Newborn Resuscitation Flashcards
Newborn Resus
What are the indications?
Newborn pt
Newborn Resus
What are the CONDITIONS for PPV - Positive Pressure Ventilation?
Pt is LESS than 24h old
AND
pt has LESS then 100bpm
Newborn Resus
What are the CONTRAINDICATIONS for PPV - Positive Pressure Ventilation?
Pt is obviously dead as per the BLS PCS
Presumed gestational age is LESS than 20 weeks
Newborn Resus
What are the CONDITIONS for CPR?
pt is LESS than 24h old
AND
pt has LESS then 60bpm
AND (it’s)
Only after 30sec of PPV using room air
Newborn Resus
What are the CONTRAINDICATIONS for CPR?
Pt is obvioulsy dead as per the BLS PCS
Presumed gestational age is LESS than 20 weeks
Clinical Considerations
What equipment should you be using during a neonatal resuscitation?
Cardiac monitoring
AND
Pulse oximetry (preductal SpO2)
Clinical Considerations
At what gestational age would you initiate transport as infants born between then are stillborn or die quickly?
20-25 weeks
Clinical Considerations
What do you do if gestational age cannot be determined?
Initiate resuscitation
AND
rapid transport
Clinical Considerations
When is resuscitation futile?
What should you be doing?
at LESS than 20 weeks gestation
Providing the newborn with warmth as you patch BHP
Newborn Resus
MR SOPA go!
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)
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?
Term gestation
Good muscle tone
Breathing or crying
Assess respirations, HR, then proceed with the standard
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)?
suction the mouth and pharynx before the nose while ensuring O2 is maintained
The babies first poo. NO
NO
Newborn Resus
When is O2 administration NOT required?
What should you do if the newborn is in respiratory distress?
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
Newborn Resus
Show me the TREATMENT PLAN flowchart?
What are the signs of respiratory distress?
Nasal flaring
Grunting
Sternal Retractions
Newborn Resus
In what location do you put the preductal SpO2?
WHY?
What’s the targeted range?
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
Neonate Standard
What’s APGAR stand for and break it down for me?
A - Appearance
P - Pulse
G - Grimace
A - Activity
R - Respiration
