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EMT > 116 Newborn Resuscitation > Flashcards

116 Newborn Resuscitation Flashcards

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1
Q

What are 3 things to immediately assess for a newborn baby

A

Gestation
Tone
Cry

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2
Q

What is the age for the NRP medical directive

A

Under 24 hours

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3
Q

Under what HR should we consider PPV for NRP?

A

100

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4
Q

Under what HR should we consider CPR for NRP?

A

60

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5
Q

Under what HR should we consider Epi for NRP?

A

60

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6
Q

At what point do we consider Epi for NRP?

A

After 30 seconds of PPV
After 30 seconds of CPR

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7
Q

What should we do if a baby experiences respiratory distress but not a low HR?

A

Consider O2 for respiratory distress (5-6L, blowby with cupping)

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8
Q

What are the indications of respiratory distress for neonates?

A

Nasal flaring, sternal retractions, grunting

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9
Q

At what point should CPR be considered in NRP?

A

After 30 seconds of PPV

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10
Q

What gestation would be a contraindication for resuscitation for NRP?

A

20 weeks gestation

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11
Q

What hand should the pre-ductal SPO2 be on?

A

Right

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12
Q

What is the age range for a premature baby?

A

25-37 weeks gestation

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13
Q

What is the age range for a stillborn baby?

A

20-25 weeks gestation?

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14
Q

What do we do for stillborn babies?

A

Resuscitate, transport, and consider calling BHP

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15
Q

What is the initial pre-ductal target SPO2 for the baby?

A

60-65%

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16
Q

What is the pre-ductal target SPO2 for the baby after 2 minutes?

A

65-70%

17
Q

What is the pre-ductal target SPO2 for the baby after 3 minutes?

A

70-75%

18
Q

What is the pre-ductal target SPO2 for the baby after 4 minutes?

A

75-80%

19
Q

What additional vital should be included in vitals of a pregnant person?

A

CBG

20
Q

Questions to ask to a pregnant person

A

Last period
Due date
Previous prenatal care
History of miscarriage
How long did they take last time?
Para/Gravida

21
Q

What is the pre-ductal target SPO2 for the baby after 5 minutes?

A

80-85%

22
Q

What is the pre-ductal target SPO2 for the baby after 10 minutes?

A

85-95%

23
Q

When do you add oxygen into the resuscitation for NRP?

A

When starting CPR

24
Q

What is the Epinephrine doses for IV/IO for NRP?

A

0.01mg (0.1 ml )/kg

25
Q

After 30 seconds of CPR, what should be considered for NRP?

A

Epinephrine

26
Q

What is the minimum dose of Epinephrine for NRP?

A

0.05mg (0.5 ml)

27
Q

What is the dosing interval of Epi for NRP?

A

Every 4 minutes for IV/IO

28
Q

What are symptoms of an obviously dead fetus or baby?

A

Foul smell
Blistering skin
Soft head
Fused eyes
Discoloration

29
Q

What is considered a AVERAGE APGAR score?

A

7-9

30
Q

What is considered a good APGAR score?

A

Above 7

31
Q

What is a poor APGAR score

A

Below 7

32
Q

What does APGAR stand for?

A

Appearance
Pulse
Grimace (to irritable stimuli)
Activity
Respirations?

33
Q

What is the scoring for appearance for an APGAR score?

A

0: blue
1: acrocyanosis
2: pink

34
Q

What is the scoring for pulse for an APGAR score?

A

0: under 60
1: 60-100
2: Above 100

35
Q

What is the scoring for Grimace for an APGAR score?

A

0: flaccid
1: some extremity flexion
2: Active movement

36
Q

When are we doing a baby delivery?

A

When she says baby is coming
She feels the need for a BM
Crowning
Contractions 2 minutes apart

37
Q

What is the scoring for Activity for an APGAR score?

A

0: no muscle tone
2: Some muscle tone
3: Strong movements

38
Q

What is the scoring for Respirations for an APGAR score?

A

0: No cry
1: Weak cry
2: strong cry

39
Q

What do we do if a neonate is under 20 weeks gestation?

A

Provide warmth, patch to BHP for further direction

EMT (34 decks)

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