Neonatal resuscitation Flashcards Preview

Neonat - 1. Intro > Neonatal resuscitation > Flashcards

Flashcards in Neonatal resuscitation Deck (10):
1

3 questions to be asked to determine resuscitative effort

  • Term gestation
  • Breathing or crying?
  • Good muscle tone?

2

The most important and effective action in neonatal resuscitation is to ____

Ventilate the baby’s lung

 

Note: Heart rate is always dependent on ventilation

3

Newborn is gasping or apneic, what must be done first?

Positive-pressure ventilation

4

Indication for chest compressions

HR less than 60bpm after at least 30 seconds of PPV

5

Preferred chest compression technique

2-thumb technique

6

Compression rate and breathing rate per minute

90 compressions; 30 beats; 3:1 ratio

7

Indication for epinephrine

If HR is less than 60 after 30 seconds of PPV AND another 60 seconds of chest compressions coordinated with PPV using 100% oxygen

8

Route and dose of epinephrine

  • 0.1 – 0.3 mkd via umbilical vein; or
  • 0.5 – 1 mkd via ET

9

Indication for volume expander

If baby is not responding despite efforts and baby appears in shock

10

Recommended fluid for resuscitation and dosage

PNSS or O negative blood at 10 mg/kg via umbilical vein over 5 – 10 minutes