Newborn resus CPG

Question 1

what is key to newborn resus?

Answer 1

effective ventilations

Question 2

how long should it take to initiate ventilations on the newborn?

Answer 2

within the first 60 seconds once it has been established that they are not breathing/responding to vigorous stimulaiton

Question 3

what sould inital ventilations include?

Answer 3

without supplimental oxygen and at a rate of 40-60 persecond

Question 4

if avaliable and apprpriate what pressure PEEP should be applied?

Answer 4

5cmH2O

Question 5

if the HR remains between 60-100 after 30 seconds ventaliations on room air what should be done?

Answer 5

5l o2 and ensure adequate seal/rise and fall and increase ventilation pressures

Question 6

should oxygen remain on after HR is 100bpm?

Answer 6

no wean off to avoid hhyperoxemia

Question 7

if HR is <60 after 30 seconds of effective ventilations what needs to be done?

Answer 7

CPR with 5l o2 connected to BM

Question 8

how many weeks would intidacte witholding resusu efforts? what else must we do?

Answer 8

less than 23 weeks as no possibility of sucessful resucitation- consu;lt PIPER

Question 9

when must an infant even if deceased be registered with a hopsital?

Answer 9

if gestation 20 weeks or above, 400g or above birth weight or showing signs of life regaardless of gestation

Question 10

how is the head/neck aligned in a nutruarl position?

Answer 10

towel or blanket placed under the shoulders

Question 11

why should the mouth be suctioned before the nose?

Answer 11

cause the newborn is anasal breather and suctioning of the nose may trigger a gsp and the inhilation of pharyngeal fluid if the n is cleared first

Question 12

where is the suction catherter measured from for the newborn?

Answer 12

from traugus to corner of mouth- no deeper than the oropharyn

Question 13

how loing should we suction for?

Answer 13

breif- 5-6 seconds and on the way oput

Question 14

how is HR normally measured in the newborn?

Answer 14

asultation of the chest - ECG dots placed in order to guide resus efforts

Question 15

what is the CPR ratio for a newborn?

Answer 15

3:1 compression to ventilation ratios

Question 16

if there is a songle responder what should be done for the resus?

Answer 16

ventilations as perfroming CPR and ventilations unlikley tpo be effective as single responder

Question 17

if after drying the baby/placing on mothers chest it is aponic and has poor tone what should be done?

Answer 17

stimulate by drying for no more than 30 seconts - maintain wamth- place supine with head in nutral position- suction only if airway obstructerd

Question 18

what is done after positioning the baby?

Answer 18

assess breathing and HR

Question 19

if the HR is <100 or the baby is aponic/gasping what should be done?

Answer 19

BVM rate 40-60 per minutes- SPO2 right hand- place ecg dots and reasses after 30 seconds

Question 20

what is done after 30 seoncds of ventilations if the HR is <60?

Answer 20

connect oxygen at 5L per minutes and start compressions 3:1 ratio

Question 21

what is done after 30 seconds effective ventialtions if HR is 60-100?

Answer 21

ensure adequate seal and add 5l oxygen ventialtie at 40-60 per minute
reasses after 30 seconds

Question 22

what to do if after 30 seconds effective ventialtions HR >100

Answer 22

if breathing laboured contuinue venitlations- tirtate 02 1-5 l to SPO2 targets

breathing normall: maintain warmth- titrate 1-32l nasal cannulas to target SPO2