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9 Cards in this Set
- Front
- Back
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APGAR |
Appearance (color): 2=normal, 1=acrocyanosis, 0=diffuse/central cyanosis Pulse: 2=over 100, 1=under 100, 0=absent Grimace (or crying response/irritability): 2=responds strongly to stimulus, strong cry, 1=weak cry, grimacing, weak stimulus response, 0=no cry, no response Activity (muscle tone): 2=vigorous movement, resists attempts to straighten hips and knees, 1=weak attempts to straighten hips and knees, 0=limp Respirations: 2=strong cry, rapid respirations, 1=slow/irregular respirations, 0=apneic |
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Inverted pyramid (order of interventions) |
1. Drying, warming, tactile stimulation, positioning, suctioning 2. Oxygen (skip to BVM if apneic) 3. BVMs 4. Compressions 5. Intubation 6. Medications |
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Ideal newborn sp02 readings |
1 minute: 60-65% 2 minutes: 65-70% 3 minutes: 70-75% 4 minutes: 75-80% 5 minutes: 80-85% 10 minutes: 85-95+% *deliver oxygen via blow-by to avoid hyperoxia, especially in preterm |
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Ventilation reminders |
-Avoid overinflation (weak lungs) -40-60 vpm (3-5 seconds) -Continue until HR gets to 100 bpm or higher |
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Compression reminders |
-Do not begin until 30 seconds of hypoxia reduction is attempted (blow-by or BVMs) -Begin if HR is under 60 -3 to 1 ratio of compressions/ventilations -Rate of 120 compressions/minute -Reassess frequently, discontinue of spontaneous HR exceeds 60 bpm *If suspected cardiac origin, consider 15:2 instead of 3:1 |
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Prolapsed cord |
-Combat any compression/occlusion of the cord and maintain -Monitor pulsations of the cord -Cover with sterile moist dressing -Transport emergent, provide mother with o2 -Coach mother to pant on every contraction in order to avoid bearing down |
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Limb presentation |
-If leg or foot, assess for positioning (breech delivery may be viable but should be avoided) -If arm, or unviable birthing position, baby must be delivered surgically -Cover limb with sterile gauze-Transport emergent |
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Breech |
Frank: buttocks present, legs extend in front of fetus. Most common breech
Complete: Jack-knife Incomplete: Both hips and knees are flexed (as if the fetus were kneeling |
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PID |
d |
