7 STEPS ON NEONATAL RESUS Flashcards
1
Q
STEP 1
A
- Is the baby term?
- Good tone?
- Breathing?
2
Q
STEP 2
A
- Start clock
- Provide warmth
- Clear airway
- Dry and stimulate or put in plastic bag if preterm
3
Q
STEP 3
A
Assess breathing, HR and sats/colour
- If gasping, apnoeic or HR <100
4
Q
STEP 4
A
- Start ventilation with room air at 30-40 breaths/min for term
- Use oxygen at 30-40% if preterm
- Connect pulse oximeter
- Ensure chest rise»_space; NMOVING
5
Q
BAGING AND SATURATION
A
Use blended oxygen if possible. Bag with no air= 21%. Bag with air= 40%. Bag with
reservoir= 100%.
Normal pre-ductal sats after birth:
➢ 1min >60%
➢ 2min >65%
➢ 3min >70%
➢ 4min >75%
➢ 5min >80%
➢ <10min 90-95%
6
Q
STEP 5
A
Assess breathing, HR and sats/colour every 30-60 Seconds
- If HR 60bpm<100bpm
➢ Continue ventilation with oxygen as required
- If HR <60bpm
➢ Continue ventilation with supplemental oxygen as require
➢ Start compressions and consider intubation
➢ 1:3, each cycle taking 2 seconds
7
Q
STEP 6
A
- Reassess breathing, HR and sats/colour
- If HR <60pbm
➢ Continue ventilation and chest compressions
8
Q
STEP 7
A
- Intubation and drugs
➢ 0.1-0.3 ml/kg Adrenaline IV (1:10 000 dilution with saline), peripheral line
or UVC or ET tube last resort (1ml/kg adrenaline ETT 1:10 000 dilution)
➢ May repeat adrenaline after 3-5mins
➢ Correct hypovolaemia in necessary: 10ml/kg normal saline IV over 5-
10min
➢ Consider pneumothorax and check glucose
9
Q
UVC
A
- Emergency only because it can cause sepsis
- Cord tie
- Cut 2cm
- Identify vein
- Flush 6 or 8 tube
- Insert 5cm
10
Q
WHEN TO STOP RESUS
A
- 10mins no output
- No spontaneous respiration after 30mins