Top 10 Beatles Songs With Philosophical Themes

Surfactant Replacement in Neonates with Respiratory...

Surfactant Replacement in Neonates with Respiratory Distress Syndrome Type The innovation of surfactant replacement therapy in the treatment of respiratory distress syndrome has proven to increase the survival and minimize the complications of the premature neonate. Replacing surfactant has lessened time on ventilators, and allowing the neonate and parents an opportunity to grow together earlier outside of intensive care. This paper will discuss the etiology of respiratory distress syndrome type I, the treatment options and nursing care of the neonate during surfactant replacement. Respiratory distress syndrome type I is a decrease production of surfactant, a noncelluar chemical produced in the type II alveolar in the lungs†¦show more content†¦These include maternal hypertension, gestational diabetes excluding classes D, F, and R, intrauterine growth restriction, preterm labor, and drug abuse. The neonate high risk factors are birth prior to 32 weeks, weighing less then 1300 grams and laboratory data suggesting poor lung maturity discussed later. (Bower, Barnhart, betiti, Hendon, Masi-lynch, Wilson, 825) The highest risk factor for RDS type I is an insulin dependent diabetic mother, because boluses of insulin injections severely decrease the fetus production of surfactant. (Porth, 1306)) Chronic hypoxic events during pregnancy associated with mild to moderate maternal hypertension have shown however to sometime accelerate fetal lung maturity and surfactant production leading to a decrease in neonatal respiratory complications. (Kim, Vohr, Oh, 39) This due to cortical steroid secretion that stimulate an increased production of surfactant in response to the stresses of hypoxic events. (Porth, 1306) The symptoms of oncoming RDS may at first not be present in a fetus greater then 28 weeks since they have produced enough surfactant to thrive outside of uterine life for a short time. However the high initial pressure to breathe the first breath remains constant with each subsequent breath causing extreme effort forShow MoreRelatedSurfactant Replacement Therapy And The Affects On Rds And Other Pulmonary Disorders2631 Words   |  11 Pages Surfactant Replacement Therapy and the Affects on RDS and Other Pulmonary Disorders Jacquelyn M. Wood Grossmont Community College 2015 INTRODUCTION As a newborn makes their entrance to this world from intrauterine life all should go smoothly. The newborn is delivered and is stimulated to breathe and then is followed by inspirations, followed by a cry showing a successful arrival to this world, but not all deliveries go as planned. There are diseases of the respiratory systemRead MoreSymptoms And Treatment Of Congenital Pulmonary Alveolar Proteinases ( Pap )997 Words   |  4 Pageswith surfactant mutations, which could provide future novel methods for diagnosis and therapeutic purposes (Robin R. et al 2010). Treatment The first successful study, demonstrating the effectiveness of natural lung surfactant administration in a young rabbit model of respiratory distress syndrome (RDS) was carried out by G. Echoing and Robertson in 1972, later, the first report of the first report of the important clinical utilization of surfactant therapy in neonates with the respiratory distressRead MoreSymptoms And Treatment Of Respiratory Distress Syndrome1364 Words   |  6 PagesRespiratory distress is common, affecting up to 70% of all premature newborns, and is increasingly common in even modest prematurity. Preventive and therapeutic measures for some of the most common underlying causes are well studied and when implemented can reduce the burden of disease. Failure to readily recognize symptoms and treat the underlying cause of respiratory distress in the newborn can lead to short- and long-term complications, including chronic lung disease, respiratory failure, andRead MoreRespiratory Distress Syndrome Essay 1807 Words   |  8 PagesRespiratory distress syndrome (RDS), also known as hyaline membrane disease (HMD), is a disease that predominantly affects premature neonates. It is due to a deficiency in surfactant which is vital in increasing lung compliance, preventing atelectasis at the end of expiration, and promoting the recruitment of collapsed alveoli by reducing surface tension. Its other name, HMD, is derived from the characteristic histological findings in early post mortems of premature babies, hyaline membranes wereRead MoreSymptoms And Treatment Of Infant Respiratory Distress Syndrome2314 Words   |  10 Pagesoccur with child birth. â€Å"Approximately 50% of neonates