NRP Flashcards
Initial O2 concentration PPV over 35 weeks
21%
Initial O2 concentration PPV under 35 weeks
21% -30%
Every birth should be attended by at least _____ NRP provider
One
If risk factors are present then at least ___ qualified individuals should be present at birth with a full team immediately available
2
If meconium is only risk factor then ___ qualified individuals should be present at birth
2
If meconium and other risk factors are present then ___ should be present at birth
A full team
The single most effective and important step of resuscitation
Ventilation of lungs
The 4 pre birth questions
Gestational age?
Amniotic fluid?
Risk factors?
Umbilical cord management?
How long to delay cord clamping
30-60 seconds
If the answer to any of these 3 questions is no, the baby should be moved to the radiant warmer
Term? Tone? Breathing?
Suction the ____ first and then the ____
Mouth, nose
The baby should be dried if over ___ weeks
32
If baby’s HR is under ___ after ___ after birth then PPV should be started
100, 60
Recommended LMA size
Size 1
An LMA is not recommended in babies under ___ grams
2000
Most important indicator of successful PPV
Rising HR
___ seconds of PPV should be attempted before beginning compressions
30
Cadence for delivering breaths and compressions
Breath - 2 - 3
___ should be used when the baby’s heart rate is above 100 but saturation is below targets
Free flow o2
Begin with ___% free flow O2 if needed
30%
Free flow O2 can be administered 4 different ways
T piece
Anesthesia bag
Tail piece of ambu bag
O2 tubing
Initial pip for PPV
20 - 25 cmH2O
Initial peep for PPV
5 cmH2O
PPV initial O2 concentration
21% room air
When giving PPV heart rate should be assessed every ___ seconds
15 seconds
After 30 seconds of PPV and 60 seconds of compressions, ___ may be administered
Epinephrine
Proper concentration of epinephrine
0.1mg/mL // 1mg/10mL
Initial dose for IV/IO epinephrine
0.02 mg/kg or 0.2 mL/kg
Subsequent recommended dose of epinephrine
0.01 - 0.03 mg/kg or 0.1 - 0.3 mL/kg
Recommended volume expanders
NS or PRBC for anemia
If cross matched blood is not available then type ___ should be administered
O negative
Volume expanders should be bolused over ___ minutes
5 - 10
Dose for volume expander bolus
10 mL/kg
Rapid boluses over 10 mL/kg in patients under 32 weeks can cause
Intracranial hemorrhage
The umbilical vein is usually located at the ___ o’clock position
12
The UVC should be inserted ___ - ___ cm until free flow of blood occurs
3 - 4
Sequence of actions when preparing to insert an UVC
Clean, tie, cut
The MR SOPA pneumonic for PPV troubleshooting stands for
Mask adjustment
Reposition airway
Suction mouth nose
Open mouth
Pressure increase
Airway alternative
Suction should be set to ___ - ___ in order to utilize the meconium aspirator
80 - 100
Abnormalities found in patients with Robin Sequence
Small jaw, tongue pushed against posterior pharynx, may also have a cleft palate
