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29 Cards in this Set
- Front
- Back
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Elements of history in immediate newborn care
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review maternal O hx, review family hx, review labor hx--gestational diabetes, other deliveries, etc.
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Timeframe for APGAR score
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1 and 5 minutes
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Steps of neonatal resuscitation
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position, suction, dry, warm, and stimulate; oxygen; effective ventilation w/ bag valve mask or ET intubation; chest compressions; meds (memorize algorithm)
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The majority of kids only need this intervention 9routine care)
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Provide warmth, clear airway, and dry
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Neonatal resuscitation is done in how many second intervals?
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30 second intervals
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What are the elements of meconium aspiration syndrome (MAS)?
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respiratory distress, pneumonintis, and pneumothorax
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What percentage of deliveries is meconium present in? What percentage of those develop MAS?
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10%; 15%---> so if you did nothing on delivery, there would be a 1.5% of babies developing MAS
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What is the first oxygen delivery method you use in neonatal resuscitation?
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100% blow by air (just placed close to head)
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Why do we suction the baby's airway prior to the first breath?
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to prevent Meconium Aspiration Syndrome
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At the point at which a child has received O2, is breathing, has good color, and a HR over 100, what is the next step?
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supportive care- warmth, keeping airway clear, and rying baby
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At the point at which a child has received O2, but the HR is still below 100 or the baby is apneic, what do you do?
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provide positive pressure ventilation
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After positive pressure ventilation, if the baby's HR is less than 60, what do you do?
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chest compressions
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After positive pressure ventilation, if the baby's HR is between 60 and 100, what do you do?
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continue Positive Pressure Ventilation until HR is over 100 and then monitor
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If you have done chest compressions for over a minute with no improvement, what drug can be admnistered to a neonate?
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epinephrine
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How much care has been provided (duration) by the time epinephrine would be given?
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about 2 1/2 minutes
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When is endotracheal intubation considered in neonatal resuscitation?
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it can be considered at several steps (however, on the test, choose the next step, not the coverall answer).
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Why do we suction the baby's airway prior to the first breath?
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clear of meconium?, breathing or crying?, good muscle tone?, color pink? , and term gestation?
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Why must care be taken to prevent hyperextension or underextension of the neck in resuscitation?
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either will decrease air entry
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How is "blow by" oxygen administered?
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10 LPM, less than 1/2 from face
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How is bag valve mask oxygen administered to neonate?
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in the sniffing position, rate of 40-60 BPM
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When is intubation urgent?
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when there is resistance to BVM
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What is meconium?
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baby poo
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Rate for chest compressions in neonate
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120 per minute
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Ventilation to compression ratio in necnates
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1:03
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Two techniques for chest compression
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2 fingers, 2 thumbs (preferred)
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What is the indication for IV fluid bolus in neonates?
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indicated for hypotension (10 cc/kg NS or LR)
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How is epinephrine administered in resuscitation?
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IV or ET
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What is the use of Narcan in neonatal resuscitation?
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maternal narcotic use within 4 hours
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How much NS or LR is given to a neonate?
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10 cc/kg NS or LR
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