NRP Algorithm Flashcards
What are the 3 indicators for PPV?
baby is apneic, bradycardic (HR less than 100) or gasping
Key different between resus for adults vs newborns
Adults - typically need resus r/t heart failure or trauma
Newborns - respiratory failure (before or after birth)
What is the worst case scenario for baby whose lungs are not well ventilated after birth?
Prolonged lack of adequate perfusion/oxygenation can result in organ damage and death
What is the most vital step in neonatal resus?
Ventilation of the lungs – baby cannot be resuscitated without this occuring first
Perinatal risk factors
- Gestational age less than 36 weeks and more than 41 weeks
- Preeclampsia
- Maternal hypertension
- Multiple gestation
- Fetal anemia
- Poly/Oligo Hydramnios
- Fetal Hydrops
- Fetal macrosomnia
- IUGR
- Sig fetal malformations or anomalies
- No prenatal care
- Emergency c-section
- Forceps or vacuum delivery
- Breech presentation
- Category 3 or 4 FHR pattern
- Maternal General Anesthesia
- Maternal Mag admin
- Placental Abruption
- Intrapartum bleeding
- Chorioamnionitis
- Shoulder dystocia
- Opioid admin w/in 4 hours of delivery
- Mec stained amniotic fluid
- Prolapsed cord
When mec stained fluid is the only risk factor how many individuals with resus skills should be available?
At least 2 skilled providers whose only job is to attend to the baby
What if there is mec stained fluid and additional risk factors….how many qualified individuals should be present?
The full time
Delayed Cord Clamping: How long does the evidence support? why?
At least 30-60 seconds because as long as maternal blood is flowing to the placenta and the umbilical cord is not clamped, placental gas exchange will continue and oxygenated blood will continue to flow to the baby
What are some other benefits of delayed cord clamping?
In both term and preterm babies, may improve hematologic measurements and possible neuro-developmental benefit
