You are currently on an inpatient hospitalist team in a local pediatric hospital. First thing this morning, your team is called in to evaluate an infant born at 27 weeks gestation 50 minutes ago. Upon initial inspection of the newborn, you observe rapid labored grunting respirations, flaring nostrils, and retractions that are present above and below the breastbone. Auscultation reveals diminished air movement, and a chest radiograph reveals a ground glass appearance in the lung fields bilaterally.
Question
What pharmacological agent should be initiated to help alleviate these signs and symptoms?
1 Intravenous antivirals
2 Hepatitis B immunoglobulin
3 Intravenous antibiotic
4 Inhaled surfactant replacement
5 Inhaled corticosteroids