Transient Tachypnea of Newborn
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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
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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.
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Nursing Care Plan (NCP) for Marfan Syndrome
Nursing Care Plan (NCP) for Meningitis
Nursing Care Plan (NCP) for Mumps
Nursing Care Plan (NCP) for Neural Tube Defect, Spina Bifida
Nursing Care Plan (NCP) for Omphalocele
Nursing Care Plan (NCP) for Otitis Media / Acute Otitis Media (AOM)
Nursing Care Plan (NCP) for Pediculosis Capitis / Head Lice
Nursing Care Plan (NCP) for Pertussis / Whooping Cough
Nursing Care Plan (NCP) for Phenylketonuria (PKU)
Nursing Care Plan (NCP) for Reye’s Syndrome
Nursing Care Plan (NCP) for Rheumatic Fever
Nursing Care Plan (NCP) for Rubeola – Measles
Nursing Care Plan (NCP) for Scoliosis
Nursing Care Plan (NCP) for Sickle Cell Anemia
Nursing Care Plan (NCP) for Tonsillitis
Nursing Care Plan (NCP) for Varicella / Chickenpox
Nursing Care Plan (NCP) for Vomiting / Diarrhea
Nursing Care Plan for (NCP) Autism Spectrum Disorder
Nursing Case Study for Pediatric Asthma
Obstructive Heart (Cardiac) Defects
Ocular Infections (Conjunctivitis, Iritis) for Certified Emergency Nursing (CEN)
Omphalocele
Opioid Analgesics
Pancrelipase (Pancreaze) Nursing Considerations
Pediatric Bronchiolitis Labs
Pediatric Gastrointestinal Dysfunction – Diarrhea
Pediatric Oncology Basics
Pediatrics Course Introduction
Pediculosis Capitis
Pertussis – Whooping Cough
Phenylketonuria
Phenytoin (Dilantin) Nursing Considerations
Platelets (PLT) Lab Values
Pneumonia
Promotion and Evaluation of Normal Elimination Nursing Mnemonic (POOPER SCOOP)
Pulmonary Function Test
Red Blood Cell (RBC) Lab Values
Respiratory Acidosis (interpretation and nursing interventions)
Reye’s Syndrome
Reyes Syndrome Case Study (Peds) (45 min)
Rheumatic Fever
ROME – ABG (Arterial Blood Gas) Interpretation
Rubeola – Measles
Salmeterol (Serevent) Nursing Considerations
Scoliosis
Selegiline (Eldepyrl) Nursing Considerations
Sickle Cell Anemia
Spina Bifida – Neural Tube Defect (NTD)
Steroids – Side Effects Nursing Mnemonic (6 S’s)
Stoma Care (Colostomy bag)
Strabismus
Sudden Infant Death Syndrome (SIDS)
Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)
Thorax and Lungs Assessment
Tonsillitis
Topical Medications
Tracheal Esophageal Fistula – Sign and Symptoms Nursing Mnemonic (The 3 C’s)
Transient Incontinence – Common Causes Nursing Mnemonic (P-DIAPERS)
Treatment of Sickle Cell Nursing Mnemonic (HOP to the hospital)
Umbilical Hernia
Vaccine-Preventable Diseases (Measles, Mumps, Pertussis, Chicken Pox, Diphtheria) for Certified Emergency Nursing (CEN)
Varicella – Chickenpox
Varicella Case Study (Peds) (30 min)
Vitals (VS) and Assessment
Vomiting
White Blood Cell (WBC) Lab Values
X-Ray (Xray)
ADLs (Activity of Daily Living) Nursing Mnemonic (BATTED)
Emotions and Motivation
Growth & Development Theories
Maslow’s Hierarchy of Needs in Nursing
Psychological Disorders
State of Consciousness
Stress and Crisis