I HEART (or hate) NUMBERS!
What is the number of seconds you count the heart rate upon first check, then times by 10!
6 seconds
The neonatal nurse would notify who of a should dystocia??
The peds Dr, oncoming nurse, occurrence report.
What is the number of seconds you MUST provide good, effective PPV before advancing to chest compressions?
What are 3 main neonatal complications following a shoulder dystocia?
1. Brachial plexys injury 2. Fracture of clavicle or humerus 3. Cord compression causing hypoxia, hypovolemic shock, hypoxic ischemic encephalopathy
You give Apgars at 1 minute and 5 minutes and every 5 minutes until the apgar is at least what?
7
Things your physcial exam should include AFTER NRP resuscitation following shoulder dystocia?
Check clavicles, pain, possible xray, ROM and movement of upper extremities, vitals, blood glucose
Once advancing to chest compressions, how long do you give PPV and chest compressions before a pulse check?
60 seconds
How do you evaluate for GOOD EFFECTIVE PPV??
Auscultate breath sounds, chest rise, color/status improvement.
What is the dose of epinephrine when given via UVC?
0.2 ml/kg q 3-5 minutes
As the peds nurse if you start to see signs of a shoulder dystocia what can you do before delivery?
Call for another nurse, note time of head delivery vs. body, get additional supplies...crash cart, bags.