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20 Cards in this Set
- Front
- Back
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What temperature should the radiant warmer be kept at
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76-78 degrees
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When clearing the airway each pass should last
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no more than 5 seconds
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In absence of meconium or blood, limit mechanical sx w/catheter to what depth
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5 cm from lips for 5 seconds
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what is the preferred negative pressure vacuum range for neonate
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-60 to -80 mmHg
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when is tracheal sx indicated for an infant after birth
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infants w/no or poor resp. effort, heart rate < 100 bpm, and have poor muscle tone
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What are the indications for ventilation
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apnea or gasping after stimulation
heart rate < 100 bpm |
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What is the recommended ventilation rate for the neonate
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40-60 bpm
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What is the initial inflation pressure for an unresponsive term infant?
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20-40 cmH2O
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What is the initial inflation pressure for preterm infants
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20-25 cmH2O
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Failure to move the chest with PPV may indicate:
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poorly positioned/leaking mask
obstructed airway inadequate inspiratory P presence of pneumothorax other resp. compromise |
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When is endotracheal intubation indicated
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BVM is ineffective
tracheal sx required chest compressions required prolonged PPV anticipated ETT administration of med |
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What is the compression to ventilation ratio in neonates
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3:1 or 90 compressions to 30 ventilations
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What are the indications for epinephrine
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asystole
HR of 60 bpm or less after 30 seconds of ventilation & chest compressions or 1 cycle |
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What is the dosage for epinephrine in the neonate
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0.01 to 0.03 mg/kg body wt.
or 0.1 to 0.3 mL/kg of a 1:10,000 solution |
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What are the indications for volume expanders?
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suspected acute blood loss
neonate responds poorly to resuscitation appears to be in shock |
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What volume expanders are used in neonates
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10 mL/kg of normal saline, lactaed Ringers solution or O-negative blood cross matched w/mothers blood
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what are the 3 primary goals of pulmonary examination of the neonate
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1. localize disease if present
2. observe adequacy of gas exchange 3. determine nature of respirations |
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When cyanosis persists despite administration of oxygen the likely diagnosis is...........
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a right to left shunting of blood
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What can cause a failure to thrive
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chronic respiratory or heart disease
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Define failure to thrive
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despite proper nutrient and care the child is underdeveloped
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