NPS Normal vital signs Flashcards
Initial PIP:
20-30
Initial Resp rate:
For low birth weight:
20-30
Add 10
Initial I Time:
Infants: 0.25-0.5
Children: 0.5-0.7
Initial FiO2:
30-60%
(Start at 30 and work your way up)
Go above 60% only in emergencies.
Initial Flow:
5-10 L/min
Initial PEEP:
3-5. Cannot exceed 8.
Has greatest effect on Paw
Initial PAW:
15 or lower
How do you calculate TV?
6-8 mL/kg
4-8 mL/kg for infants
6-10 mL/kg for children
Initial Pressure Control
10-15 cm H2O with 5 of PEEP
Normal fetal heart rate:
100-160
Normal resp rate for a term infant:
30-60
Normal BP for a term neonate:
60/40 (Half of adult BP)
Normal resp rate for a 4-5 year old
22-34 (Faster if younger, slower if older
How do you calculate lowest acceptable bp?
Up to 1 year: 70 systolic
1-10 years: 70 + (age x 2)
10 years or more: 90
HFOV initial settings: Pmean
6 mL/kg +5 cm H2O.
HFOV initial settings: FiO2
1.0
HFOV initial settings: Frequency
5-6 Hertz
HFOV initial settings: Power or amplitude or Delta P:
40, adjust for good chest wiggle.
HFOV initial settings: Insp time
33%
HFOV initial settings: Bias flow
Greater than 25 LPM. Increase if needed.
In HFOV, if pt is hypercapnic, first ___. Then ___. Then ___.
Increase power/amplitude/delta P.
Decrease frequency
Increase I time
In HFOV, if pt is hypocapnic, first ___. Then ___.
Increase frequency
Decrease power/amplitude/delta P.
HFOV Indications
FiO2 greater than 0.6 required.
Pmean greater than 24.
Fistula, PIE, or barotrauma
A target PaO2 in a newborn:
50-70 torr
A target PaO2 in an infant:
85-100 torr
A target PaO2 in a child:
80-100 torr
