Nursing Care of preterm with Respiratory Distress (Case Study)

Abstract

Back ground

             Prematurity is a risk of danger and death rates higher than the baby's due. Respiratory distress risk Hyperbilirubinemia were anemia, arteriosclerosis, the heart does not close. Bleeding in the brain Chronic lung disease Intestinal putrefaction Diminished visibility conditions Conditions diminished hearing in both affected by premature birth and complications that followed, the impact on growth and development in various fields, including high-risk delay in the onset of complications. Incomplete structures and organs, resulting in illness and disability could later life.

The purpose of the study:

1. To study the progression of the disease, health care and discharge planning.
2. The study is knowledge. In patients next.

Case and Point: A Selection of patients newborns crisis. Who has been diagnosed as premature infants with respiratory distress. patients first 6 floors Surin Hospital.

Methods: A case study  

Result: Case Study 1 patients, premature infants with acute respiratory distress gestational age 25 weeks pregnant five times a vaginal birth. The birth weight of 770 grams, the female equivalent of 4,7,7-minute Apgar score 1,5,10 the newborn with cyanosis both. The heart rate less than 100 beats/min positive pressure ventilation. Mechanical ventilation Complications include infection from pneumonia in mechanically ventilated patients upset the balance of water and minerals. Jaundice on phototherapy. Pale blood transfusion a therapeutic Severe chronic pulmonary oxygen is not divorced. 92-day hospital stay included two case studies gestational age 30 weeks pregnant six times 1490 gm birth weight, Apgar score 1,5,10 male 8,9,10 minutes of the nasopharyngeal prongs and put on a ventilator. There was blood anemia bleeding in the lungs Respiratory failure, respiratory acidocis complications include infection, lung inflammation from a ventilator. Loss of balance pH in the body, eyes, jaundice on phototherapy. a therapeutic divorce causes chronic lung oxygen not found acute ROP stage 2, tongue tie, thus cutting by surgeons children. 96-day hospital stay

Conclusion: Prematurity is associated with less weight with respiratory distress and respiratory failure as a crisis. Administrators must have knowledge and specialized skills and patient care together with multidisciplinary. Reduces the incidence of disability and complications, the baby has a good quality of life.