Code Blue Considerations
Rapid sequence intubation (RSI) medications are located here.
Where is under "Virtual Intubation Kit" in all pod Omnicells?
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 alternate 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 nurses respond to a NICU Code Blue.
Who are the bedside nurse, charge nurse, the Recorder and 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?
Per Small Baby Protocol, the patient should strictly remain in this position for the first week of life.
What is midline?
This bubbly mnemonic 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?
One and two and three and BREATHE!
During planned/urgent intubation, rocuronium is given following fentanyl administration to prevent this adverse effect.
What is chest wall rigidity?
A UVC passes through these two fetal adaptive features.
What are the umbilical vein and ductus venosus?
Biphasic positive airway pressure (BiPAP) has a set rate for this reason.
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!
Continuous bubbling in the chest tube atrium indicates this.
What is a leak in the system?
Per NRP, this is the standard dose for emergency IV epinephrine.
What is 0.2mL/kg?
(0.02mg/kg, 1mg/10mL)
A patient with a 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?
The nurse may recognize pain in the paralyzed post-operative patient by assessing this.
What is heart rate?
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)
Exposure to high levels of this common drug can cause irreversible damage to premature infants' lungs, eyes and other vital organs.
What is oxygen?
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%
These congenital defects are seen in VACTERL association.
What are Vertebral anomalies, Anal atresia, Cardiac anomalies, TEF/EA, Renal anomalies, Limb anomalies?