S/s of RSD

Nasal flaring, expiratory grunting, intercostal, subcostal, or substernal retractions, dusky color involving the sink , nail beds and mucous membranes, tachypnea 80-120 bpm , dyspnea and low body temp. apnea, flaccidity, absence of spontanceouse movemnet and unresponsiveness and mottling, and death