Resucitation Of The Newborn Flashcards
If the infant is Apneic or has a pulse of less than 100
Begin positive pressure ventilation via BVM after securing the airway
How do we fix heart rate in infants
By fixing hypoxia
What are the indications for a BVM
-periodic breathing
- inter coastal retractions
-nasal flaring
-grunting on expiration
What are the three types of BVMs
Self-inflating bag
Flow inflating bag
T-piece resuscitator
Timing for ventilation
40-60breaths a min
When are chest compressions indicated
Pulse less than 60 despite proper positioning, clearing the airway, drying and stimulation and 30secons of effective PPV
What is the depth for compressions
1/3 of the chest
What is the rate for compressions
90 compressions and 30 breaths per min
When do you start CPR?
After 30secs of effective PPV if the pulse is still less than 60.
Must also dry and stimulate, swear the airway and properly position the infant
Rate of CPR
90 compressions and 30 breaths /min
Epinephrine for newborns
Indicated when the infant has a pulse of less than 60 beats per min after 30 seconds of effective ventilation
Recommended concentration is 1:10,000 given IV/IO
Volume replacement for newborns
Significant intravascular volume depletion owing to conditions such as placental abruption or septic shock. Fluid bolus of 10mg/kg of normal saline IV given over 5 to 10 mins
Infant Acidosis
Sodium bicarbonate
2mcg/kg of 4.2% solution
Avoid rapid administration
What does meconium stained amniotic fluid indicate?
High mortality rate
If baby comes out flaccid do not dry or stimulate, intubate immediately and attach a meconium aspiration and suction catheter. Once suctioning is done you may dry and stimulate.
Do we give Narcan to a drug-addicted baby?
No
It could precipitate seizures, the baby has to be weened off the drugs.
