Meconium Aspiration Syndrom

Meconium Aspiration Syndrome

By Becca O'Neal

What is MAS?Complication that occurs during delivery when the newborn breathes in meconium and amniotic fluid into the lungs.

Statistics-Leading cause of severe illness and death in newborns-occurs in 5-10% of births -2% of MAS cases end in death

S/S -Cyanosis-Respiratory Distress-Dyspnea, tachypnea, or apnea-Limpness-Green staining of amniotic fluid

Tx:-Suction and clear the airway-Oxygen therapy-Antibiotics-Surfactant-Nitrate oxide inhalation

Complications-Pneumothorax-persistent pulmonary hypertension of the newborn (PPHN). -Infection-Brain damage (only in severe cases)

Diagnosis-Chest X-ray that shows streaks on lungs-Low blood O2 levels and high CO2 levels-Crackles heard upon auscultation-Low or acidic blood Ph

PrognosisVery rarely, severe cases are fatal

Nursing Care-Monitor s/s of distress-Suction any fluid blocking the airway-Frequently assess VS (respiratory rate and lung sounds)-Administer O2 and medications as ordered

Medications-Nitric Oxide: Improves Oxygenation and manages pulmonary hypertension-Surfactant Replacement (Survanta): Treats respiratory distress and prevent the lungs from collapsing-Antibiotics (Penicillin)