week #6 neonatal resus Flashcards
80% of underweight births need resus ( t/f)
true
what are some antepartum factors that can cause need for neonatal resus?
prenatal care, multiple gestations, mom age ( <16/>35), Hx of prenatal morbidity, drugs/meds, HTN/diabetes etc.
what are some intrapartum factors that can cause need for resus?
prolapsed cord, meconium pressence, onset of labour
What dose antepartum mean?
before labour induction
what does intrapartum factors mean?
onset of labour–> placental delivery
what should be done prior to delivery?
optimize mother O2
what should be done before warm, dry , stimulate?
clean off meconium, suction mouth first then nose id meconium present in a/w.
how should a neonates a/w be positioned?
with towel rolled under their shoulders w head hanging a little bit. to align their trachea
what does PPV do for neonates during resus?
expands the lungs, in creases PaO2 in the arterioles and moves fluid from the lungs to the vasculature supporting adequate cardiac output.
primary apnea and what is done for it?
tachypnea that is followed by a pause in breathing.
warm, dry, & stimulate for baby to start breathing again
secondary apnea and what is done for it?
after primary apnea baby gasps and stops breathing again. PPV baby will no breath on own even with stimulating
what are the s/s indicating for infant PPV?
Hr<100bpm, apnea or gasping, persistent central cyanosis, flaccid, resp distress
size of infant bvm? and how much vol do neonates need?
200-700ml. 15-25ml.
new born resuscitation indications
new born pt
conditions for newborn resus
PPV
age<24hrs
hr<100bpm
CPR
age <24hrs
Hr<60bpm
Other: 30 sec of ppv using Ra
contraindications:
ppv & CPR
- obviously dead or gestation<20 weeks
if your newborn pt has a rr and hr<100bpm what do you do?
30 sec of PPV ra
