Epinephrine is a vasoconstrictor and is used in this situation to slop bleeding in the lungs. Any time intrathoracic pressure increases, there is an increased risk for pneumothorax. Interpret this gas and give the intervention. This is a partially compensated metabolic acidosis with hyperoxygenation. This acidosis has already been partially compensated for by blowing off CO2 and now must be treated pharmacologically.
Sodium bicarbonate is given intravenously.
As the pneumothorax resolves, the infant is weaned off high frequency ventilation. As the neonate grows, so does the lung tissue. The infant is able to be changed to conventional ventilation and later extubated. The infant is discharged thirty days after extubation. She also complains of abdominal pain, diaphoresis, and cramping in the left upper quadrant and periumbilical area.