transient tachypnea, newborn…

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ttn, wet lungs, newborns, retained fetal lung fluid, transient rds, transient tachypnea, respiratory disorder, seen shortly after delivery in babies who, born near, at term, transient means it is short-lived, less than 24 hours, tachypnea means rapid breathing, most normal newborns take 40-60 breaths per minute, fetal life the lungs make a special fluid that fills the lungs, helps them to grow, at term, chemicals released, labor tell the lungs to stop making this special fluid, to start removing, reabsorbing it, first few breaths baby takes after delivery fills the lungs, air, helps to clear most, the remaining lung fluid, passage, the birth canal, help clear some fluid by squeezing the chest, baby was born, prior to term, less than 38 weeks, not respond, chemical signals released, labor leaving more fluid, in the lung at birth, had a cesarean section, c-section, in labor, chemical signals telling the lung to stop making, start removing lung fluid, strong, again leaving more fluid, in the lung, time of birth, have diabetes, received large amounts of pain medications, labor baby is also at risk of developing ttn, newborns, ttn have respiratory problems soon after birth, 1-2 hours, "problems", consist of some combination, of rapid, noisy breathing, grunting, the use of extra muscles to breathe, flaring nostrils, movements between the ribs, breastbone known, "retractions", mother's pregnancy, labor history, important to make the diagnosis, a chest x-ray, eliminate other causes, respiratory problems, a blood count, cbc, blood culture drawn to try to exclude pneumonia, ttn, diagnosed after monitoring baby, 1-2 days, baby, given oxygen, needed to maintain an adequate blood oxygen level, pulse oximeter, blood gases used, baby's oxygen requirement, highest, a few hours after birth, begin to decrease, most infants, ttn improve in less than 12-24 hours, baby is breathing very rapidly, feedings withheld, iv fluids given, nutrition, baby improves, baby, receive antibiotics, time, infection is ruled out, babies, ttn, have persistent lung problems, 1 week, ttn, resolves completely, 24 hours after delivery, babies, had ttn, have no further problems from it, require no special care, follow-up other than routine pediatrician visits.