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Exam questionKROK 2Medicine · 2023

A premature newborn boy (pregnancy 5, birth 1, gestation term-27 weeks) has irregular respiration of < 30 /min, after birth and SpO₂ of 70 %. Retractions of the pliable areas of the chest and expiratory groaning are observed. Without oxygen support, generalized cyanosis occurs. Auscultation reveals crepitus in the basal segments. There are no data on the prevention of respiratory distress syndrome in the baby What treatment tactics must be chosen in this case?

Answer options

  1. Administer the surfactant preparation intratracheally 2 hours after birth
  2. Provide artificial pulmonary ventilation with an Ambu bag and a mask
  3. Provide oxygen therapy using an oxygen tent
  4. Prescribe an antibacterial therapy
  5. Administer the surfactant preparation intratracheally within the first 15 minutes after birth
Correct answer

Administer the surfactant preparation intratracheally within the first 15 minutes after birth

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