CPR
You have a newborn who is breathing slowly and has a HR of 64. What is the FIRST step min neonatal resuscitation?
Administer O2
Chest Compressions
Assess and assure a clear airway
Begin Bag-Valve- Mask Ventilations
Assess and assure a clear airway
Neonates will typically show what signs and symptoms when having a seizure?
eye rolling and twitching of the pts arms
excessive salivation and chewing motions
(Which would lead you to check a sugar as that is one of the main causes of seizures in newborns)
Drugs given for seizures. State dose please!
Diazepam ( Valium) 0.1-0.3 mg/kg IV/IO Max Dose 4 mg IV, IO
0.5 MG/KG rectally Max dose 10 mg
Midazolam (Versed) 0.1 -0.2 mg/kg IV/IO/IM/IN
What are the first steps in the resuscitation of a newborn
Drying, warming, and tactile stimulation
Meconium staining occurs in approximately what % of deliveries?
Less than 1%
1-5%
5-25%
25-45%
5-25%
The most common cause of cardiac arrest in a newborn is
Hypoxia
What kind of seizure type is least common in newborns
Tonic-Clonic
Indicated for brady rhythms and organophosphate poisoning . Dose for both!
Bradycardia 0.02 mg/kg IV, IO (Max 0.5 mg per dose, Max total dose 1 mg IV)
(Min 0.1 mg) per dose
May repeat in 3-5 Minutes
Organophosphates 0.05 mg/kg IV or IO otherwise as per medical control
If it's an option, a newborn should be transferred in what?
An Isolette
What kind of vomiting is the MOST dangerous if found with newly delivered infants
Any ejection of forceful type of vomiting after delivery. Its highly suggestive of ICP.
Urgent placement of a nasogastric tube would most likely be indicated with a
Premature newborn being ventilated with an endotracheal tube
What treatment would benefit a neonatal pt most who is lethargic secondary to hypoglycemia?
IV Bolus of D10
If indicated what is the correct dose for Narcan in a newborn?
(NR)
0.1 mg/kg
A neonate has just been expulsed and appears unresponsive, has a clear airway, apneic, and grey. What will you do first?
Give O2
BVM
Flick the soles of both feet
Begin CPR
Flick the soles of both feet
You have just delivered a non-asphyxiated infant. What should their temp be?
32.5 To 36.5 C
36.5 To 37 C
37.5 To 39.5 C
39.5 To 41.5 C
36.5 To 37 C
(97.7°F and 98.6°F)
While attempting to resuscitate a newborn, they show no response to the first IV bolus dose of epi. Why are they remaining lethargic and brady?
Hypothermia
The pts metabolism is slowed down when cold
Which of the following conditions will increase the likelihood that a neonate will experience hypoglycemia?
A development of a large diaphragmatic hernia
A recent history of a systemic bacterial infection
Maternal use of stimulants during pregnancy
Newborns suspected of having Downs
A recent history of a systemic bacterial infection
Indicated for pediatric tachycardia. Dose please!
Adenosine (adenocard)
0.1 mg/kg IV (Max 6 mg) push 1-3 seconds
Repeat with 0.2 mg.kg (Max 12 mg) 1-3 sec push
Repeat once if necessary
Use stopcock and normal saline flush with each dose
The latest sign of hypovolemia in a newborn would be?
Tachycardia
Diminished peripheral Pules
Oliguria
Cool, Pale skin
Oliguria (Decreased urinary output)
The most appropriate treatment for a neonate with a diaphragmatic hernia.
Endotracheal intubation
Gastric decompression
BVM
Atropine 0.02 mg/kg for bradycardia
Endotracheal Intubation
When applying suction with a meconium aspirator, the setting for the suction should always be at or less than which of the following?
30 cm/H20
50cm/H20
75 cm/H20
100 cm/H20
100 cm/H20
The proper treatment for a newborn experiencing hypoglycemia would include
(NR Dose)
0.2 g/kg of dextrose 10%
The two drugs indicated for ventricular rhythms in peds. Dose please!
Amiodarone 5 mg/kg IV push over 5 minutes .May repeat up to 15 mg/kg IV. For V Tach with a pulse, avoid with Pink tape color.
Lidocaine 1 mg/kg Max 100 MG repeat 0.5 mg/kg Max 3 mg/kg
Your 15-day-old infant pt is hypotensive due to diarrhea. What would be contraindicated?
2 separate 10cc/kg IV fluid boluses
IV administration of a vasopressor
orla intubation with an uncuffed tube
IV administration of a vasopressor
According to AHA what should the target Sp02 range be 2 minutes after birth?
60-65
65-70
70-75
75-80
65-70%