NLS

Question 1

What is the physiology of hypoxia?

Answer 1

The foetus will attempt breathing movements and lack O2, neural centres lose function, absent resp effort, lactic acid is released, circulation to non vital organs ceased

Question 2

what is the stage of absent resp effort called?

Answer 2

primary apnoea

Question 3

What is the most important requirement for hypoxic infants?

Answer 3

lungs be aerated effectively

Question 4

What should be done at birth?

Answer 4

Stimulation and warmth with towel/heater

Question 5

How do we assess the baby?

Answer 5

colour, tone, breathing, HR

Question 6

Airway?

Answer 6

open away, jaw thrust, neutral position

Question 7

Breathing?

Answer 7

Inflation breaths - 30cm for 2-3 seconds x 5
iGel inflation breaths
Ventilation breaths once chest moving - 1-2 sec for 30 sec
Chest comps - 90 comps and 30 breaths in one min

Question 8

what can we do if nothing is working?

Answer 8

venous access - Sodium Bicarbonate, Adrenaline,
Dextrose (BAD)
feral blood - o neg or NACL, Naloxone