CARDIOLOGY
VENTRICULAR SEPTAL DEFECT
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|  |  Oxygen consumption is decreased with grunting which helps to resolve hypoxemia 
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|  |  During grunting lung volume increases as more air moves through the conducting airways 
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|  |  Grunting increases end expiratory pressure and promotes gas exchange 
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|  |  During grunting the diameter of the bronchi and bronchioles is increased 
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Detailed explanation-1: -The early signs of respiratory distress include restlessness, tachypnea, tachycardia, and diaphoresis.
Detailed explanation-2: -Rapid breathing at a rate of over 40 breaths per minute. Tight breathing (having to work hard to push air out). Coughing (may cough up very sticky mucus). Fever and a runny nose often start before the breathing problems.
Detailed explanation-3: -What is expiratory grunting? It is a sound that often occurs in infants with respiratory issues. By grunting the infant generates high pressures in the alveoli, which increases PAO2.
Detailed explanation-4: -Monitor the oxygen saturation level using non-invasive pulse oximetry. Administer oxygen and titrate to keep the oxygen saturation > 94%. Provide assisted ventilations using a bag-valve mask device. Administer inhaled medications to help improve breathing. More items