Pneumonics
NRP is short for this
Neonatal Resuscitation Program
How many newborns out of 1,000 will receive chest compressions or emergency medications? (range)
1-3 per 1,000
What is the term that has replaced Positive Pressure Ventilation? (PPV)
Ventilation
When HR is < __________ begin ventilations
100
What concentration of Epi do we use?
0.1 mg/mL
CPAP
Continuous Positive Airway Pressure
4 prebirth questions
Expected gestational age
Amniotic fluid clear
Additional risk factors
Umbilical cord management plan
What is the ventilation rate?
30 - 60 breaths per minute
Endotracheal tube depth is measured to the anterior edge of the _________.
How long after administration of Epi do we wait to recheck infant's heart rate?
1 minute
ABCD evaluation for rapid assessment
Airway
Breathing
Circulation
Drug
3 questions following delivery for rapid assessment to determine if they can remain skin-to-skin with mom
Does the baby appear term
Does the baby have good muscle tone
Is the baby breathing or crying
Suggested Oxygen concentration used for:
1. >/= to 35 weeks
2. 32-34 weeks
3. <32 weeks
1. 21%
2. 21% - 30%
3. > or = 30%
When do you start chest compressions?
HR <60 despite 30 seconds of effective ventilation
1. Dose of Epi in mL for IV or IO?
2. Dose of Epi for ET
1. 0.2 ml/kg
2. 1 ml/kg
DOPE
Displaced endotracheal tube
Obstructed endotracheal tube
Pneumothorax
Equipment failure
# of Kangaroo bags on the maternity center and where are they kept
Two.
One is outside c/s suite, other is in OB med room and should be outside delivery room when pt is in labor.
True/False:
Ventilation corrective steps will be performed in the sequential corrective steps until you achieve chest movement with assisted breaths (MR SOPA)
False:
Based on your assessment of the infant and clinical situation, you may choose the steps that are most likely to be helpful and prioritize the order in which you perform them.
when you start chest compression, what do you do with the oxygen?
turn it up to 100% (blood flow to vital organs may be decreased and this may improve oxygen update and delivery)
3 ml (always, no matter the size of the infant)
MR SOPA
Mask adjustment
Reposition the head and neck
Suction the mouth and nose
Open the mouth
Pressure increase
Alternative airway
If O2 or air tanks on the warmer are close to empty or empty, where are new tanks located?
If we change empty tanks, where do they go?
A full O2/oxygen tank is in the equipment nook in the nursery.
Take the empty tanks to the "dock" (across from ER) and get full O2/air tanks from locked storage room and return to equipment nook in nursery
What is the suggested initial PIP range based on gestational age?
1. > or = to 32 weeks
2. <32 weeks
1. 25 - 30 cm H2O
2. 20 - 25 cm H20
After starting chest compressions, when do you recheck a heart rate?
60 seconds
Normal saline of type O RH negative blood (trauma blood). 10 ml/kg given over 5-10 minutes