An electronic cardiac monitor
is the preferred method for assessing heart rate during chest compressions. Chest compressions continue for 60 seconds prior to checking a heart rate.
What is the preferred method for assessing heart rate during chest compressions in newborn?
With the start of chest compressions, supplemental oxygen should be increased to 100% in order to maximize systemic oxygen delivery.
An ECG
is the preferred method for assessing the heart rate during chest compressions, and ECG leads should be placed on the newborn’s chest when compressions begin.
What is the best indication for volume expansion?
Volume expansion is indicated if there is a history suggestive of
blood loss and clinical signs such as poor perfusion, pallor and a weak pulse
. Normal saline or blood can be given at a dose of 10 mL/kg.
What time frame should be used to administer intravenous epinephrine in newborn?
Current resuscitation guidelines recommend that epinephrine should be used if the newborn remains bradycardic with heart rate
<60 bpm after 30 s
of what appears to be effective ventilation with chest rise, followed by 30 s of coordinated chest compressions and ventilations (1, 8, 9).
Which if the following may be associated with delayed cord clamping in vigorous preterm newborns?
In preterm infants, delayed umbilical cord clamping is associated with significant neonatal benefits, including
improved transitional circulation
, better establishment of red blood cell volume, decreased need for blood transfusion, and lower incidence of necrotizing enterocolitis and intraventricular hemorrhage.
What is the preferred method for pulse check in an infant?
The best spot to feel the pulse in an infant is the upper am, called the
brachial pulse
. Lay your baby down on the back with one arm bent so the hand is up by the ear.
What is the ideal depth of chest compressions in a newborn?
Objective: For infant and child resuscitation, current basic life support guidelines recommend a compression depth of
one third to one half of the anteroposterior chest diameter
.
How long are chest compressions NRP?
Provide chest compressions if the heart rate is absent or remains <60 bpm despite adequate assisted ventilation for
30 seconds
. Coordinate chest compressions with ventilations at a ratio of 3:1 and a rate of 120 events per minute to achieve approximately 90 compressions and 30 breaths per minute.
What is the most important indicator of successful positive pressure ventilation?
Studies suggest that during neonatal resuscitation,
a rising heart rate
is the most important indicator of successful positive pressire ventilation (PPV). Although, a rising heart rate is the primary indicator of adequate PPV, one should observe for bilateral chest movement, and auscultate for bilateral air entry.
What is the concentration of oxygen for positive pressure ventilation?
If the infant’s heart rate is less than 100 beats per minute and/or the infant has apnea or gasping respiration, positive pressure ventilation via face mask should be initiated with
21 percent oxygen
(room air) or blended oxygen using a self-inflating bag, flow-inflating bag, or T-piece device while monitoring the …
How soon after administration of IV epinephrine should you pause compressions and reassess the baby’s heart rate?
Epinephrine administration must be accompanied by positive pressure ventilations and high quality chest compressions for
45 seconds to one minute
before reassessing the neonate’s heart rate (Kattwinkel et al., 2011; NRP, 2011).
When should I check heart rate after epinephrine?
The heart rate should be re-checked
after 1 minute of giving compressions and ventilations
. The dose of epinephrine can be re-peated after 3-5 minutes if the initial dose is ineffective or can be repeated immediately if initial dose is given by endo-tracheal tube in the absence of an intravenous access.
How fast can you give epinephrine?
Guidelines recommend to “[a]dminister IV epinephrine if anaphylaxis appears to be severe with immediate life-threatening manifestations,” and starting a drip between 1-4 mcg/min. The guidelines also suggest an IV push-dose of epinephrine 0.1 mg of
1:10,000 over 5 minutes
.
Who is the usual surrogate decision maker for a newborn?
Parents, as surrogate decision makers for their infants, are generally expected by
health care providers
to act in the child’s “best interest.” However, when the wishes of the parents are contrary to those of the medical profession, an ethical dilemma occurs.
Which action is appropriate with a pulse oximeter and blender during and immediately following resuscitation of preterm babies?
Premature babies are more vulnerable to hyperoxia; use an oximeter and
blender to gradually achieve oxyhemoglobin in the 85% to 95% range
during and immediately following resuscitation. After resuscitation of a preterm baby: Monitor and control blood sugar.
What is true epinephrine?
Epinephrine, also called adrenaline, has powerful effects on the body. These include:
increased blood sugar levels
.
increased heart rate
.
