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NRP8th Edition Questions with verified solutions | Rated A+
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NRP8th Edition Questions with verified solutions | Rated A+
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NRP8th Edition Questions withverified solutions | Rated A+
CPAP Continuous Positive Airway Pressure
PEEP Positive End Expiratory Pressure
VR: Ventilation Rate
PIP Peak Inspiratory Pressure
IT Inspiratory Time
CPAP is a way of delivering PEEP but also maintains the set pressure throughout the respiratory
cycle, during both inspiration and expiration
PEEP gives a mixture of air and oxygen, to the lung between each breath to keep the lungs open and
stop them collapsing
PIP is the pressure delivered to the lungs each time the bag is squeezed
T-Piece resuscitator: stable lung inflation; removes fluid; prevents air spaces from collapsing during
exhalation ✔✔First HR assessment: After 15 seconds of PPV
-HR increasing:-Continue PPV and assess HR in 15 seconds.
-HR NOT increasing, Chest is moving:-Continue PPV and assess in 15 seconds .
HR NOT increasing, Chest NOT moving:- Begin MR. SOPA
, Rising HR is most important indicator of successful PPV
What physical parameter are you trying to achieve with the MR. SOPA ventilation corrective
steps? Chest movement with PPV
M (mask adjustment) lift jaw forward,2hand hold.
R (reposition airway), head neutral, slightly extended.-5 breaths and assess chest movement. If no
chest move DO
S (suction mouth and nose), bulb or suction catheter.
O (open mouth), Give 5 breath and assess chest movement. If no chest movement, DO
P (pressure increase) [Increase the pressure in 5 to 10cm H2o increments, up to 40cm h2o]
A (alternate airway).Endotracheal tube/laryngeal mask ✔✔The ENDOTRACHEAL TUBE and
the LARYNGEAL MASK are the alternative airways used for newborn resuscitation.
*size 1 laryngeal mask indicated for 1500-2000g. some require inflation, some tubes are straight/pre-
curved; Inserted into mouth and advance into throat until it makes a seal over the entrance
trachea(the glottis) is a better seal than facemask
Positive-pressure ventilation: orogastric tube
When placing an orogastric tube(leave it uncapped to act as a vent for the stomach, due to gas entering
the esophagus and stomach), measure the insertion depth while PPV or CPAP is in progress by
measuring from the bridge of the nose to the earlobe and from the earlobe to? A point halfway between
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