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Pediatrics II, Dr. Phay Narith > Lesson 1: Neonatal Resuscitation > Flashcards

Lesson 1: Neonatal Resuscitation Flashcards

1
Q

Approximately ___% of newborns → some assistance to begin breathing at birth.

A

Approximately 10% of newborns → some assistance to begin breathing at birth.

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2
Q
A

< 1% → extensive resuscitative measures.

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3
Q

What is the “Golden Minute” ?
Approximately _____ seconds (“the Golden Minute”) are allotted for completing the initial steps, reevaluating, and beginning ventilation if required

A

Approximately 60 seconds (“the Golden Minute”) are allotted for completing the initial steps, reevaluating, and beginning ventilation if required

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4
Q

VLBW < _______g preterm babies → hypothermic ++

A

VLBW < 1500g preterm babies → hypothermic ++

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5
Q

Temperature control

Prewarmingthedeliveryroomto__ºC

A

Temperature control

Prewarmingthedeliveryroomto26ºC

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6
Q

Temperature control

Covering the baby in ______ wrapping

A

Temperature control

Covering the baby in plastic wrapping

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7
Q

Temperature control

Placing the baby on an _______ mattress.
Placing the baby under ______ heat.
Placing the baby with the mother and covering both with a ______.

A

Temperature control
Placing the baby on an exothermic mattress.
Placing the baby under radiant heat
Placing the baby with the mother .and covering both with a blanket.

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8
Q

+++ Monitoring closely the temperature ‘s baby to avoid the risk of ________.

A

+++ Monitoring closely the temperature ‘s baby to avoid the risk of hyperthermia.

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9
Q

Amniotic fluid
Suctioningimmediatelyfollowingbirthshouldbereservedforbabies:

  • have____________tospontaneousbreathingor
  • whorequire___________.
A

Amniotic fluid
Suctioningimmediatelyfollowingbirthshouldbereservedforbabies:

  • haveobviousobstructiontospontaneousbreathingor
  • whorequirePPV(positivepressureventilation)
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10
Q

When Meconium is present

performing ______suctioning of nonvigorous babies with meconium-stained amniotic fluid.

A

When Meconium is present

performing endotracheal suctioning of nonvigorous babies with meconium-stained amniotic fluid.

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11
Q

Assessment of 02 need
1min:______

2min: _______
3min: ______

A

Assessment of 02 need
1min:60-65%

2min: 65-70%
3min: 70-75%

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12
Q

Either ________ or _______oxygenation can be harmful to the baby

A

Either insufficient or excessive oxygenation can be harmful to the baby

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13
Q

PulseOximetry

  • Site:theprobeshouldbeattacheda______location(therightupperextremity:wristormedialsurfaceofthepalm).
A

PulseOximetry

  • Site:theprobeshouldbeattachedapreductallocation(therightupperextremity:wristormedialsurfaceofthepalm).
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14
Q

AdministrationofSupplementaryOxygen

  • Neonatalresuscitationwith________
  • Premature:resuscitationwith_________andair
A

AdministrationofSupplementaryOxygen

  • Neonatalresuscitationwithroomair
  • Premature:resuscitationwithblendof02andair
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15
Q 
Successful neonatal resuscitation required (4 points)
1.
2.
3.
4.
A

Successfulneonatalresuscitationrequired

  • Anticipation,
  • Adequatepreparation⭐
  • Accurateevaluation
  • Promptinitiationofsupport
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16
Q 
Drugs preparation (5 points)
1.
2.
3.
4.
5.
A

Drugspreparation

  • Adrenaline/Epinephrine(1A=1/1000è)
  • GlucoseSerum:5%-10%
  • Dopamine(1Ade50mg)
  • Serumphysiologic/RL/albumin4%.
  • Surfactant
17
Q

At every delivery there should be at least 1 person capable of initiating resuscitation: (2 points)

  1. Administrationof_______
  2. ____
A

At every delivery there should be at least 1 person capable of initiating resuscitation: (2 points)
1. Administrationofpositivepressureventilation(PPV)
2.
Chestcompression

18
Q

skills required to perform a complete resuscitation (2 points)
1. E__________

  1. Administrationof___________
A

skills required to perform a complete resuscitation (2 points)
1. Endotrachealintubation

  1. Administrationofmedications
19
Q

Positive-Pressure Ventilation (PPV)
Indication

  • If______or_______or
  • ifHR
A

Positive-Pressure Ventilation (PPV)
Indication

  • Ifapneicorgaspingor
  • ifHR
20
Q

Positive-Pressure Ventilation (PPV)
Technique

  • Rates:____to_____breaths/mn.
  • Inflationpressure
    • Initialinflationpressureof_____cmH2Omaybeeffective
    • but≥____to____cmH2Omayberequiredinsometermbabieswithoutspontaneousventilation.
A

