Neonatal Resuscitation Flashcards
What is Routine Care?
- Warmth
- Ensure open airway (suction
only as necessary) - Dry
- Ongoing Evaluation
If the Baby:
- Is @ Term
- Is Breathing/Crying
- Has Good Tone
Provide Routine Care:
- Warmth
- Ensure open airway (suction
only as necessary)
- Dry
- Ongoing Evaluation
IF NOT:
- Warm
- Dry
- Stimulate
- Position airway
- Suction if needed
If the Baby:
- HR <100 bpm
- Gasping or apnea
- Provide PPV w/ Room Air
- Cardiac Monitor & Pulse Ox
- If no improvement after 90 seconds, begin augmenting O2 delivery at 3L, increasing every 30 seconds
until HR > 100 bpm - Assess for Labored Breathing/Cyanosis
Baby has Labored Breathing/Cyanosis..
- Clear airway/suction as necessary
- Cardiac monitor & Pulse Ox
- Provide supplemental O2 with PPV (starting @ 3L then Titrate)
- Monitor & continue supportive care
- Transport to Banner Main or TMC &
notify receiving facility
IF NOT:
- Provide Routine Care
Baby’s HR <60..
- Ensure effective PPV (10bpm) w/ supplemental O2 (Increasing up to 15L)
- If no improvement after 30 seconds, initiate chest compressions (100-120)
If HR stays <60 after 30 seconds of PPV w/ O2, then after 60 seconds of Compressions:
- IV/IO Access & 0.01mg/kg Epi (x1)
- Rhythm & pulse check every 2 minutes
If Ongoing Resuscitation or HX of Maternal Diabetes..
Perform Heel Stick Glucose Check
TX:
1mL/kg of D10
ROSC Obtained
- 10mg/kg Fluid
- Transport to Banner Main or TMC &
notify receiving facility
If Baby looks ill or is unable to feed..
Perform Heel Stick Glucose Check
TX:
1mL/kg of D10
1min Targeted right upper
extremity SpO2 after birth
60-70%
2min Targeted right upper
extremity SpO2 after birth
65-85%
3min Targeted right upper
extremity SpO2 after birth
70-90%
4min Targeted right upper
extremity SpO2 after birth
75-90%
5min Targeted right upper
extremity SpO2 after birth
80-90%
10min Targeted right upper
extremity SpO2 after birth
85-90%
