A premature neonate with respiratory distress receives a dose of exogenous surfactant. Three hours following the administration, distress returns. FIO2 has required titration from 0.40 to 0.70. The respiratory therapist should recommend which of the following FIRST?
A. repeat surfactant administration
B. chest radiography
C. ECMO
D. mechanical ventilation with NAVA
Answer: B. Because improvement from exogenous surfactant does not persist, the infant may have a more significant pulmonary problem. This should be investigated with chest radiography.
Health Professions
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A. 0.1 B. 10 C. 0.5 D. 1
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