Chapter 55 Drugs affecting on the lower Respiratory Tract. 1) what is the difference between respiratory distress syndrome (RDS) in the neonate and adult respiratory distress syndrome (ARDS)? 2) you're caring for a premature neonate with RDS. The neonate is prescribed beract ant(survanta) intractracheally. What are the most essential nursing considerations for this patient? why? 3) you're caring for a 66-year-old patient with a diagnosis of COPD. The Patient uses an ipra tropism (Atrovent) inhaler four times daily. What nursing considerations are most important for this patient?why?