Chapter 6 Chest Compressions Flashcards
When should compressions be started?
Two criteria
“Indicated when the HR remains < 60 despite AT LEAST 30 seconds of PPV that inflates the lungs (moves chest)
(p.163)
Where should you position for compressions?
At the head of the bed
When may a POX not be reliable?
When the HR is less than 60
What is the proper technique for compressions?
(hand placement, depth, rate, ratio)
Thumbs placed on sternum
between nipples
compress 1/3 AP depth
90 compression per minute: 30 ventilation per minute
3: 1 ratio
120 events per minute
1 and 2 and 3 and breath
(p.161)
When should you check for a heart rate after starting compressions?
60 seconds, preferably with a cardiac monitor
After 60 seconds of CPR you check for a heart rate and the rate is below 60 bpm, what is your next step?
Give EPI 0.02 mg/kg
p. 188
What might indicate PEA?
An adequate heart rate on the monitor, but a baby that is deteriorating.
(p. 167)
When do you stop compressions?
When the HR is greater than 60 bpm, but continue PPV until HR is greater than 100
(p. 168)
What to assess if after 60 seconds of CPR the HR is not improving? (mnemonic)
CARDIO
C - chest moving with each breath?
A - is airway secured?
R - rate of 3:1 ?
D - depth of 1/3 AP diameter?
I - inspired oxygen
O – oxygen FiO2 of 100%
(p.169)
A NB is apneic at birth. The NB does not improve with the initial steps (WDSAS). An ETT is inserted properly, the chest moves with ventilation, bilateral breath sounds are heard, and ventilation has continued for another 30 seconds. The HR remains 40 bpm. What should your next step be?
Start compressions, continue PPV.
p. 173
Where should you apply chest compressions?
Just below the nipples
p. 173
When performing compressions, when should you evaluate the HR?
“You should briefly stop compressions to check the HR response after 60 seconds of CPR” p. 173
