbba5550346aa9aaf086d/html5/thumbnails/13.jpg)
![Page 14: Airway](https://reader034.fdocuments.in/reader034/viewer/2022051820/563dbba5550346aa9aaf086d/html5/thumbnails/14.jpg)
![Page 15: Airway](https://reader034.fdocuments.in/reader034/viewer/2022051820/563dbba5550346aa9aaf086d/html5/thumbnails/15.jpg)
![Page 16: Airway](https://reader034.fdocuments.in/reader034/viewer/2022051820/563dbba5550346aa9aaf086d/html5/thumbnails/16.jpg)
![Page 17: Airway](https://reader034.fdocuments.in/reader034/viewer/2022051820/563dbba5550346aa9aaf086d/html5/thumbnails/17.jpg)
![Page 18: Airway](https://reader034.fdocuments.in/reader034/viewer/2022051820/563dbba5550346aa9aaf086d/html5/thumbnails/18.jpg)
![Page 19: Airway](https://reader034.fdocuments.in/reader034/viewer/2022051820/563dbba5550346aa9aaf086d/html5/thumbnails/19.jpg)
![Page 20: Airway](https://reader034.fdocuments.in/reader034/viewer/2022051820/563dbba5550346aa9aaf086d/html5/thumbnails/20.jpg)
![Page 21: Airway](https://reader034.fdocuments.in/reader034/viewer/2022051820/563dbba5550346aa9aaf086d/html5/thumbnails/21.jpg)
![Page 22: Airway](https://reader034.fdocuments.in/reader034/viewer/2022051820/563dbba5550346aa9aaf086d/html5/thumbnails/22.jpg)
![Page 23: Airway](https://reader034.fdocuments.in/reader034/viewer/2022051820/563dbba5550346aa9aaf086d/html5/thumbnails/23.jpg)
88-92%
![Page 24: Airway](https://reader034.fdocuments.in/reader034/viewer/2022051820/563dbba5550346aa9aaf086d/html5/thumbnails/24.jpg)
![Page 25: Airway](https://reader034.fdocuments.in/reader034/viewer/2022051820/563dbba5550346aa9aaf086d/html5/thumbnails/25.jpg)
![Page 26: Airway](https://reader034.fdocuments.in/reader034/viewer/2022051820/563dbba5550346aa9aaf086d/html5/thumbnails/26.jpg)
![Page 27: Airway](https://reader034.fdocuments.in/reader034/viewer/2022051820/563dbba5550346aa9aaf086d/html5/thumbnails/27.jpg)
![Page 28: Airway](https://reader034.fdocuments.in/reader034/viewer/2022051820/563dbba5550346aa9aaf086d/html5/thumbnails/28.jpg)
![Page 29: Airway](https://reader034.fdocuments.in/reader034/viewer/2022051820/563dbba5550346aa9aaf086d/html5/thumbnails/29.jpg)
![Page 30: Airway](https://reader034.fdocuments.in/reader034/viewer/2022051820/563dbba5550346aa9aaf086d/html5/thumbnails/30.jpg)
![Page 31: Airway](https://reader034.fdocuments.in/reader034/viewer/2022051820/563dbba5550346aa9aaf086d/html5/thumbnails/31.jpg)
![Page 32: Airway](https://reader034.fdocuments.in/reader034/viewer/2022051820/563dbba5550346aa9aaf086d/html5/thumbnails/32.jpg)
![Page 33: Airway](https://reader034.fdocuments.in/reader034/viewer/2022051820/563dbba5550346aa9aaf086d/html5/thumbnails/33.jpg)
![Page 34: Airway](https://reader034.fdocuments.in/reader034/viewer/2022051820/563dbba5550346aa9aaf086d/html5/thumbnails/34.jpg)
![Page 35: Airway](https://reader034.fdocuments.in/reader034/viewer/2022051820/563dbba5550346aa9aaf086d/html5/thumbnails/35.jpg)
![Page 36: Airway](https://reader034.fdocuments.in/reader034/viewer/2022051820/563dbba5550346aa9aaf086d/html5/thumbnails/36.jpg)
36
RESPIRATORY DISTRESS EVALUATION Downe Score
Mild RD → nasal O2 (0,5-2L) – headbox (3-5L) depend on clinical appearance and Sp O2
target =88 – 92% (for all gestational age/birth weight)
Moderate RD → mostly need CPAP, while CPAP prepared, can be given head box O2 5 L/min + nasalO2 up to 2 L/min
Severe RD threat of respiratory failure → ventilator support immediately
NNF Teaching Aids:Newborn Care
![Page 37: Airway](https://reader034.fdocuments.in/reader034/viewer/2022051820/563dbba5550346aa9aaf086d/html5/thumbnails/37.jpg)