Tachypnea+in+the+Newborn

Important Concepts

 * The most common symptom seen in the nursery
 * Retained fluid in lungs takes a while to be absorbed in some babies; especially C-sections and precipitous deliveries are thought to be at higher risk.
 * Tachypnea is also seen if baby is:
 * Cold
 * Hypoglycemic (IDM, SGA, LGA)
 * Hypovolemic (Cord issues)
 * Acidotic (any fetal distress?)
 * In meconium aspiration syndrome.
 * Pneumothorax (precipitous delivery, Meconium, PPV?)
 * Polycythemic (IDM, delay in cord clamping?)
 * Cardiac Disease
 * Septic (ROM, GBS, chorio, preterm labor?)
 * Metabolic disease (did sx start after feeding?)

Management Approach

 * Check Vitals, Chemstrip, O2 Saturation and cord gases (esp base excess) and consider CBCD, CXR, Blood Gas, Blood culture, Lytes, Glucose
 * Vital signs plus chemstrip
 * make sure infant temp and glucose is normal
 * support with warmer and oxygen as needed
 * Check perfusion
 * Prolonged cap refill may also be due to hypothermia and hypoglycemia
 * Check cord gases if done. Order new gas if needed:
 * Treat acidosis and hypovolemia with 10cc/kg bolus of LR or NS
 * Check for pulses and heart murmur
 * Consider getting BP and sats in all 4 limbs

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