Neonatal Resuscitation And Pediatric Emergency
Protocols - Questions With Correct Solutions
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Terms in this set (250)
<1kg 2.5 mm before 28 weeks, 1-2 kg 3.0mm 28-34
Newborn ETT sizes
weeks, 2-3kg 3.5 mm 34-38 weeks, 4.0 mm 38 weeks
Neonatal Resuscitation Effective ventilation of the baby's lungs
focus
Fetal circulation before Alveoli in fetal lungs are collapsed and filled with fluid
birth
Oxygen supply to the 02 is supplied to the fetus by the placenta
fetus
Post-birth lung condition Air in alveoli causes vessels in baby's lungs to relax
1) What is the expected gestational age? 2) Is the
Pre-birth questions amniotic fluid clear? 3) How many babies are
expected? 4) Are there any additional risk factors?
Should be delayed for at least 30-60 seconds for
Cord clamping delay
vigorous and preterm newborns
Definition of pre-term Less than 37 weeks gestation
Healthy baby Should be active with flexed extremities
characteristics
Gasping in newborns Requires intervention - impaired gas exchange
Suctioning order Suction mouth before nose if required
PPV indication If baby breathing but HR less than 100 bpm
, Cyanosis limited to hands/feet (acrocyanosis) is
Cyanosis in newborns
common and does not indicate poor oxygenation
Pulse oximeter placement Place pulse ox sensor on the right hand or wrist
1) Provide warmth 2) Position head/neck 3) Clear
Initial assessment steps
secretions if needed 4) Dry 5) Stimulate
Time for healthy baby to May take more than 10 minutes to achieve sats greater
achieve sats than 90% (85-95% by 10 mins)
Free-flow oxygen flow Flow rate of 10L/min is used
rate
PPV rate PPV at 40-60 breaths per minute
Initial PEEP Initial PEEP is 5cm H20 (3-5 cm H20)
Successful PPV indicator Rising heart rate
ETT size for babies less ETT 2.5 mm
than 1000 g
ETT blade size for No. 1
newborns
Intubation attempt No longer than 30 seconds
duration
3 compressions to 1 ventilation 'One-and-Two-and-
Chest compressions ratio
Three-and-Breath-and'
Compression area for Just below the nipple line
infants
Volume expander Not recommended if absence of shock or no hx of
recommendation acute blood loss; initial dose 10mL/kg
EPI dosage EPI 1:10,000 (0.1mg/ml) 0.1-0.3 mL/kg
EPI administration If HR remains below 60, EPI admin q 3-5 mins
frequency
Umbilical venous catheter 2-4 cm or until blood can be aspirated
insertion depth
Protocols - Questions With Correct Solutions
Save
Terms in this set (250)
<1kg 2.5 mm before 28 weeks, 1-2 kg 3.0mm 28-34
Newborn ETT sizes
weeks, 2-3kg 3.5 mm 34-38 weeks, 4.0 mm 38 weeks
Neonatal Resuscitation Effective ventilation of the baby's lungs
focus
Fetal circulation before Alveoli in fetal lungs are collapsed and filled with fluid
birth
Oxygen supply to the 02 is supplied to the fetus by the placenta
fetus
Post-birth lung condition Air in alveoli causes vessels in baby's lungs to relax
1) What is the expected gestational age? 2) Is the
Pre-birth questions amniotic fluid clear? 3) How many babies are
expected? 4) Are there any additional risk factors?
Should be delayed for at least 30-60 seconds for
Cord clamping delay
vigorous and preterm newborns
Definition of pre-term Less than 37 weeks gestation
Healthy baby Should be active with flexed extremities
characteristics
Gasping in newborns Requires intervention - impaired gas exchange
Suctioning order Suction mouth before nose if required
PPV indication If baby breathing but HR less than 100 bpm
, Cyanosis limited to hands/feet (acrocyanosis) is
Cyanosis in newborns
common and does not indicate poor oxygenation
Pulse oximeter placement Place pulse ox sensor on the right hand or wrist
1) Provide warmth 2) Position head/neck 3) Clear
Initial assessment steps
secretions if needed 4) Dry 5) Stimulate
Time for healthy baby to May take more than 10 minutes to achieve sats greater
achieve sats than 90% (85-95% by 10 mins)
Free-flow oxygen flow Flow rate of 10L/min is used
rate
PPV rate PPV at 40-60 breaths per minute
Initial PEEP Initial PEEP is 5cm H20 (3-5 cm H20)
Successful PPV indicator Rising heart rate
ETT size for babies less ETT 2.5 mm
than 1000 g
ETT blade size for No. 1
newborns
Intubation attempt No longer than 30 seconds
duration
3 compressions to 1 ventilation 'One-and-Two-and-
Chest compressions ratio
Three-and-Breath-and'
Compression area for Just below the nipple line
infants
Volume expander Not recommended if absence of shock or no hx of
recommendation acute blood loss; initial dose 10mL/kg
EPI dosage EPI 1:10,000 (0.1mg/ml) 0.1-0.3 mL/kg
EPI administration If HR remains below 60, EPI admin q 3-5 mins
frequency
Umbilical venous catheter 2-4 cm or until blood can be aspirated
insertion depth
