BPD? what is it?

  1. I start w/ a lil gal w/ BPD... HELP!!! I don't recall ever hearing of this!!! what is it? Know of any sites where I can learn more? I don't want to walk in "blind"!!! THANKS!!!!!!!
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  2. 35 Comments

  3. by   Nurse Ratched
    BPD is usually borderline personality disorder. Have occasionally seen bipolar disorder abbreviated that way. Lots of stuff on it under the psych forum .
  4. by   bestblondRN
    Bronchopulmonary dysplasia. It's a condition seen in preemies with RDS or hyaline membrane disease, and generally follows being ventilated for a period of time. It results from prematurity and the immaturity of the lungs coupled with the damage done by oxygen (even though they need it) and mechanical ventilation. It is considered a chronic condition and has even been seen in adults with lung dysfunction as well.
  5. by   NRSKarenRN
    In a "lil gal" BPD is most likely bronchopulmonary dysplasia--a long term respiratory disorder. It occurs in infants who have had severe RDS, lung infection or were extremely premature at birth and affects them for years.


    What causes BPD?
    BPD is a reaction of the premature lung to its disease and to the oxygen and mechanical ventilation that were needed to treat the infants lung disease. Occasionally very premature infants get BPD even if they did not need mechanical ventilation or much extra oxygen after birth.


    Great sources of info:

    http://www.pediatrics.wisc.edu/child...emies/bpd.html

    http://www.geocities.com/bricethomasconrad2/BPD.html
    http://www.lungusa.org/diseases/lungbpd.html
    Last edit by NRSKarenRN on Feb 19, '03
  6. by   CraftyLPN
    Thanks NRSKarenRN and BEST BLOND...I hope u see this...that helps Alot!! Thanks for the websites too!! ok another question then... this young one isn't on a vent.. but she has a trach...the reasoning behind this.....????
  7. by   Heather333
    She could have required at trach secondary to long-term ventilation. Her condition could have improved and she no longer needs a ventilator but still has a trach.

    Heather
  8. by   Nurse Ratched
    Well now, don't I feel silly . Another good reason for me to stay far, far from the peds area!
  9. by   NS_RN
    Originally posted by Nurse Ratched
    Well now, don't I feel silly . Another good reason for me to stay far, far from the peds area!
    LOL...me too apparently..I thought it was bipolar disease or borderline personality disease too...LOL
    At least we're not alone!
  10. by   wv_nurse 2003
    I chuckled when I read the different possible problems that have been attributed to the same abbreviation--so many abbreviations out there......
  11. by   Heather333
    When somebody talks about their PDA (palm pilot). My first thought is Patent Ductus Arteriosus. So I guess it goes both ways.

    Heather
  12. by   prmenrs
    Sometimes kids w/BPD also have tracheal malacia. This can be treated w/Laser when they're a bit older, and often that cures the problem. Watch fluids, fatigue, hopefully there's a sat monitor. She'll be on lots of meds as a rule, may have a g-button. MAXIMIZE nutrition, the only hope of outgrowing BPD. If you haven't had a flu shot, get it, flu would kill her. Make sure everyone around her stays healthy and doesn't smoke. [I know, seems obvious, but...] If she can't take the entire days feeding, use the g-tube to give it to her slowly over night. Very easy to get overloaded. Also, their electrolytes are often out of whack, the really dangerous one is having a low chloride. If she's at home, hopefully, they've got all that stuff in order, but those are the things I worry about. Try to normalize her environment--gently. play soft music--lullabies--@ nap- and bedtime, read to her, identify her special toys. Stuffed toys that can be washed are good. Expect her to be soemwhat developmentally delayed.

    Mom is the expert--try to treat her as a valued colleague. Mom has been thru hell w/ the NICU, and a baby w/such a protracted illness, kinda PTSD victim, and they're not out of the woods yet.

    Good Luck!!
    Last edit by prmenrs on Feb 19, '03
  13. by   CraftyLPN
    Thanks prmerns..that helps too... I love being in home health... and I love finding this site... you guys have been a great resource!!!!!!!!!!!!!!
  14. by   renerian
    NUrse Ratched I thought the same thing you did so don't feel so bad! Same thing, I am not a peds RN LOL.

    renerian

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