What is the single most important and effective step in neonatal resuscitation? - ANSWER-Ventilation of the newborn's lungs
Abnormal Transition Findings - ANSWER--Irregular Breathing, absent breathing, or rapid breathing
-Slow or fast heart rate
-Decreased Muscle Tone
-Pale Skin or Blue Skin
...
NRP algorithm- First Step - ANSWER-Antenatal Counselling
Team Debriefing
Equipment Check
After the birth of the baby, what do you ask? - ANSWER-1. Term Gestation?
2. Good Tone?
3. Breathing or crying?
Apnea or gasping? HR <100bpm= NO with laboured breathing/cyanosis - ANSWER-Position airway,
suction if needed
Pulse oximeter
Oxygen if needed
Consider CPAP
Apnea or gasping? HR <100bpm= YES - ANSWER-PPV
Pulse Oximeter
Consider Cardiac Monitor
, HR STILL less than 100bpm= YES - ANSWER-Ensure adequate ventilation
Consider ETT or laryngeal mask
Cardiac Monitor
HR <60 bpm? - ANSWER-ETT or laryngeal mask
Chest compressions
Coordinate PPV-100% oxygen
UVC
FIVE INITIAL STEPS:
If you answer NO to any of the three questions (term, tone, breathing) what do you do? - ANSWER-
Warm
Dry
Stimulate
Position airway
Suction if needed
HR STILL <60 bpm? - ANSWER-IV Epinephrine every 3-5 minutes
If still less than 60, consider hypovolemia or pneumothorax
Equipment Check- Clear the airway - ANSWER--Bulb Syringe
-10F or 12F Suction catheter attached to wall suction set at 80-100mm Hg
-Tracheal Aspirator
Equipment Check- Auscultate - ANSWER--Stethoscope
Equipment Check- Oxygenate - ANSWER--Equipment to give free-flow oxygen
-Target Oxygen Saturation Table
-Pulse Oximeter with sensor and sensor cover
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