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newborn F severe respiratory distress 2 hrs s/p meconium aspiration APGAR at delivery 7, 8 rr 80, grunting, subcostal retractions Next step?

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newborn F
severe respiratory distress 2 hrs s/p meconium aspiration
APGAR at delivery 7, 8
rr 80, grunting, subcostal retractions
Next step?

 
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