born at 26-28 weeks gestation develop respiratory distress syndrome, whereas less than 30% of premature neonates born at 30-31 weeks’ gestation develop the condition† (MedScape). Infant Respiratory Distress Syndrome, or IRDS for short, is a restrictive lung disease that commonly occurs in premature babies. A common cause is a lack of surfactant that is commonly found in developed lungs. Surfactant is a liquid that uses proteins and lipids toRead MoreSymptoms And Symptoms Of Neonatal Respiratory Distress Syndrome4658 Words   |  19 PagesIntroduction II. Continuous Positive Airway Pressure (CPAP) a. History b. Physiological Effects c. Types of CPAP Delivery Devices i. Nasal Masks ii. Nasal Prongs iii. Nasopharyngeal Prongs III. Bubble CPAP System a. Understanding How it Works i. System Setup ii. Nebulization of Drugs iii. Cost iv. Difficulty of Use IV. Indications for Bubble CPAP in Neonatal Patient a. Neonatal Respiratory Distress Syndrome (RDS) i. Definition of Neonatal RDS ii. Characteristics of RDS in Different Gestational Ages 1Read MoreNeonatal Respiratory distress syndrome reflective practice Essay5076 Words   |  21 Pagescaring for a sick neonate with Respiratory Distress Syndrome (RDS) in the neonatal unit. This has enabled me to explore the meaning and significance of my clinical practice and to recognise the complexities within it. The experience raises a number of issues frequently encountered in daily nursing practice. Within this assignment, I will be discussing a particular pre term baby with RDS and critically analyse the use of nasal continuous positive airways pressure (NCPAP) and surfactant therapy and possible

Comparative Essay of Virginia Woolf and Earnest Hemingway Example For Students

Comparative Essay of Virginia Woolf and Earnest Hemingway We can not escape it for it is all our fates, we can not bargain with it for it has nothing more to offer us than the nothingness it gives. We will never be able to conquer the overpowering force of death.  The comparison of Virginia Woolf and Earnest Hemingways writing on death is one of sure interest. They both use such different techniques to portray the same message-that death can not be defeated and that no one can escape it. In Virginia Woolfs piece, Death of a moth, she uses a day time moth, fluttering between the pains of a window sill and eventually coming to its death, to symbolize the struggle of life and death. In Earnest Hemingways piece, A clean well-lighted place, he uses an old, deaf man drinking at a caf, whilst two waiters comment of his life, to symbolize the three stages of life, them being birth, living and death. The comparison of symbolization used in both writings delivers powerful imagery for the reader. We can see this is Woolfs piece by how she uses the moth to represent a model human who appreciates its place on this earth, no matter how insignificant it is. She makes use of literally techniques to convey a struggle of life and death, even though this is a useless battle as death will always triumph. We can see this by how the moth, which is happy with his life, fluttering around like he is no less than the human watching him, even though he is an insignificant creature, falls while in flight, but refuses to give in to the inevitable, death. The moth regains his feet, but is quickly over come with the nothingness of death. In Hemingways piece, he uses symbolization to represent the progressive phases of life.  He does this by using three different characters, the deaf old man, the younger waiter and the older waiter. The deaf old man symbolizes death and how it offers nothing, but takes everything. The older waiter symbolizes living and how we have to go through the challenges of life in order to have compassion and understanding for others. The young waiter symbolizes the youth of life and how the young live only for today, with no concern for tomorrow. The theme in both pieces is closely related, being that both are conveying that death eventually takes all who are living, , with no exceptions.  Virginia Woolf shows this through a moth and how, no matter how hard this little creature struggled and fought, the plague of death got him in the end.  It was superb this last protest, and so frantic that he succeeded in righting himself. The body relaxed and instantly grew stiff. The struggle was over. The insignificant little creature now knew death We can see she uses the line, The rooks too were keeping one of their annual festivities; soaring round the tree tops until it looked as if a vast net with thousands of back knots in it had been cast up into the air; which, after a few moments sank slowly down upon the trees until every twig seemed to have a knot at the end of it  Woolf is just stating here that no one gets away. We all have the same fates. Death is inescapable.  Earnest Hemingway shows a deeper meaning behind death than the fact that it takes all living beings. He demonstrates the little compassion and understanding the youth have for death and those walking its path.  I am sleepy now. I never get to bed before three o clock. He should have killed himself last week. .u0f2daf51286c2648cbb32ce6ce369826 , .u0f2daf51286c2648cbb32ce6ce369826 .postImageUrl , .u0f2daf51286c2648cbb32ce6ce369826 .centered-text-area { min-height: 80px; position: relative; } .u0f2daf51286c2648cbb32ce6ce369826 , .u0f2daf51286c2648cbb32ce6ce369826:hover , .u0f2daf51286c2648cbb32ce6ce369826:visited , .u0f2daf51286c2648cbb32ce6ce369826:active { border:0!important; } .u0f2daf51286c2648cbb32ce6ce369826 .clearfix:after { content: ""; display: table; clear: both; } .u0f2daf51286c2648cbb32ce6ce369826 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u0f2daf51286c2648cbb32ce6ce369826:active , .u0f2daf51286c2648cbb32ce6ce369826:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u0f2daf51286c2648cbb32ce6ce369826 .centered-text-area { width: 100%; position: relative ; } .u0f2daf51286c2648cbb32ce6ce369826 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u0f2daf51286c2648cbb32ce6ce369826 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u0f2daf51286c2648cbb32ce6ce369826 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u0f2daf51286c2648cbb32ce6ce369826:hover .ctaButton { background-color: #34495E!important; } .u0f2daf51286c2648cbb32ce6ce369826 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u0f2daf51286c2648cbb32ce6ce369826 .u0f2daf51286c2648cbb32ce6ce369826-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u0f2daf51286c2648cbb32ce6ce369826:after { content: ""; display: block; clear: both; } READ: Romeo Juliet: the tension in Act 3 Scene 1 EssayThe younger waiter in A clean well-lighted place, does not show compassion for this old, deaf man who is on the road to death, but is rather impatient with the man, not even willing to give him, only one more drink and a few more minutes in a clean, well-lit place than that, that the old man is use to.  The older waiter however, shows compassion and he understands the difference and value of a well-lighted place for all those who need it.  I am one of those who like to stay late at the caf, with all those who do not want to go to bed. With all those who need light for the night.  He knows that he too will be in their p osition quite soon and he does this, because he wants that same light to support him through those dark nights. The tone of Hemingways piece creates the emotions of, anger, sorrow, love, joy and contempt. He uses the contrast of light and dark to create shadows, which here symbolize the indecision of life and death. , man sat in the shadow the leaves of the trees made against the electric light. we notice how Earnest Hemingway talks of a man sitting in the shadows, not in a well-lit area, even though, most of the caf is well-lighted. The man is trapped in the shadows and when the he attempts to step into the darkness, by taking his own life, he is cut down by his niece, who is does not let him enter that nothingness. When the man tries to step back into the light, he is cast out by the younger waiter, who almost alienates him, by forcing him to leave the only company and light he seems to have, that being the company of the two waiters working at the. Virginia Woolf makes use of tone in her piece to create emotions of pity, happiness, joy and sorrow. The fact that the moth displays that he has so much to live for, but in reality he is just an insignificant creature. The moth can not really be called a moth as he does not possess the true characteristics of a moth and so you feel pity for him as he is an outcast of his own species. When you read more about this creature you start to feel happiness and joy for him because, the fact that he does not belong anywhere does not bug him; he carries on with life, not minding the insignificant role he has been dealt in this world. Virginia Woolfs writing compared to Earnest Hemingways writing is very different but because of the theme, being death, the two pieces are very interesting to compare. They deliver the same message in completely different ways, using different literary techniques. Hemingway makes use of dialogue in his writing, where as Woolf chooses not too, but they both convey an equally powerful message-Death can not be cheated no matter what we do, or how we live.