116 Newborn Resuscitation Flashcards
What are 3 things to immediately assess for a newborn baby
Gestation
Tone
Cry
What is the age for the NRP medical directive
Under 24 hours
Under what HR should we consider PPV for NRP?
100
Under what HR should we consider CPR for NRP?
60
Under what HR should we consider Epi for NRP?
60
At what point do we consider Epi for NRP?
After 30 seconds of PPV
After 30 seconds of CPR
What should we do if a baby experiences respiratory distress but not a low HR?
Consider O2 for respiratory distress (5-6L, blowby with cupping)
What are the indications of respiratory distress for neonates?
Nasal flaring, sternal retractions, grunting
At what point should CPR be considered in NRP?
After 30 seconds of PPV
What gestation would be a contraindication for resuscitation for NRP?
20 weeks gestation
What hand should the pre-ductal SPO2 be on?
Right
What is the age range for a premature baby?
25-37 weeks gestation
What is the age range for a stillborn baby?
20-25 weeks gestation?
What do we do for stillborn babies?
Resuscitate, transport, and consider calling BHP
What is the initial pre-ductal target SPO2 for the baby?
60-65%
What is the pre-ductal target SPO2 for the baby after 2 minutes?
65-70%
What is the pre-ductal target SPO2 for the baby after 3 minutes?
70-75%
What is the pre-ductal target SPO2 for the baby after 4 minutes?
75-80%
What additional vital should be included in vitals of a pregnant person?
CBG
Questions to ask to a pregnant person
Last period
Due date
Previous prenatal care
History of miscarriage
How long did they take last time?
Para/Gravida
What is the pre-ductal target SPO2 for the baby after 5 minutes?
80-85%
What is the pre-ductal target SPO2 for the baby after 10 minutes?
85-95%
When do you add oxygen into the resuscitation for NRP?
When starting CPR
What is the Epinephrine doses for IV/IO for NRP?
0.01mg (0.1 ml )/kg
After 30 seconds of CPR, what should be considered for NRP?
Epinephrine
What is the minimum dose of Epinephrine for NRP?
0.05mg (0.5 ml)
What is the dosing interval of Epi for NRP?
Every 4 minutes for IV/IO
What are symptoms of an obviously dead fetus or baby?
Foul smell
Blistering skin
Soft head
Fused eyes
Discoloration
What is considered a AVERAGE APGAR score?
7-9
What is considered a good APGAR score?
Above 7
What is a poor APGAR score
Below 7
What does APGAR stand for?
Appearance
Pulse
Grimace (to irritable stimuli)
Activity
Respirations?
What is the scoring for appearance for an APGAR score?
0: blue
1: acrocyanosis
2: pink
What is the scoring for pulse for an APGAR score?
0: under 60
1: 60-100
2: Above 100
What is the scoring for Grimace for an APGAR score?
0: flaccid
1: some extremity flexion
2: Active movement
When are we doing a baby delivery?
When she says baby is coming
She feels the need for a BM
Crowning
Contractions 2 minutes apart
What is the scoring for Activity for an APGAR score?
0: no muscle tone
2: Some muscle tone
3: Strong movements
What is the scoring for Respirations for an APGAR score?
0: No cry
1: Weak cry
2: strong cry
What do we do if a neonate is under 20 weeks gestation?
Provide warmth, patch to BHP for further direction
