Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Nrp > Lesson 5 > Flashcards

Lesson 5 Flashcards

1
Q

After the baby has been successfully resuscitated, can baby be given back to mom immediately?

A

No, they may need ongoing support from NICU if they received PPV, or supplemental oxygen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Define hypoxic ischemic encephalopathy ( HIE )

A

A type of brain injury that happens after lack of oxygen to brain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

When should babies not be allowed to become hypothermic or hypothermic ?

A

When they have HIE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What should be monitored after baby receives resuscitation? (8)

A

Blood oxygenation
Heart rate
Breathing rate
ECG
Blood pressure
Urine output
Fluid intake
Body temp

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What initial studies could be necessary after baby receives resuscitation? (6) CCCBEL

A

Electrolytes including calcium
Blood glucose ASAP
Liver function (if indicated)
Complete blood count (if indicated)
Coagulation panel (if indicated)
Chest/abdomen xray (if indicated)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What’s ROSC

A

Return of spontaneous circulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

After ROSC what signs should be reviewed on baby for the neurological system?

A

Apnea
Seizures
Poor tone
Abnormal neurological exam

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

After ROSC what signs should be reviewed on baby for the pulmonary system?

A

Tachypnea (rapid breathing)
Grunting
Retractions
Nasal flaring
Low SpO2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

After ROSC what signs should be reviewed on baby for the cardiovascular system?

A

Hypotension (low blood pressure)
Tachycardia (high heart rate 100+)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

After ROSC what signs should be reviewed on baby for the renal (filters waste, kidneys) system?

A

Decreased urine output
Ademia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

After ROSC what signs should be reviewed on baby for the gastrointestinal system?

A

Intolerant to feeding
Vomiting
Abdominal distention

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

After ROSC what signs should be reviewed on baby for the metabolic (chemical reaction in cells) system?

A

Metabolic acidosis (excess acid in body fluids)
Hypoglycemia (low blood sugar)
Electrolyte disturbances

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

After ROSC what signs should be reviewed on baby for the hemotologic (study of blood) system?

A

Pallor (deficiency of color of face)
Bruising
Petechiae (rash, round - reddish purple less than 2mm)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

If hypotension is present what should be monitored?

A

Frequent blood pressure and heart rate monitoring

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What could hypotension be associated with?

A

Tachycardia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

If hypotension is present neonates may need ____ or in severe cases and introscope such as ____, or _____

A

Normal saline, dopamine, dobutamine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Pulling hypotension is more common in neonates who are ___ weeks gestation

A

34

18
Q

What is pulmonary hypertension (blood pressure in lungs is high) treated with?

A

Supplemental oxygen
Ventilatory support
Inhaled nitric oxide
Extracorporeal membrane oxygenation (severe cases) (blood is pumped outside of the body to a heart-lung machine. The machine removes carbon dioxide and sends oxygen-rich blood back to the body.)

19
Q

What can be used to diagnosis pneumonia and pneumothorax?

A

Chest xray

20
Q

What are 3 electrolyte abnormalities

A

Hyponatremia (low sodium, body holds too much water)
Hyperkalemia (high potassium)
Hypocalcemia (low calcium)

21
Q

Electrolyte abnormalities can usually be treated with supplementation except hyperkalemia may need specialist care and could need treated with _____ or _____,______

A

IV calcium, IV insulin and glucose

22
Q

What can lead to metabolic acidosis (excess lactic acid)?

A

Extended periods of hypoxemia (low oxygen in blood)

23
Q

What can treat acidemia (blood disorder low pH)?

A

Increased ventilation if it doesn’t normalize spontaneously

24
Q

What is not used to treat metabolic acidosis?

A

Sodium bicarbonate

25
Q

Is lactic acidosis the only cause of metabolic acidosis.

A

No, it’s important to find other causes

26
Q

Is hypoglycemia relatively normal/abnormal in healthy neonates?

A

Normal

27
Q

What can further diminish liver glycogen stores in hyperglycemic neonates?

A

Resuscitation

28
Q

The definition of hypoglycemic neonates is hotly debated. So what judgement is needed

A

Clinical

29
Q

What do you give neonates post resuscitation to treat hypoglycemia?

A

Dextrose or glucose gel

30
Q

What type of glucose monitoring in neonates is notoriously inaccurate?

A

Heel prick (falsely low)

31
Q

Hypoglycemia treatments should be guided by what?

A

Lab glucose plasma when possible

32
Q

List common conditions after resuscitation (9) HPEMHGAHH

A

Hypotension
Pulmonary complications
Electrolyte abnormalities
Metabolic acidosis
Hypoglycemia
Gastrointestinal problems
Acute tubular necrosis
Hematologic abnormalities
Hypoxic ischemic encephalopathy

33
Q

What gastrointestinal problems should providers look for in a neonate after resuscitation? What are clues to the signs?

A

Gastrointestinal bleeding
Ileus
Feeding intolerance
(Parenteral nutrition may be needed)

Clues: intolerance to feeding, vomiting, abdominal distention

34
Q

What’s parenteral nutrition?

A

a medical treatment that delivers nutrients directly into a vein to provide calories, protein, vitamins, minerals, and fats

35
Q

What’s the most common kidney complication of neonatal resuscitation?

A

Acute tubular necrosis

36
Q

What does acute tubular necrosis cause? ___, &____

A

Urinary retention & electrolyte disturbances

37
Q

What in acute tubular necrosis is associated with high urine output?

A

Late phases

38
Q

In acute tubular necrosis what 2 things should be monitored closely?

A

Fluid and electrolytes and treat accordingly

39
Q

With hematologic abnormalities what test run, can reveal anemia, thrombocytopenia, or elevated white blood count (suggests an infection)?

A

A simple complete blood cell count (CBC)

40
Q

Neonates with _____ & _____ & _____ may develop Hypoxic ischemic encephalopathy.

A

Prolonged hypotension
Hypoxemia
Acidemia

41
Q

Symptoms of Hypoxic ischemic encephalopathy may include:
(But these symptoms could also be caused from opioid withdrawal or infection)

A

Apnea
Seizures (occuring later)
Poor tone
Abnormal neurologic exam

42
Q

What can help babies with Hypoxic ischemic encephalopathy (neurological issue) ? And when should treatment be implemented?

A

Therapeutic hypothermia, treatment ASAP even if it requires a transfer.

Nrp (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions