Lung Surfactant
Included In This Lesson
Study Tools For Lung Surfactant
Outline
Overview
- Given to premature newborns or sometimes term babies if in respiratory distress
- Keeps lungs open and prevents collapse
Nursing Points
General
- Lung surfactant makes it easier for lungs to expand fully
- This helps O2 to get into the alveoli and therefore into blood/circulation easier
- Given via intubation (ETT) of newborn
Assessment
- Signs of respiratory distress
- After administration→ Improved work of breathing and improvement on oxygen saturation
Therapeutic Management
- Assist provider with intubation
- Secure tube
- Administer medication
- Assess ABG
- Monitor EKG and oxygen levels
- Assess vitals
- Bradycardia and hypoxia can occur during administration
Nursing Concepts
- Pharmacology
- Oxygenation
Patient Education
- What is is used for
- What is expected from it
**DISCLAIMER – In the lesson, the video states that lung surfactant is located in the pleural space, which is incorrect. The correct information is that lung surfactant is made in type II alveolar cells in the alveoli. Both surfactant and pleural fluid work to decrease surface tension.
Transcript
In this lesson I am going to help you understand the importance of lung surfactant and your role in using this in care.
Alright let’s dive right in to what lung surfactant does. So the role is to keep the lungs open and prevent them from collapsing. As you can see in this image where the pleural space or cavity it. This is where the surfactant is and it is going to help keep the lung stuck to the wall of the thoracic cavity. So when the ribs expand the lung will also expand with it. If there isn’t surfactant then the ribs move and the lungs don’t so they collapse. So who would need this? Well any baby that would be at risk for this. So our premature newborns because their lungs aren’t fully developed. If you remember from previous lessons the lungs are not considered to be developed until 35 weeks gestation. Also even a term baby can be born in respiratory distress. So a baby showing us difficulty and grunting or retracting might need some surfactant because they are showing us their their lungs aren’t functioning properly and they need help.
On assessment this newborn will have respiratory distress and low oxygen saturation. So once the decision is made to give it our management will be to assist the provider in intubation if it is not already done and this medication is given down the ET tube. Then assessment will be to see if improvement in work of breathing has occurred as well as blood gases and oxygen saturation assessment. And we will educate the parents on the need for this and what it will hopefully do for their baby.
Pharmacology is a concept because it is medication and this is going to help with oxygenation.
Ok let’s review all this information. So first surfactant reduces the surface tension and lines the alveoli which will keeps the lungs from collapsing. Premature babies do not have enough lung surfactant because their lungs aren’t fully developed so sometimes they require surfactant be given to them and also even some term babies that have respiratory distress.
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.
Tiona RN
Concepts Covered:
- Studying
- Medication Administration
- Adult
- Emergency Care of the Cardiac Patient
- Intraoperative Nursing
- Microbiology
- Cardiac Disorders
- Vascular Disorders
- Nervous System
- Upper GI Disorders
- Central Nervous System Disorders – Brain
- Immunological Disorders
- Fundamentals of Emergency Nursing
- Dosage Calculations
- Understanding Society
- Circulatory System
- Concepts of Pharmacology
- Hematologic Disorders
- Newborn Care
- Adulthood Growth and Development
- Disorders of Pancreas
- Postoperative Nursing
- Pregnancy Risks
- Neurological
- Postpartum Complications
- Noninfectious Respiratory Disorder
- Peripheral Nervous System Disorders
- Learning Pharmacology
- Prenatal Concepts
- Tissues and Glands
- Developmental Considerations
- Factors Influencing Community Health
- Childhood Growth and Development
- Prenatal and Neonatal Growth and Development
- Developmental Theories
- Basic
- Neonatal
- Pediatric
- Gastrointestinal
- Newborn Complications
- Labor Complications
- Fetal Development
- Terminology
- Labor and Delivery
- Postpartum Care
- Communication
- Basics of Mathematics
- Statistics
- Basics of Sociology
- Cardiovascular
- Shock
- Shock
- Disorders of the Posterior Pituitary Gland
- Endocrine
- Disorders of the Thyroid & Parathyroid Glands
- Liver & Gallbladder Disorders
- Lower GI Disorders
- Respiratory
- Delegation
- Perioperative Nursing Roles
- Acute & Chronic Renal Disorders
- Respiratory Emergencies
- Disorders of the Adrenal Gland
- Documentation and Communication
- Preoperative Nursing
- Legal and Ethical Issues
- Oncology Disorders
- Female Reproductive Disorders
- Musculoskeletal Trauma
- Renal Disorders
- Male Reproductive Disorders
- Sexually Transmitted Infections
- Infectious Respiratory Disorder
- Integumentary Disorders
- Emergency Care of the Trauma Patient
- Urinary Disorders
- Musculoskeletal Disorders
- EENT Disorders
- Neurological Emergencies
- Disorders of Thermoregulation
- Neurological Trauma
- Basics of NCLEX
- Integumentary Important Points
- Multisystem
- Test Taking Strategies
- Urinary System
- Emergency Care of the Neurological Patient
- Central Nervous System Disorders – Spinal Cord
- Respiratory System
- Emergency Care of the Respiratory Patient
- Cognitive Disorders
- Anxiety Disorders
- Depressive Disorders
- Trauma-Stress Disorders
- Substance Abuse Disorders
- Bipolar Disorders
- Psychotic Disorders
- Concepts of Mental Health
- Eating Disorders
- Personality Disorders
- Health & Stress
- Psychological Emergencies
- Somatoform Disorders
- Prioritization
- Community Health Overview
- Gastrointestinal Disorders
- Integumentary Disorders
- Respiratory Disorders
- Neurologic and Cognitive Disorders
- Renal and Urinary Disorders
- Infectious Disease Disorders
- EENT Disorders
- Hematologic Disorders
- Cardiovascular Disorders
- Musculoskeletal Disorders
- Endocrine and Metabolic Disorders
- Oncologic Disorders
- Behavior
- Emotions and Motivation
- Growth & Development
- Intelligence and Language
- Psychological Disorders
- State of Consciousness
- Note Taking
- Concepts of Population Health
- Basics of Human Biology