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Arterial Blood Gas (ABG)
Measures oxygen, carbon dioxide, and pH to evaluate lung function and breathing effectiveness.
Complete Blood Count (CBC)
Counts blood cells to detect anemia, infection, or blood disorders.
Basic Metabolic Panel (BMP)
Checks electrolytes, kidney function, and metabolic balance.
C-Reactive Protein (CRP)
Detects inflammation by measuring CRP levels in the blood.
Chest X-ray (CXR)
An imaging test that shows the lungs, heart, and chest bones to help detect lung conditions like fluid buildup, collapse, or signs of respiratory distress.
Final conclusion for ABG
respiratory acidosis and hypoxemia due to poor oxygen exchange (consistent with RDS)
acidosis
too much acid in the blood (too much CO2)
hypoxemia
low oxygen levels in the blood
hypercapnia
high carbon dioxide levels in the blood (CO2 buildup)
bicarbonate
not enough base in the blood to balance acid
low oxygen saturation
less oxygen is being carried by the blood which causes respiratory problems
Final conclusion for BMP
metabolic imbalance from respiratory stress and prematurity
immature kidneys
underdeveloped kidneys that can’t balance fluids or electrolytes well
hypocalcemia
low calcium levels in the blood
hypoxia
not enough oxygen reaching the body tissues
hemoglobin
protein in red blood cells which oxygen from lungs to body
platelets
blood cells which help form clots to stop bleeding
c-reactive protein
substance made by the liver that increases in blood when there is inflammation or infection
sepsis
life threatening condition where the body has an extreme reaction to an infection causing widespread inflammation and organ dysfunction.
Chest X Ray findings
Classic signs of neonatal RDS, In X-Ray shown gray and hazy with visible airways (air bronchograms)
diffuse reticulogranular appearance
“diffuse” - both lungs
“reticulogranular” - fine, grainy texture seen in lungs
another word for “diffuse reticulogranular” and why is it called that
“ground glass” because it looks like frosted or hazy glass
appearance is caused by…
collapsed alveoli (due to lack of surfactant)
fluid/protein build up
poor inflation in lungs
air bronchograms
visible air filled airways (bronchi) seen on X-Ray surrounded by collapsed lung tissue (consistent with PDS)