Neonatal Emergencies Flashcards Preview

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Flashcards in Neonatal Emergencies Deck (22):
1

Initial stabilization of newborn

Warming- towels clean and wrap
Position- sniffing, towel roll
Suction- nose mouth
Stimulation- drying off, slapping g soles of feet, rubbing back gently or trunk

2

Prefers baby

Born less than 37 weeks

3

Suction

5-10FR
Suction mouth and then nose when born
Set suction on 100mmHg

4

Position

When born, hold held slightly lower than body to facilitate drainage of mucus and secretions

5

APGAR

1min and 5min After birth.

6

Algorithm for Resuscitation

Suctioning, drying, stimulating, and positing for 30 seconds after birth.
30sec-60sec: HR<100 or apneuistic? Ventilate and Spo2
60sec-90sec: HR<100
Ensure correct ventilation and consider pneumothorax
90sec: HR<60?
CPR 3:1
Epinephrine

7

Acrocyanosis

Blue feet and hands but pink trunk, normal

8

BVM with neonate

Start with room air and then add oxygen if needed

9

CPR

HR<60
3:1 ratio
Wait 60 seconds to check rhythm

10

Free-Flow Oxygen

5L/min NRB of blow by if PPV is not indicated

11

Oral Airway

Usually not needed but can be placed and provide proper airway for patient due to birth abnormalities
As with small children, use tounge blade to depress tounge and insert OPA as is

12

Ventilate

Count "breath, two three, breath, two three"

13

Intubation of newborn indications

Mecoomium staining presents and newborn is not vigorous
No response to BVM
Prolonged PPV
Craniofacial Defects impede PPV
Advance 6-7cm at lip
Limit attempt to 20 sec

14

Bradycardia

Epinephrine given after 30 seconds of ventilation and 30 seconds of compressions
Check rate after one minute

15

Low Blood volume

10ml/kg

16

Narcan

.1mg/kg

17

Hypoglycemia

<40mg/dl administer D10 IV bolus of 2ml/kg

18

Pneumothorax

Second intercostal
Midclavicular
22GA attached to syringe. If fills with air, push out air from syringe and continue to withdraw air

19

Oxygen saturation

Normal to be around 60% for first minute and should come around after 10 minutes to 90%

20

Seizures

Hypoglycemia, hypoxia, hypocalcemia
Ativan administered IV or rectal

21

Fever

>100.4 F rectal
Oral and axiallry about .6-1.2 degrees lower than rectal
Give antipyretic (Tylenol) 15mg/kg rectally

22

Hypothermia

<95 F
Skin to skin contact best way to reward