Neonatal Life Support (NLS) Flashcards
Whos this for
infants under 12 months
NLS before birth
Check and hear the resuscitaire and have at least 2 towlels available
What to do as soon as baby is born?
Dry and stimulate (unless < 28 wks)
Place under radiant heat
Assess colour, tone, breathing and HR
Place head in a neutral position
What if the baby is not breathing?
Give 5 inflation breaths and reassess
Start bag and mask ventilation using room air
What if no chest wall movement?
Recheck head position Try airway manoevres Consider airway adjuncts Repeat 5 inflation breaths Check response - increasing HR, visible movement of chest
When to start chest compressions and how they are done?
Absent or HR <60bpm
3 chest compressions to 1 breath for 30 secs
What to do if HR still absent/<60 bpm?
Venous access
Adrenaline IV/IO 0.3ml
Fluids - Saline
Check glucose and Rx hypoglycaemia with dextrose
Continure ventilation and chest compressions
What if baby is meconium and unresponsive? - 2
Suck out oropharynx under direct vision and suction/wash out vocal cords