A preterm infant with respiratory distress syndrome is receiving inhaled nitric oxide (NO). What is the reason for administering the inhaled nitric oxide?
a. To mature the lungs
b. To deliver a level of oxygen that is safe
c. To increase the removal of pulmonary debris such as meconium
d. To reduce pulmonary vasoconstriction and pulmonary hypertension
ANS: D
NO is used for infants with conditions such as meconium aspiration syndrome, pneumonia, sepsis, and congenital diaphragmatic hernia. Most infants with these disorders do have mature lungs. NO is not oxygen. Inhaled NO is beneficial for infants with meconium aspiration syndrome, but it does not work by removing debris. Inhaled NO is a significant treatment for infants with persistent pulmonary hypertension, pulmonary vasoconstriction, and subsequent acidosis and severe hypoxia. When inhaled into the lungs, it causes smooth muscle relaxation and reduction of pulmonary vasoconstriction and subsequent pulmonary hypertension.
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To protect against one of the adverse effects of using sodium hypochlorite for wound care the nurse should:
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OBRA was implemented to
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