Newborn Resuscitation Flashcards

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1
Q

Newborn Resus

What are the indications?

A

Newborn pt

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2
Q

Newborn Resus

What are the CONDITIONS for PPV - Positive Pressure Ventilation?

A

Pt is LESS than 24h old
AND
pt has LESS then 100bpm

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3
Q

Newborn Resus

What are the CONTRAINDICATIONS for PPV - Positive Pressure Ventilation?

A

Pt is obviously dead as per the BLS PCS

Presumed gestational age is LESS than 20 weeks

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4
Q

Newborn Resus

What are the CONDITIONS for CPR?

A

pt is LESS than 24h old
AND
pt has LESS then 60bpm
AND (it’s)
Only after 30sec of PPV using room air

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5
Q

Newborn Resus

What are the CONTRAINDICATIONS for CPR?

A

Pt is obvioulsy dead as per the BLS PCS

Presumed gestational age is LESS than 20 weeks

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6
Q

Clinical Considerations

What equipment should you be using during a neonatal resuscitation?

A

Cardiac monitoring
AND
Pulse oximetry (preductal SpO2)

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7
Q

Clinical Considerations

At what gestational age would you initiate transport as infants born between then are stillborn or die quickly?

A

20-25 weeks

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8
Q

Clinical Considerations

What do you do if gestational age cannot be determined?

A

Initiate resuscitation
AND
rapid transport

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9
Q

Clinical Considerations

When is resuscitation futile?

What should you be doing?

A

at LESS than 20 weeks gestation

Providing the newborn with warmth as you patch BHP

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10
Q

Newborn Resus

MR SOPA go!

A

M - Mask readjustment

R - repositioning/reposition head

S - suction mouth and nose

O - open mouth, lift the jaw

P - increase pressure to achieve chest rise

A - airway adjunct (lil opa/npa)

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11
Q

Newborn Resus

What (if ABSENT or ABNORMAL) would trigger you to start resuscitative assessment and interventions?

As this standard is for anyone LESS than 24h, what should you do if they’re not immediatly born?

A

Term gestation

Good muscle tone

Breathing or crying

Assess respirations, HR, then proceed with the standard

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12
Q

Newborn Resus

What’s the treatment plan for meconium, poor muscle tone, and poor breathing/crying?

What’s meconium? Is routine suction required?

Does epi apply (in terms of anaphylaxis)?

A

suction the mouth and pharynx before the nose while ensuring O2 is maintained

The babies first poo. NO

NO

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13
Q

Newborn Resus

When is O2 administration NOT required?

What should you do if the newborn is in respiratory distress?

A

When the newborn has central cyanosis BUT RR appears adequate
AND
a HR greater than 100bpm

Adminiter O2 at 6-8 lpm either by mask or 1-2cm from the pt’s face - withdraw as the pt’s colour improves

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14
Q

Newborn Resus

Show me the TREATMENT PLAN flowchart?

What are the signs of respiratory distress?

A

Nasal flaring
Grunting
Sternal Retractions

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15
Q

Newborn Resus

In what location do you put the preductal SpO2?

WHY?

What’s the targeted range?

A

The right hand - becuse coming off of the right side of the heart is the aorta that then seperates into different arteries specifically the subclavian than further seperates to immeditalely prefuse the brain and right arm - the blood at the right hand would be most accurate

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16
Q

Neonate Standard

What’s APGAR stand for and break it down for me?

A

A - Appearance
P - Pulse
G - Grimace
A - Activity
R - Respiration

17
Q

Newborn Treatment Plan

What 3 things does the newborn have to have?

What’s the next step if they have all 3?

What’s the final step?

A

Term gestation

Good muscle tone

Breathing or crying

Provide warmth - clear the airway as necessary

Provide supportive care

18
Q

Newborn Treatment Plan

What if they don’t have all 3?

What if that doesn’t work?

What are you looking for?

A

Then provide (for 30sec):
- warmth + Stimulation, repositioning, and drying
- airway clearing/positioning

Check HR and RR - put on monitors if time permits

HR to be GREATER/EQUAL to 100bpm - if it is then provide supportive care

19
Q

Newborn Treatment Plan

What do you do if the HR are below 100bpm?

What are you looking for next?

What if the HR is below 60bpm?

A

Provide PPV using a BVM on room air for 30sec

The HR to be GREATER/EQUAL to 60bpm - if it is then repeat the BVM treat

Provide chest compressions
AND
PPV using a BVM with 100% oxygen

for 30sec

20
Q

Newborn Treatment Plan

What if after performing CPR and BVM with 100% oxygen the HR is below 60bpm?

What are you doing if the HR make GREATER/EQUAL to 60bpm?

A

Then repeat the chest compressions and BVM with 100% oxygen for another 30sec - keep doing this until the HR goes GREATER/EQUAL to 60bpm

Start over by checking if the HR is GREATER/EQUAL to 100bpm.