Transient Tachypnea of Newborn
Included In This Lesson
Outline
Overview
- Self resolving tachypnea noted in the newborn
- Respirations greater than 60 per minute
- Normal RR is 30-60 breaths/min
Nursing Points
General
- Believed to be due to retained lung fluid
- Transient → Typically resolves itself within 24-48 hours
Assessment
- Infant might start out comfortable and unlabored but tire out and become labored
- All symptoms are respiratory
- Tachypnea
- Labored breathing (retractions, grunting)
- Nasal flaring
- General cyanosis
- Abnormal breath sounds
Therapeutic Management
- Supplemental O2
- Monitor oxygen saturation and work of breathing
- Provide emotional support
Nursing Concepts
- Oxygenation
- Gas Exchange
Patient Education
- Educate on overstimulation
- Educate on the situation
ADPIE Related Lessons
Related Nursing Process (ADPIE) Lessons for Transient Tachypnea of Newborn
Transcript
In this lesson I will help you understand transient tachypnea of the newborn and what is means for the patient and your role in care.
Ok so transient tachypnea of newborn is also known as TTN. So basically the baby breathes fast. Our normal newborn respirations are 30-60 so these babies breathe over 60 per minutes. This is transient soit will typically resolve itself within 24 to 48 hours. So why does this happen? It is typically caused by retained lung fluid. That fluid shouldn’t be there anymore so it causes the newborn to have more labored breathing.
We’ve already said this baby will be tachypneic but what else? So all the assessment findings are going to be respiratory related. They might start out breathing fast, but comfortable but they get tired out from this tachypnea and start having respiratory distress. So we will see tachypnea always with this diagnosis and labored breathing could start. So this could be retractions, nasal flaring, grunting. General cyanosis could also present itself because of poor perfusion.
So what can we do to help this baby? We are going to monitor the oxygen saturation and the work of breathing. Is the baby stable? If the baby isn’t then we might to offer some supplemental oxygen. In rare cases TTN gets worse and a ventilator might be necessary but otherwise just supportive care is necessary. Sometimes a baby suffering from TTN can not be stimulated so this means no touch or holding. It makes them work harder with breathing, it just adds stress. So we might need to offer support for these parents that are unable to hold her baby. We need to educate the family on the situation and explain that the baby might not tolerate being held or touched.
Oxygenation and gas exchange are the nursing concepts. With TTN there is excess fluid in lungs that is making it difficult for for the baby to properly gas exchange and oxygenate.
Ok so remember these main points. This infant has tachypnea so breathing over 60 breaths per minute. There is excess fluid in the lungs that needs to be absorbed. These babies need low stimulation and sometimes oxygen and TTN will self resolve in 24-48 hours.
Make sure you check out the resources attached to this lesson and review the key points. Now, go out and be your best selves today. And, as always, happy nursing.
Monalisa’s Study Plan
Concepts Covered:
- Community Health Overview
- Circulatory System
- Urinary System
- Communication
- Prenatal Concepts
- Test Taking Strategies
- Respiratory Disorders
- EENT Disorders
- Developmental Theories
- Legal and Ethical Issues
- Prefixes
- Suffixes
- Acute & Chronic Renal Disorders
- Disorders of the Adrenal Gland
- Preoperative Nursing
- Integumentary Disorders
- Integumentary Disorders
- Prioritization
- Bipolar Disorders
- Disorders of the Posterior Pituitary Gland
- Hematologic Disorders
- Immunological Disorders
- Renal Disorders
- Childhood Growth and Development
- Labor Complications
- Upper GI Disorders
- Medication Administration
- Developmental Considerations
- Adulthood Growth and Development
- Disorders of Pancreas
- Musculoskeletal Disorders
- Musculoskeletal Trauma
- Disorders of the Thyroid & Parathyroid Glands
- Integumentary Important Points
- Pregnancy Risks
- Urinary Disorders
- Cardiac Disorders
- Learning Pharmacology
- Documentation and Communication
- Anxiety Disorders
- Basic
- Factors Influencing Community Health
- Prenatal and Neonatal Growth and Development
- Lower GI Disorders
- Eating Disorders
- Trauma-Stress Disorders
- Microbiology
- Oncology Disorders
- Somatoform Disorders
- Fundamentals of Emergency Nursing
- Dosage Calculations
- Concepts of Population Health
- Understanding Society
- Depressive Disorders
- Personality Disorders
- Cognitive Disorders
- Substance Abuse Disorders
- Psychological Emergencies
- Hematologic Disorders
- Liver & Gallbladder Disorders
- Emergency Care of the Cardiac Patient
- Female Reproductive Disorders
- Delegation
- Vascular Disorders
- Oncologic Disorders
- Postpartum Complications
- Fetal Development
- Endocrine and Metabolic Disorders
- Basics of NCLEX
- Shock
- Studying
- Concepts of Mental Health
- Labor and Delivery
- Gastrointestinal Disorders
- Health & Stress
- Neurological Emergencies
- EENT Disorders
- Emotions and Motivation
- Intraoperative Nursing
- Digestive System
- Central Nervous System Disorders – Brain
- Tissues and Glands
- Postpartum Care
- Cardiovascular Disorders
- Newborn Care
- Renal and Urinary Disorders
- Newborn Complications
- Neurologic and Cognitive Disorders
- Musculoskeletal Disorders
- Infectious Disease Disorders
- Nervous System
- Respiratory System
- Behavior
- Terminology
- Respiratory Emergencies
- Peripheral Nervous System Disorders
- Proteins
- Noninfectious Respiratory Disorder
- Basics of Human Biology
- Neurological Trauma
- Concepts of Pharmacology
- Statistics
- Emergency Care of the Neurological Patient
- Basics of Sociology
- Central Nervous System Disorders – Spinal Cord
- Infectious Respiratory Disorder
- Psychotic Disorders
- Emergency Care of the Trauma Patient