Code Blue Considerations
Intubation medication kits are found here.
What is the Butterfly Pod medication refrigerator?
A 4.5kg patient with a blood glucose of 22 will receive this volume of a D10 bolus.
What is 9mL?
Humidity within the premature patient's isolette prevents this.
What is insensible water loss?
When accidentally dislodged, this airway can be replaced by the bedside nurse.
What is the (established) tracheostomy tube?
BONUS: LMA
This defect is diagnosed when X-ray reveals an NG tube coiled in the esophagus of a patient with excessive oral secretions and difficulty feeding.
What is esophageal atresia?
These are the nurses who respond to a NICU Code Blue.
Who is the bedside nurse, charge nurse, the Recorder and the Med RNs 1 & 2.
This drug, originally approved for erectile dysfunction, is now a first-line medication for neonates with pulmonary hypertension.
What is sildenafil?
This admission measurement is not reassessed until DOL 4 for the patient on Small Baby Protocol.
What is weight?
BONUS: Kangaroo Care after 72 hours
This bubbly pneumonic indicates the steps for achieving effective PPV with a neonate.
What is MR. SOPA?
This congenital defect involves herniation of the intestines outside the abdominal wall in a membranous sac.
What is omphalocele?
Per NRP, this is the compression to ventilation ratio in two-person infant CPR.
What is 3:1?
During intubation, the bedside RN slow pushes fentanyl to prevent this severe adverse drug reaction.
What is chest wall rigidity?
A UVC passes through these two fetal adaptive features.
What are the umbilical vein and ductus venosus?
This is the reason that biphasic positive airway pressure (BiPAP) has a set rate.
What is . . . the rate indicates how often the higher pressure (PEEP) is initiated to encourage continued recruitment of the alveoli?
It is NOT giving a breath!
The nurse should be concerned when there is continuous bubbling in the chest tube atrium when it is set up to this setting.
What is water seal?
This is the role of the bedside nurse during a Code Blue.
What is . . . to stay with the patient and delegate tasks to allow for continued assessment at the bedside?
A patient with a known ductal-dependent congenital heart defect is started on a Prostaglandin E1 ("PGEs") drip to maintain this.
What is a patent ductus arteriosus (PDA)?
Surfactant performs this function within the alveoli.
What is reducing surface tension and preventing collapse at end of expiration?
Inhaled nitric oxide (iNO) is utilized in patients with persistent pulmonary hypertension of the newborn (PPHN) because of this action.
What is selective pulmonary vasodilation?
These congenital defects are seen in VACTERL association.
What are Vertebral anomalies, Anal atresia, Cardiac anomalies, TEF/EA, Renal anomalies, Limb anomalies?
If a patient does not have IV access, this alternative route may be used for emergency medication administration.
What is via the endotracheal tube? (epinephrine only)
BONUS: intraosseous (IO)
The dose at which dopamine affects systemic blood pressure in the neonate
What is 5-20mcg/kg/min?
The acronym Small Baby STEPS describes these 5 areas of focus in intraventricular hemorrhage prevention.
What is Stress, Temperature, Environment, Position and Skin?
The NeoPuff settings for an intubated patient with the following settings: R 40 PEEP 7 PS 10 TV 6mL/kg FiO2 30%; average PIP 25
What is 27/7, FiO2 40%?
PIP = average vent PIP +2, PEEP = vent PEEP, FiO2 = vent FiO2 + 10%
The nurse may recognize pain in the paralyzed post-operative patient by assessing this.
What is heart rate?