Alaa

2# if mother received B. Penicillin or Ampicillin or cefazolin more than 4 hes before delivery is considered adequate prophylaxis. observation can be enough for 24 hrs if parents are well educated regarding warning signs and have immediate access to clinical services. 1# first of all is ensure adequate recruitment with adequate ventilation then consider surfactant if fio2 requirements still high. 2# to check how much is pulmonary pressure and cardiac function before starting iNO. if adequate myocardial function, can start iNo. If not don’t give. start inotropes to increase your Systemic pressure above pulmonary pressure. adequate sedation and pain management and minimal handling