What is Aspiration Pneumonia
       i. Is a lung infection that develops when food, liquid, or vomit is   inhaled into the lungs
 b. Why?
  i. Trachea and Esophagus did not separate when the baby is maturing in the mother's womb 
   1. Trisomy 13, 18, 21
    1) Extra chromosome
    2) Normal is 23 + 23 = 46 
   ii. Failure of defense mechanism
   iii. Milk or formula enters the trachea causing infection
  a) Trachea
    1) Delivers air from the mouth to the lungs
  b) Esophagus
    1) Carry food, liquids, and saliva from the mouth to the stomach
  c) Fistula
    1) An abnormal connection of the trachea and esophagus
  a. Who is at risk
   i. Babies
  b. Signs and Symptoms
   i. 3C's
    1. Coughing
    2. Choking
    3. Cyanosis
   ii. Nose flaring
   iii. Irritability
   iv. Distended stomach because of trapped air
   v. vomiting
  c. Diagnosis
   i. Nasogastric tube is inserted into the stomach
    1. If tracheoesophageal fistula is present, there will be resistance
   ii. x-ray
   iii. Ultrasound
   iv. echocardiogram
  d. Intervention
   i. Always elevate the head of the bed while feeding the patient
   ii. HOB at 30-45 degrees
   iii. Maintain upright position for 30 min to 1 hour after feeding
   iv. Show the mother proper way to feed the infant
  e. Treatment
   i. Is to stop aspiration
   ii. Surgery
   iii. If cannot perform surgery, gastrostomy feeding may be initiated
   iv. No oral feeding for 7-14 days to allow healing
  f. Medication
   i. Antibiotics
    1. Clindamycin
     1) To fight off infection
    2. Side effect
     1) diarrhea

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This video is for educational purposes only. If you are experiencing the same signs and symptoms, please do not diagnose yourself. Call your primary provider immediately.

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