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Initial vent mode for Neonates, along with PEEP and FiO2 (3 things) -
correct answer --mode: PC SIMV (Vt 4-6 cc/kg)
-PEEP: 0-4 or match previous, dont exceed 8 cmH2O
-FiO2: 30-60% or match previous
Initial vent settings for Neonates (4 things) - correct answer --PIP: 20-30
(can be as low as 18)
-RR: 20-30 bpm
-Flow: 5-6 LPM
-i-time: 0.5-0.6 sec
When changing vent settings for neonates, based on ABGs, you need to
(3 things) - correct answer --keep PO2 between 60-80 torr
-manipulate the PIP 1st, not the rate for PaCO2
-inc FiO2 in small increments (1-5% at a time)
, For neonates on a vent, once the inc in PIP ____________________,
then we can ____________________ - correct answer --impede
hemodynamics
-adjust RR
Initiate bubble CPAP when an infant is (2 things) - correct answer --not
responding appropriately to inc in FiO2
-grunting is also a good indicator
For managing infants on bubble CPAP (3 things) - correct answer --once
FiO2 raches 50-60%, initiate CPAP
-start pressure 2-5 cmH2O
-do not exceed 8cmH2O
For appropriate tx for CF patients, use (3 things) - correct answer --DNA
/ hypertonic saline
-use secretion clearance and mobilization techniques