What are the 2 primary methods of confirming ETT placement within the trachea? - ANSWER-demonstration of exhaled CO2 and a rapidly rising heart rate
What steps are done by the person assisting the intubation? - ANSWER-check tip-to-lip insertion depth
check that stylet does not protrude beyond e...
What are the 2 primary methods of confirming ETT placement within the trachea? - ANSWER-
demonstration of exhaled CO2 and a rapidly rising heart rate
What steps are done by the person assisting the intubation? - ANSWER-check tip-to-lip insertion
depth
check that stylet does not protrude beyond end of ETT
listen for increasing heart rate and observe CO2 color change
attach leads and begin cardiac monitoring if not already done
What is the DOPE mnemonic? - ANSWER-D-displaced tube
O- obstructed tube
P-pneumothorax
E-equipment failure
When are chest compressions indicated? - ANSWER-When the heart rate remains less than 60 beats
per minute after 30 seconds of positive-pressure ventilation that moves the chest, preferably through
an alternative airway (ETT or LMA)
What is the depth of chest compressions? - ANSWER-1/3 of the anterior-posterior diameter of chest
What is the preferred way to assess the heart rate when chest compressions are required? -
ANSWER-cardiac monitor
reassess every 60 seconds
for delivery room resuscitation, how do you give epinephrine? - ANSWER-umbilical vein
dosage: 0.1 mg/mL or 1 mg/10mL
Volume of saline flush after epinephrine? - ANSWER-3 mL
, when is administration of volume expander indicated? - ANSWER-baby is not responding to steps of
resuscitation and there are signs of shock or a history of acute blood loss
what is the dose for the volume expander? - ANSWER-10 mL/kg
how far should the catheter be inserted into the umbilical vein? - ANSWER-2-4 cm, until you get free
flow of blood when the syringe is gently aspirated
what is a reasonable time frame after birth for considering cessation of resuscitation efforts when
absence of heart rate is confirmed after all appropriate interventions? - ANSWER-20 minutes
why do preterm babies have a higher risk of complication than term babies? - ANSWER-limited
metabolic reserves contribute to the risk of hypoglycemia after birth
what steps are important for maintaining thermoregulation for all pre term babies? - ANSWER-
preheat warmer well before birth
place a hat on baby's head
maintain axillary temp between 36.5 and 37.5 C
set temp in room from 23-25 C
ETT sizes for pre term babies - ANSWER-> 28 weeks: 2.5 mm
Transillumination for pneumo - ANSWER-light on the side of the pneumo will glow brighter than the
opposite side
what interventions may alleviate respiratory distress of a baby with robin sequence? - ANSWER-
position baby prone
insert small ETT into nose, advance into pharynx
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