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Pediatrics New Born Infants 1d39209f

A neonate delivered at 32 weeks, is put on a ventilator, X-ray shows "white out lung" and ABG reveals PO2 of 75. Ventilator settings are FiO2 of 70, and rate of 50/ minute. Next step to be taken should be?

A
Increase rate to 60 per minute
B
Increase FiO2 to 80
C
Continue ventilation with the same settings
D
Start weaning off ventilator
High-Yield Explanation
c. Continue ventilation with the same settings(Ref: Nelson's 20/e p 850-857, Ghai 8/e p 168-170)Given clinical features & X-ray findings suggest a diagnosis of RDS. With the given ventilator settings, baby is just maintaining adequate pO2 of 75mmHg. So, ventilation should be continued with same settings, till baby improves.

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