NRP
Name 3 indicators for PPV in the Neonate.
HR < 100, Apnea, weak/agonal/gasping respirations
Complications include Brachial Plexus injury, clavicle fracture, cephalohematoma and hypoglycemia
Large for Gestational Age
Bony or membranous obstruction of the back of the nose preventing airflow
Choanal Atresia
Patchy coarse infiltrates with widespread consolidations and areas of Hyperaeration
Meconium Aspiration Syndrome
High Blood pressure that effects the arteries in the lungs which allows deoxygenated blood to bypass the lungs and return to the body
Persistent Pulmonary Hypertension of the Neonate
Systemic infection that can occur, originating from bacteria entering the bloodstream
Sepsis
MR SOPA
Mask Adjustment
Reposition Head and Neck
Suction
Open mouth
Pressure Increase
Alternative Airway
<10th percentile for weight and length while >10th percentile for OFC
Asymmetrical Small for Gestational Age
Small chin and posteriorly positioned tongue that can lead to airway obstruction
Pierre Robin
Chest asymmetry with a region of lucency (dark) around the edge of the lung. May see mediastinal or tracheal shift
Pneumothorax
When a Newborn takes their first breath and the umbilical cord is occluded, the newborns Systemic Vascular Resistance _____________.
Increases
Inflammation and tissue death in the intestines, often seen in premature infants
Necrotizing Entercolitis
Consider this if a baby remains bradycardic after Epinephrine and there is suspicion of Blood Loss
NS Bolus 10ml/kg
Higher risk for Respiratory Distress, Temperature instability, Feeding difficulty, sepsis and Hyperbilirubinemia
Late Preterm
Abdominal organs herniate through an opening in the diaphragm into the chest cavity
Diaphragmatic Hernia
Diffuse fine interstitial opacities, normal lung volumes, starburst pattern.
Transient Tachpynea of the Newborn
Name 2 types of shock in the Neonate
Hypovolemic, Cardiogenic, Septic
A condition in which a blood vessel called the Ductus Arteriosus fails to close, leading to abnormal blood flow between the heart and lungs
Patent Ductus Arteriosus
Temperature Regulation Goal
36.5 to 37.5 C Axillary
Risks include Uteroplacental insufficiency, Meconium Aspiration, Oligohydramnios
Post Term
Ventricular Septal Defect, Pulmonary Stenosis, Right Ventricular Hypertrophy and Overriding Aorta
Tetralogy of Fallot
Diffuse fine granular pattern with air bronchograms, low lung volumes
Respiratory Distress Syndrome or Surfactant Deficiency
Name the 3 normal Fetal Shunts
Foramen Ovale, Ductus Venosous, Ductus Arteriosus
Bleeding that occurs in the brain's ventricles commonly seen in preterm infants due to fragile blood vessels
Intraventricular Hemorrhage
IV Epinephrine dose for 3.5kg baby
Preferred dose 0.7ml
Range 0.35 to 1.05 ml
Complications include Respiratory Distress, Hypoglycemia, Hyperinsulinism
Infant of Diabetic Mother
Respiratory Distress, Excessive oral secretions, coughing, gagging, cyanosis with feedings, inability to pass OG
TE Fistula
Abnormal lucency along the mediastinum that lifts or displaces the thymus making a Sail Sign
Pneumomediastinum
Condition caused by in utero Heart Failure resulting in Pleural Effusion, Ascites and/or Pericardial Effusion.
Bonus points for naming the 2 types.
Hydrops Fetalis.
Immune (Rh disease) and Non-Immune
A physiological state characterized by tissue hypoxia due to reduced oxygen delivery and/or increased oxygen consumption or inadequate oxygen utilization. Physical findings may include tissue hypoperfusion, hypotension and metabolic acidosis.
Neonatal Shock