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Terms in this set (36)

Observe rate and depth of respiration and look for signs of resp. distress

Tahcypnoea - unforunteley is not just a sign of increasing resp. problems e.g also sign of increasing heart failure. A rise in body temp. also leads to an increase resp. rate due to the subsequent rise in metabolism and hence c02 production.

Tachycardia - which often turns to bradycardia as the infant myocardiums response to hypoxeamia is bradycardia rather than tachycardia

Nasal flare - as neonates and young babies predominantly nose breath the flaring of their nostrils is an effort to increase the diameter of their airway

Tracheal tug - the increased pull of the diaphragm is transmitted as a downwards tug on the trachae during inspiration.

Grunting - this is caused by the baby actively adducting its laryngeal muscles to increase its auto PEEP and hence FRC.

Recession / retraction / indrawing - all terms used to describe the effects of increasing use of the resp. muscles on the compliant chest wall of the neonate described using the terms - intercostal, subcoastal, substernal, suprasternal

See-sawing - the babys lower ribs are sucked in during inspiration (also termed paradoxical breathing) an extreme sign of diaphragmatic pull on a compliant rib cage and the stiff non - compliant underlying lungs failing to expand

Pallor / grey / cynosis - Cardiac child may be cynosed anyway, and babies tend to go cynosed quite slowly. Pale and mottledas their peripheral circulation shuts down.

Reduced activity / floppy / inability to feed cry = a sign that they are saving their energies for breathing and confusion in the older child is a sign of c02 retention

Sweating