Neonatal Resuscitation Flashcards
(29 cards)
what is the normal neonatal heart rate?
120-160
what is the normal neonatal respiratory rate?
30-60
What is the normal neonatal SpO2 after birth transition is complete?
> 94%
What is the normal neonatal blood pressure in an infant that is to term?
50-65/35-40
What are the first things done to an infant post birth?
- Drying and warming
- Clearing airway
- Providing stimulation
- APGAR score
- Providing resuscitative care if needed
What is the range of the APGAR score?
0-10
When is the APGAR assessment performed?
1 minute of life and 5 minutes of life
What does a score of 7-10 on the APGAR score indicate?
normal, will receive routine observation and care
What does a score of 3-6 on the APGAR score indicate?
some assistance will be required, either via extra stimulation, oral suctioning and positive pressure ventilation
What does a score of 0-2 on the APGAR score indicate?
Severely depressed infant that requires resuscitation efforts
Why is it important to determine the APGAR score at 1 and 5 minutes?
To determine if the neonate is progressing or deteriorating
What is indicated if the APGAR score is less than 7 at 5 minutes?
- Major depression
- high risk of respiratory distress
- hypoglycemia
- transitional delay
What temperature should the radiant warmer be set to for infants?
36.5 and 37.5 celsius
Why is it important to warm infants?
- Reduces cold stress
- minimizes risk of respiratory depression due to hypothermia
Why is it important to reduce cold stress?
because it increases oxygen consumption
If a neonate needs resuscitation, what FiO2 should you start at?
> 35 weeks = 21%
<34 weeks =30%
Why is PEEP and CPAP used for neonatal resuscitations?
- Establish FRC
- Decrease resistance
- Increase compliance
- Reduce apnea
- Improves oxygenation
- Conserve surfactant
- Reduce lung injury and inflammation
- reduce need for ventilation
What are the indications for bag mask ventilation?
- Apnea
- Ineffective respiratory rate
- HR below 1oo beats per minute despite 100% FiO2
What rate should a neonate be bagged at?
40-60 bpm
What IP should be used when bagging a neonate?
20-25 cm H2O
What PEEP level should be used when bagging a neonate?
5 cm H2O
What are the indications for intubation for neonates?
- tracheal suctioning for meconium needed
- BMV is ineffective or prolonged
- Chest compressions are performed
- Tracheal administration of medications such as surfactant
What is the range of ETT sizes in neonates?
2-4, most common used are 3 and 3.5
How can you verify ETT location when you have intubated a neonate?
- Colorimetric CO2 monitor
- Chest radiograph
- Capnography
- Bilateral breath sounds
- Symmetrical chest wall movement
