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Flashcards in new born resiscitation Deck (11):
1

Four reasons for neonatal resuscitation

Neonatal resuscitation
• Thick meconium
– Indicates fetal distress
• Not breathing or crying
– Gasping not same as crying
• Floppy tone
– Should be flexed at arms/legs and active
• Premature birth
– Stiffer lungs, weak muscles, get cold

2

managment scale
1.always needed
2. needed less frequently
3. rarely

1. assess risk for needing resuscitation
-provide warmth
-position and clear airway
-dry
-stimulate to breathe
-give O2 as necessary
2. assist ventilation with PPV
-intubate trachea
-chest compressions
3. medication

3

1. routine care for newborn
2. not routine care

-provide warmth
-clear airway
-dry
-assess color

not routine
-provide warmth
-position; clear aiway
-dry, stimulate, reposition

4

where does one listen to pulse on a newborn

-apical pulse
umbilicus
-brachial

5

neonatal assessment:
-color
-signs of respiratory distress

1. central color, acrocyanosis
2. -increase WOB
-nasal flaring
-tachypnea
-grunting

6

indication of BVM (3)

-apnea
-HR <100
-persistent central cyanosis even with supplemental O2

7

distinguish btw self infalting vs. flow dependent bag

self inflating
-inflates w/o gas source
-Peak Inspiratory Pressure (PIP) based on how hard squeezed
-cannot give Positive End Expiratory Pressure (PEEP) or Continuous Positive Airway Pressure (CPAP)

flow dependent bag
-inflates only with gas source
-PIP controlled by flow
-PEEP and CPAP controlled by flow-control valve

8

signs of improvement after BMV
-trouble shooting if no improvment

-increase HR
-color
-tone

-adequae seal
-blocked airway
-not enough pressure

9

indications for chest compressions

-after 15-30 sec of PPV with 100% O2 the heart rate is below 60, btw 60-80 not increasing

-1 finger breadth below nipple line
-1/3 A/P diameter
-thumb vs 2 finger
-ratio: 3 to 1

-after compressions, reassess
HR >60 STOP compression
HR <60 continue
continue BVM if HR less than 100

10

characteristics of premature babies

-thin skin, large surface area small fat=heat loss
(<28 wks=ziploc)
-immature NS drive to breathe
-immature lungs, surfactant deficiency
(pneumothorax, need higher pressures)

11

circumstances when no resuscitation needed

-confirmed <23 wks gestation
-less than 400g
-anencephaly
-confirmed trisomy 13 or trisomy 18