Newborn Resuscitation Flashcards
(28 cards)
primary apnea
initial period of rapid breathing; reversible by mild stimulation and exposure to oxygen
secondary apnea
HR, BP, and tone all diminish; UNRESPONSIVE to stimulation; REQUIRES assisted ventilation and oxygen or death will result
one must assume the infant is in ____ apnea
secondary apnea (no way to differentiate)
Routine Care for Resuscitation
- Place under radiant heater
- (suction trachea –if meconium stained fluid)
- dry throughly
- remove wet linen
- position
- suction MOUTH then NOSE
- provide tactile stimulation
if baby is not crying, what should you do?
ventilate with PPV 100% for 30 sec
if the baby’s HR is >100, what do you do next?
evaluate color
blue baby?
provide O2
pink or baby with peripheral cyanosis?
observe and monitor
what is the 1st step in resuscitation?
- Place under radiant heater
- (suction trachea –if meconium stained fluid)
- dry throughly
- remove wet linen
- position
- suction MOUTH then NOSE
- provide tactile stimulation
- observe
What is the second step in resuscitation?
evaluate respiratory effort
What is the 3rd step in resuscitation?
evaluate HR
How can you take the pulse in a baby?
umbilical artery or apical pulse
How long do you take a pulse?
6 seconds and multiply by 10
HR >100
good; now go assess color
HR <100
bad; provide PPV/O2
acrocyanosis
hands and feet are blue, but the baby is perfusing well
When is meconium a concern?
Full term and post term concern! Never a concern of prematurity
Meconium definition
the 1st intestinal d/c of the newborn, composed of epi cells, fetal hair, mucus, and bile
T or F Meconium could be a sign of distress.
T
When do 99% of infants pass their 1st stool?
Within the first 24-48h
-may be passed in utero by term and post-term infants in 8-20% of births
What is the most important thing to do if meconium is present at delivery?
Prevention of meconium aspiration–DO NOT STIMULATE
Suction should be less than ____mmHg because _____
<100mmHg to prevent damage to the nasal turbinates
Most infants that need intervention will respond to____ and ____
stimulation and oxygenation
When do you start chest compressions on an infant?
HR t respond to ventilation
