complete solution 2024
What Jis Jthe Jsingle Jmost Jimportant Jand Jeffective Jstep Jin Jneonatal
Jresuscitation? J- JANS✓✓-Ventilation Jof Jthe Jnewborn's Jlungs
Abnormal JTransition JFindings J- JANS✓✓--Irregular JBreathing, Jabsent
Jbreathing, Jor Jrapid Jbreathing
-Slow Jor Jfast Jheart Jrate
-Decreased JMuscle JTone
-Pale JSkin Jor JBlue JSkin
-Low Joxygen Jsaturation
-Low Jblood Jpressure
NRP Jalgorithm- JFirst JStep J- JANS✓✓-Antenatal JCounselling
Team JDebriefing
Equipment JCheck
After Jthe Jbirth Jof Jthe Jbaby, Jwhat Jdo Jyou Jask? J- JANS✓✓-1. JTerm JGestation?
2. JGood JTone?
3. JBreathing Jor Jcrying?
FIVE JINITIAL JSTEPS:
If Jyou Janswer JNO Jto Jany Jof Jthe Jthree Jquestions J(term, Jtone, Jbreathing)
Jwhat Jdo Jyou Jdo? J- JANS✓✓-Warm
Dry
Stimulate
Position Jairway
Suction Jif Jneeded
Apnea Jor Jgasping? JHR J<100bpm= JNO Jwith Jlaboured Jbreathing/cyanosis J-
JANS✓✓-Position Jairway, Jsuction Jif Jneeded
Pulse Joximeter
Oxygen Jif Jneeded
Consider JCPAP
Apnea Jor Jgasping? JHR J<100bpm= JYES J- JANS✓✓-PPV
Pulse JOximeter
, Consider JCardiac JMonitor
HR JSTILL Jless Jthan J100bpm= JYES J- JANS✓✓-Ensure Jadequate Jventilation
Consider JETT Jor Jlaryngeal Jmask
Cardiac JMonitor
HR J<60 Jbpm? J- JANS✓✓-ETT Jor Jlaryngeal Jmask
Chest Jcompressions
Coordinate JPPV-100% Joxygen
UVC
HR JSTILL J<60 Jbpm? J- JANS✓✓-IV JEpinephrine Jevery J3-5 Jminutes
If Jstill Jless Jthan J60, Jconsider Jhypovolemia Jor Jpneumothorax
Rapid JEvaluation J- JANS✓✓-Determine Jif Jthe Jnewborn Jcan Jremain Jwith Jthe
Jmother Jor Jshould Jbe Jmoved Jto Jthe Jradiant Jwarmer Jfor Jfurther Jevaluation
REVIEW: JThree Jquestions Jyou Jask Jduring Jrapid Jevaluation? J- JANS✓✓-1.
JTerm?
2. JGood JMuscle JTone?
3. JBreathing/crying?
If Jthe Janswer Jis JNO Jto Jany Jof Jthese, Jbaby Jshould Jbe Jbrought Jto Jradiant
Jwarmer.
Airway J- JANS✓✓-Perform Jthe Jinitial Jsteps Jto Jestablish Jan Jopen JAirway Jand
Jsupport Jspontaneous Jrespiration
Breathing J- JANS✓✓-PPV Jis Jprovided Jto Jassist JBreathing Jfor Jbabies Jwith
Japnea Jor Jbradycardia
Circulation J- JANS✓✓-If Jsevere Jbradycardia Jpersists Jdespite Jassisted
Jventilation, JCirculation Jis Jsupported Jby Jperforming Jchest Jcompressions
Jcoordinated Jwith JPPV
Drug J- JANS✓✓-If Jsevere Jbradycardia Jpersists Jdespite Jassisted Jventilation
Jand Jcoordinated Jchest Jcompressions, Jthe JDrug JEpinephrine Jis Jadministered
Jas Jcoordinated JPPV Jand Jchest Jcompressions Jcontinue
What Jare Jthe J4 Jpre-birth Jquestions Jto Jask Jthe Jprovider Jbefore Jevery
Jdelivery? J- JANS✓✓-1. JExpected JGestational JAge
2. JIs Jthe Jamniotic Jfluid Jclear?
3. JAre Jthere Jany Jadditional JRisk JFactors?
4. JWhat Jis Jour Jumbilical Jcord Jmanagement Jplan?