Neonatal cardiac arrest

Question 1

following birth

Answer 1

look for term gestation?
good tone ?
breathing or crying?

Question 2

if yes to preveous questions then

Answer 2

baby stays with mother for warmth and care.
Warm and maintain normal temperature.
position airway and clear secretions as needed.
Dry / ongoing evaluation

Question 3

If no to previous questions then

Answer 3

warm and maintain temp
position airway and clear secretions as needed.
dry and stimulate

Question 4

Apneia or gasping? HR less than 100 bpm?

Answer 4

if yes then ppv
monitor and consider ecg

Question 5

if answer to previous question is no then ask

Answer 5

labored breathing or persistent cyanosis?

Question 6

If yes to labored breathing or persistent cyanosis then you ….

Answer 6

position and clear airway
spo2 monitor
supplementary o2 as needed
consider c pap

Question 7

hr below 100 / min then you do…

Answer 7

check chest movement
venilation corrective steps
ett tube or laryngeal mask if needed

Question 8

If heart rate below 60 then

Answer 8

intubate if not done already
chest compression’s coordinate with ppv
ecg monitor
consider UVC

Question 9

If HR consistently under 60 then consider

Answer 9

iv epi
phneumothorax
hypovelemia

Question 10

Target spo2 after birth 1 min

Answer 10

60-65%

Question 11

Target spo2 after birth 2 min

Answer 11

65-70%

Question 12

Target spo2 after birth 3 min

Answer 12

70-75%

Question 13

Target spo2 after birth 4 m

Answer 13

75-80%

Question 14

Target spo2 after birth 5 m

Answer 14

80-85%

Question 15

Target spo2 after birth 10 min

Answer 15

85-95%`

Question 16

ventilation rate when done without advanced airway

Answer 16

40 to 60 min

Question 17

compression rate

Answer 17

120 events per min 90 compression interspersed with 30 ventilation

Question 18

compression ventilation ratio

Answer 18

3 to 1 , pause compression for ventilation