A newborn is admitted to the neonatal intensive care unit with suspected meconium aspiration. What care should the nurse expect to provide to this client? Select all that apply
1. Dopamine infusion
2. High-pressure ventilation
3. High-level oxygen therapy
4. Surfactant replacement therapy
5. High-volume intravenous fluids
1, 2, 3, 4
Explanation:
1. For meconium aspiration, dopamine may be prescribed to maintain systemic blood pressure.
2. High-pressure ventilation may be needed to cause sufficient expiratory expansion of obstructed terminal airways or to stabilize airways that are weakened by inflammation.
3. Treatment of meconium aspiration usually involves delivery of high levels of oxygen.
4. Surfactant replacement therapy is most effective when given as a prophylactic measure.
5. Fluids may be restricted in the first 48 to 72 hours because of the risk of cerebral edema.
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