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Nrp > Lesson 4 > Flashcards

Lesson 4 Flashcards

1
Q

Is the 2 thumb technique for chest compressions recommended?

A

Yes, it’s the most effective

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2
Q

How much depth should the baby’s chest be compressed?

A

1/3 of its diameter

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3
Q

How many compressions are delivered per min?

A

90

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4
Q

After how many chest compressions do ventilations need delivered?

A

Every 3 compressions

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5
Q

How should the chest compression provider count out instructions to the ventilation provider?

A

One and two and three and breath and one …

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6
Q

How many ventilations should be given with every 90 compressions/ per min?

A

30

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7
Q

When can oxygen be delivered at 100% concentration?

A

When you start chest compressions

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8
Q

Once the heart rate increases above 60 bpm, pulse oximetry can be used to access _______ & _______

A

Blood oxygenation & titrate supplemental oxygen levels

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9
Q

If chest compressions are indicated there will likely be a need for continued _____ & insertion of invasive cord lines into _____

A

PPV & umbilical cord stalk

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10
Q

Once the ETT is placed by the PPV provider, that provider should then step to the side to allow room for

A

The person placing the umbilical Venus catheter

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11
Q

The 2 thumb technique is easier to provide in which 2 positions of the baby

A

The top by the head or the bottom by the feet

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12
Q

After 60 seconds of chest compressions what needs checked?

A

Heart rate

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13
Q

When can chest compressions be stopped?

A

Spontaneous heart rate reaches 60 bpm

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14
Q

If the heart rate does not recover after 60 secs of compressions

A

Access compression efforts

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15
Q

When is epinephrine indicated?

A

If heart rate does not recover after 30 effective PPV & 60 secs high quality compressions and ventilations

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16
Q

Who should administer epinephrine?

A

The other assistant that is not doing compressions or ventilations. That way the can administer epinephrine while continuing compressions and PPV

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17
Q

What’s the preferred route of administering epinephrine?

A

Through the umbilical vein catheter

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18
Q

Delivering epinephrine through the umbilical vein catheter reliably delivers the epinephrine to the

A

Central venous system

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19
Q

What’s intraosseous?

A

a procedure that involves inserting a needle into the bone marrow to inject fluids, medication, or blood products. It’s a non-collapsible alternative to intravenous access that’s used in life-threatening situations when other methods are not possible

20
Q

What is the other acceptable way to administer epinephrine but less desirable way?

A

Intraosseous (bone marrow)

21
Q

What’s a peripheral intravenous catheter? Where does it go?

A

a thin, flexible tube that is inserted into a vein to deliver fluids, medications, and other therapies

usually inserted into a vein in the lower arm or back of the hand, but can also be placed in the foot or scalp

22
Q

Is a peripheral intravenous catheter recommended?

A

No, it should not even be attempted during a critical time.

23
Q

Where can epinephrine be administered while a umbilical vein catheter is being placed?

A

Through the ETT

24
Q

What is hard to predict when administering epinephrine through ETT?

A

The amount that reaches the bloodstream

25
Q

True/False? ETT epinephrine is the last resort option of all 3 options to administer epinephrine

A

True

26
Q

Once an IV access is available what can be administered again?

A

Epinephrine

27
Q

1:10,000 dilution of epinephrine is equal to ___mg/ml

A

O.1

28
Q

The IV / IO dose of epinephrine is _____ ml/kg

A

0.1 to 0.3 (1:10,000 = .01 - .03 mg/kg)

29
Q

The dose of epinephrine when administered through ETT is higher than the IV IO dose @

A

.5 - 1 mL /kg

30
Q

Epinephrine should be given quickly follow by a flush of _____ mL normal saline

A

0.5 - 1

31
Q

How long does it take for IV IO epinephrine to take effect?

A

1 min

32
Q

What’s the next step after administering epinephrine?

A

Continue chest compressions for 60 sec then check heart rate

33
Q

After giving epinephrine and chest compressions for 60 sec, the heart rate is below 60 bpm, what the next step?

A

Continue chest compressions and ventilations

34
Q

When should you start at the lower end of epinephrine dose rage?

A

For the initial dose, you can increase it with each dose a little

35
Q

Since it’s unknown how much epinephrine gets into the blood stream through ETT administration and it seems ineffective can you administer more epinephrine to an available IV IO line, even if it hasn’t been a full 3 min?

A

Yes

36
Q

What is a volume expander?

A

Crystalloid solutions (normal saline) or packed red blood cells

37
Q

What is not a standard neonatal resuscitation pathway? (But something that can be used under certain circumstances )

A

Volume expanders

38
Q

When is a volume expander indicated?

A

If effective PPV, chest compressions, and Iv IO epinephrine fail and neonate has signs of shock

39
Q

What are the 7 indications for volume expanders?

A

Fetal maternal hemorrhage
Fetal trama
Placental laceration
Tight nuchal cord
Umbilical cord hemorrhage
Umbilical cord prolapse
Vasa previa hemorrhage

40
Q

What is the fluid of choice for treating hypovolemia?

A

Normal saline

41
Q

Define hypovolemia

A

A condition in which the liquid portion of the blood (plasma) is too low.

42
Q

What fluid is used to treat severe anemia?

A

Packed red blood cells

43
Q

What’s the initial dose of volume expander?

A

10 mL/kg

44
Q

If the first dose of volume expander is ineffective can you give another full dose?

A

Yes

45
Q

How long should it take to administer volume expanders?

A

5-10 min

46
Q

What happens if you rapidly give a volume expander?

A

Can lead to intracranial hemorrhage

Nrp (8 decks)

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