Positive-Pressure Ventilation (PPV)
Technique

  • Rates:40to60breaths/mn.
  • Inflationpressure
    • Initialinflationpressureof20cmH2Omaybeeffective
    • but≥30to40cmH2Omayberequiredinsometermbabieswithoutspontaneousventilation.
21
Q

Positive-Pressure Ventilation (PPV)
Efficacycriteria (5 points)

  • Adequate______
  • Symmetric__________,improvedpinkcolor,
  • HR>____beats/min,
  • ____________respirations
  • _____________
A

Positive-Pressure Ventilation (PPV)
Efficacycriteria

  • Adequatechestrise
  • Symmetricbreathsounds,improvedpinkcolor,
  • HR>100beats/min,
  • Spontaneousrespirations
  • Improvedtone
22
Q

Positive-Pressure Ventilation (PPV)
Contraindication
1.________hernia

  1. ________amniotic
A

Positive-Pressure Ventilation (PPV)
Contraindication
1.Diaphragmatichernia

  1. Meconiumfluidamniotic
23
Q

CPAP (Continuous Positive Airway Pressure)
Indication (2 points)

  • preterm
  • Infantswhoarebreathingspontaneously,butwithdifficulty,followingbirth
A

CPAP (Continuous Positive Airway Pressure)
Indication

  • ________
  • Infantswhoarebreathingspontaneously,but_________,followingbirth
24
Q

Endotracheal Tube Placement (Intubation)
Indication (4 points)
-Initial_____________ofnonvigorousmeconiumstainednewborns

  • If___________isineffectiveorprolonged
  • When_______________areperformed

●forspecialresuscitationcircumstances

  • ________________
  • ___________________
A

Endotracheal Tube Placement (Intubation)
Indication
-Initialendotrachealsuctioningofnonvigorousmeconiumstainednewborns

  • Ifbag-maskventilationisineffectiveorprolonged
  • Whenchestcompressionsareperformed

●forspecialresuscitationcircumstances

  • congenitaldiaphragmatichernia
  • ExtremelyLowBirthWeightInfant
25
Q

Chest Compressions
Indication

  • HR
A

Chest Compressions
Indication

  • HR
26
Q

Chest Compressions
Technique

  • ______ofthesternumtoadepthofapproximately_____oftheanterior-posteriordiameterofthechest.
  • _______(Ratio3:1)
A

Chest Compressions
Technique

  • lowerthirdofthesternumtoadepthofapproximatelyonethirdoftheanterior-posteriordiameterofthechest.
  • 2thumb–encirclinghandstechnique(Ratio3:1)
27
Q

Chest Compressions
Possiblecomplications

  • _______,_________,myocardial_______and______liver.
A

Chest Compressions
Possiblecomplications

  • Ribfracture,pneumothorax,myocardialcontusionandlacerationliver.
28
Q

Medications
Epinephrine
1/_________(0.1mg/ml)

IVdose:_____-_____mg/kg/dose(____-____ml/kg)

Endotrachealdose:____-_____mg/kg/dose

The dose may be repeated every ____-_______min

A

Medications
Epinephrine
1/10000(0.1mg/ml)

IVdose:0.01-0.03mg/kg/dose(0.1-0.3ml/kg)

Endotrachealdose:0.05-0.1mg/kg/dose

The dose may be repeated every 3-5 min

29
Q

Medications
Epinephrine
Indication

  • HR<60/mndespiteadequateventilation(usuallywithendotrachealintubation)with100%oxygenandchestcompressions,
  • Asystole

Efficacycriteria

  • HR>____________beats/mn
A

Indication

  • HR<60/mndespiteadequateventilation(usuallywithendotrachealintubation)with100%oxygenandchestcompressions,
  • Asystole

Efficacycriteria

  • HR>100beats/mn
30
Q

Volume expansion
when_________isknownorsuspected(paleskin,poorperfusion,weakpulse)andthe____________adequatelytootherresuscitativemeasures.

Anisotoniccrystalloidsolution(serumphysiologicNacl0.9%/LR/Albumine4%)orblood

_______mL/kg,whichmayneedtoberepeated

A

Volume expansion
whenbloodlossisknownorsuspected(paleskin,poorperfusion,weakpulse)andthebaby’sheartratehasnotrespondedadequatelytootherresuscitativemeasures.

Anisotoniccrystalloidsolution(serumphysiologicNacl0.9%/LR/Albumine4%)orblood

10mL/kg,whichmayneedtoberepeated

Pediatrics II, Dr. Phay Narith (1 decks)

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