Neonatal Resuscitation + Flashcards
question
answer
how many newborns require assistance to begin breathing?
it is 10%
What 3 questions used to identify neonate who do not need resuscitation?
Term?
Tone?
Breathing or crying?
What are the initial steps in stabilizing neonate needing resusciation?
- warm and maintain normal temp
- clear secretions (only if copious and/or obstructing the airway)
- dry
- stimulate
- position infant in “sniffing” position
After the stabilization of neonate requiring resuscitation, what other steps maybe taken?
- ventilate and oxygenate
- initiate chest compressions
- administer epinephrine and/volume
What determines if there is need for additional steps for neonatal resuscitation?
- respirations
- heart rate (<100/min)
What is target heart rate for neonate?
> 100/min
What serious morbidities are there with hypothermia in neonates?
IVH, respiratory issues, hypoglacemia, late-onset sepsis
Possible complications of using suction immediately after birth?
deterioriating pulmonary compliance, oxygenation, and cerebral blood flow
What is the most rapid and accurate way to measure heart rate of neonate?
3 lead ECG
When are chest compressions indicated for neonate?
HR <60/min despite ventilation
How are chest compression performed on neonate?
lower third of sternum to a depth of 1/3 of the AP diameter of chest
What medication can be used for neonate needing resuscitation?
epinephrine
When is volume expansion indicated for neonate needing resusitation?
blood loss known or suspected
hr non responsive to other methods
What is a possible complication of volume expansion in neonates?
IVH (intraventricular hemorrhage)
What is guideline for discontinuing resuscitative efforts in neonates?
Apgar score of 0 at 10 minutes (determine if HR is detectable or not)
What is the most sensitive indicator of a successful response
to each step?
increase in heart rate
Suctioning immediately
after birth considered only if
if the airway appears obstructed or if PPV is required
Avoiding unnecessary suctioning helps
prevent the risk of
induced bradycardia due to suctioning of
the nasopharynx
if the infant born through meconium-stained amniotic fluid presents with poor muscle tone and inadequate breathing efforts, the initial steps of resuscitation should be completed und
under the radiant warmer
Routine intubation for tracheal suction in this setting (IS / IS NOT) suggested for meconium stained infant.
Routine intubation for tracheal suction in this setting IS NOT suggested for meconium stained infant.
What is the preferred method of neonatal chest compression?
2-thumb technique
2-finger technique
2-thumb technique; compression with 2 thumbs with the fingers encircling the chest and supporting the back
neonatal compressions to ventilation ratio
3:1, or 90 cop and 30 breaths
When is administration of epinephrine or volume, or both,
is indicated?
if the heart rate remains less
than 60/min despite adequate ventilation with 100% oxygen and chest compressions
What can be given for volume expansion?
isotonic crystalloid solution or blood
