Neonatal resus Flashcards
What are the 5 components of the Apgar score
- Heart rate
- Resp. effort
- Presents of peripheral or central cyanosis
- Muscle tone
- Response to stimulus
How does the scoring system work for the Apgar system
2: Normal
1: Mildly abnormal
0: Severely abnormal
What are 6 possible causes of a reduced Apgar score
- Fetal distress
- Maternal analgesia
- Preterm infant
- Difficult or traumatic delivery
- Exessive suction
- resp. distress
What are the ABCD of resus if and infant fails to breath
A: Airway
B: Breathing
C: Circulation
D: Drugs e.g. Naloxone and adrenaline
What are 2 possible complications of suctioning a patient
- Strong suction can cause aponia
- Bradycardia could be caused by overstimulation of the vagal nerve
What are the 3 main indications for the ventilation of an infant
- The infant is not breathing at all
- There are signs of central cyanosis
- The HR is lower than 100beats per min
When are chest compressions on an infant needed
When the HR is below 60
What is the naloxone dose that is given to an infant
0.1mg/kg Given IM
What are the 3 criteria to stop results on an infant
- The infant has a severe congenital abnormality e.g anencephaly
- After 20 mins of not breathing
- After 10 mins with no signs of life
What does meconium-stained liquor mean
It means that there is intrauterine fetal hypoxia
What is the issue with meconium aspiration
The meconium contains fetal pancreatic enzymes that can severely damage the lungs
How does fetal hypoxia cause brain injury
- Hypoxic ischemic events
- Intraventricular haemorrage
What are the 5 things that can be done to manage neonatal encephalopathy
- Supportive care to decrease the chances of hypoglycemia
- Prevention of hyperthermia which causes increased metabolic demands
- Fluid restriction
- Fit is controlled with phenobarbitone
- Vital motoring
