Neonatal Resuscitation

Question 1

why would you give chest compressions?

Answer 1

If neonatal circulation is sufficiently compromised or if proper ventilation is established but bradycardia persists (<60 bpm)

Question 2

what is the ratio for compressions to ventilations?

Answer 2

3:1 or 90 compressions to 30bpm

Question 3

how can you give Epinephrine to neonates?

Answer 3

umbilical venous catheter (preferred) or endotracheal tube

Question 4

Steps in assisting in circulation

Answer 4

Chest compressions (with two thumbs)»> EP (umbilical venous catheter> endotracheal tube)&raquo_space;> Isotonic saline&raquo_space;> blood (O-, placental or mothers)

Question 5

Why are preterm infants more at risk for hypothermia?

Answer 5

larger surface area to body weight ratio, loss of brown fat, and immature skin that loses more heat

Question 6

How do you treat apnea or the neonate?

Answer 6

stimulation quickly followed by ventilation

Question 7

What elements does the APGAR score consist of?

Answer 7

Respirations 
heart rate (over 100 bpm)
color
tone
reflex irritability

Question 8

meconium aspiration syndrome management

Answer 8

endotracheal intubation and tracheal suctioning if respiratory distress is noted

Question 9

What are the two most common reasons for inadequate ventilation?

Answer 9

blocked airway or insufficient inspiratory pressure

Question 10

What are the complications are intubation?

Answer 10

may cause vagal nerve stimulation–> bradycardia, have to pause assisted ventilation–> bradycardia and hypoxia, and intubation may cause an increase in BP and intracranial pressure

Question 11

Do you use 100% oxygen or room air oxygen (21%) for newborns?

Answer 11

room air