Lung Surfactant for Newborns
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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.
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Dysrhythmias
Concepts Covered:
- Circulatory System
- Emergency Care of the Cardiac Patient
- Disorders of the Posterior Pituitary Gland
- Endocrine
- Multisystem
- Cardiac Disorders
- Renal
- Fundamentals of Emergency Nursing
- Adult
- Medication Administration
- Disorders of the Adrenal Gland
- Disorders of the Thyroid & Parathyroid Glands
- Central Nervous System Disorders – Brain
- Vascular Disorders
- Depressive Disorders
- Urinary System
- Eating Disorders
- Shock
- Emergency Care of the Trauma Patient
- Communication
- Basics of NCLEX
- Renal Disorders
- Upper GI Disorders
- Intraoperative Nursing
- EENT Disorders
- Labor Complications
- Bipolar Disorders
- Acute & Chronic Renal Disorders
- Substance Abuse Disorders
- Anxiety Disorders
- Cardiovascular Disorders
- Musculoskeletal Disorders
- Trauma-Stress Disorders
- Postpartum Complications
- Emergency Care of the Respiratory Patient
- Respiratory Emergencies
- Noninfectious Respiratory Disorder
- Somatoform Disorders
- Emergency Care of the Neurological Patient
- Neurological Emergencies
- Respiratory Disorders
Study Plan Lessons
02.10 12 Lead EKG- Lead V1-V6 for CCRN Review
02.11 12 Lead EKG- Injuries for CCRN Review
03.02 Diabetes Insipidus for CCRN Review
06.03 Multi-System CCRN Important Points for CCRN Review
06.04 Differentiating Ectopy and Aberrancy for CCRN Review
09.05 Chronic Renal Failure for CCRN Review
1st Degree AV Heart Block
2nd Degree AV Heart Block Type 1 (Mobitz I, Wenckebach)
2nd Degree AV Heart Block Type 2 (Mobitz II)
3rd Degree AV Heart Block (Complete Heart Block)
Abuse and Neglect for Certified Emergency Nursing (CEN)
ACLS (Advanced cardiac life support) Drugs
Acute Coronary Syndrome (ACS)
Acute Coronary Syndrome for Certified Emergency Nursing (CEN)
Acute Coronary Syndromes (MI-ST and Non ST, Unstable Angina) for Progressive Care Certified Nurse (PCCN)
Acute Inflammatory Disease (Myocarditis, Endocarditis, Pericarditis) for Progressive Care Certified Nurse (PCCN)
Adrenal and Thyroid Disorder Emergencies for Certified Emergency Nursing (CEN)
Advanced Cardiovascular Life Support (ACLS)
Amiodarone (Pacerone) Nursing Considerations
Amitriptyline (Elavil) Nursing Considerations
Aneurysm and Dissection for Certified Emergency Nursing (CEN)
Antidepressants
Antidepressants
Arterial Pressure Monitoring
Atrial Fibrillation (A Fib)
Atrial Flutter
Calcium and Magnesium Imbalance for Certified Emergency Nursing (CEN)
Calcium-Ca (Hypercalcemia, Hypocalcemia)
Calculating Heart Rate
Cardiac (Heart) Enzymes
Cardiac Anatomy
Cardiac Stress Test
Cardiogenic Shock and Obstructive Shock for Certified Emergency Nursing (CEN)
Cardiopulmonary Arrest
Cardiovascular Trauma for Certified Emergency Nursing (CEN)
Communicating with Providers
Congestive Heart Failure Concept Map
Critical Thinking
Cushing’s Syndrome Case Study (60 min)
Dialysis & Other Renal Points
Diltiazem (Cardizem) Nursing Considerations
Dopamine (Inotropin) Nursing Considerations
Dysrhythmia Emergencies
Dysrhythmias Labs
EKG (ECG) Course Introduction
EKG (ECG) Waveforms
EKG Basics – Live Tutoring Archive
Electrical A&P of the Heart
Electrical Activity in the Heart
Electrolytes Involved in Cardiac (Heart) Conduction
Enteral & Parenteral Nutrition (Diet, TPN)
General Anesthesia
Heart (Cardiac) Failure Therapeutic Management
Heart Failure Case Study (45 min)
Heart Failure for Certified Emergency Nursing (CEN)
Hypertension for Certified Emergency Nursing (CEN)
Hypertensive Emergency
Hyperthyroidism Case Study (75 min)
Increased Intraocular Pressure for Certified Emergency Nursing (CEN)
Lung Surfactant
Lung Surfactant for Newborns
Magnesium Sulfate (MgSO4) Nursing Considerations
Magnesium-Mg (Hypomagnesemia, Hypermagnesemia)
Mood Stabilizers
Mood Stabilizers
Myocardial Infarction (MI) Case Study (45 min)
Nitroprusside (Nitropress) Nursing Considerations
Norepinephrine (Levophed) Nursing Considerations
Normal Sinus Rhythm
Nursing Care and Pathophysiology for Cushings Syndrome
Nursing Care and Pathophysiology of Angina
Nursing Care and Pathophysiology of Chronic Kidney (Renal) Disease (CKD)
Nursing Care and Pathophysiology of Coronary Artery Disease (CAD)
Nursing Care and Pathophysiology of Myocardial Infarction (MI)
Nursing Care Plan (NCP) for Addison’s Disease (Primary Adrenal Insufficiency)
Nursing Care Plan (NCP) for Alcohol Withdrawal Syndrome / Delirium Tremens
Nursing Care Plan (NCP) for Angina
Nursing Care Plan (NCP) for Anxiety
Nursing Care Plan (NCP) for Atrial Fibrillation (AFib)
Nursing Care Plan (NCP) for Cardiomyopathy
Nursing Care Plan (NCP) for Congenital Heart Defects
Nursing Care Plan (NCP) for Cushing’s Disease
Nursing Care Plan (NCP) for Gastroesophageal Reflux Disease (GERD)
Nursing Care Plan (NCP) for Marfan Syndrome
Nursing Case Study for (PTSD) Post Traumatic Stress Disorder
Nursing Case Study for Cardiogenic Shock
Nursing Case Study for Head Injury
Nursing Case Study for Rheumatic Heart Disease
Obstetric Trauma for Certified Emergency Nursing (CEN)
Pacemakers
Peptic Ulcer Disease Case Study (60 min)
Performing Cardiac (Heart) Monitoring
Pericardial Tamponade for Certified Emergency Nursing (CEN)
Potassium-K (Hyperkalemia, Hypokalemia)
Premature Atrial Contraction (PAC)
Premature Ventricular Contraction (PVC)
Procainamide (Pronestyl) Nursing Considerations
Pulmonary Embolus for Certified Emergency Nursing (CEN)
Pulmonary Hypertension for Certified Emergency Nursing (CEN)
Renal Failure- Acute Kidney Injury (AKI), Chronic Kidney Disease (CKD) for Progressive Care Certified Nurse (PCCN)
Rheumatic Fever
Sinus Bradycardia
Sinus Tachycardia
Sodium and Potassium Imbalance for Certified Emergency Nursing (CEN)
Somatoform Disorder Case Study (30 min)
Stroke Case Study (45 min)
Stroke for Progressive Care Certified Nurse (PCCN)
Supraventricular Tachycardia (SVT)
Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)
The EKG (ECG) Graph
Thoracic Surgery (Lobectomy, Pneumonectomy) for Progressive Care Certified Nurse (PCCN)
Troponin I (cTNL) Lab Values
Vasopressin (Pitressin) Nursing Considerations
Ventricular Fibrillation (V Fib)
Ventricular Tachycardia (V-tach)