An emergency nurse is caring for a premature newborn who is exhibiting signs of severe respiratory distress including tachypnea, nasal flaring, and grunting. Which treatment is most immediately appropriate for suspected neonatal respiratory distress syndrome?
Administration of high-flow nasal cannula oxygen at 10 L/min
Immediate intubation and mechanical ventilation with high tidal volumes
The administration of exogenous surfactant is essential in the management of neonatal respiratory distress syndrome (RDS). Surfactant helps to reduce the surface tension within the alveoli, preventing their collapse and thereby improving oxygenation. The other treatments listed are either auxiliary (e.g., maintaining temperature) or appropriate for other conditions.
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BCEN CEN
Respiratory Emergencies
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