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Neonatal Resus
Question | Answer |
---|---|
what are some stimuli for a first breath | cord obstruction, temperature change, physical stimulation |
how is the resting lung volume established | first breaths push fluid from airway and alveoli |
step one | dry and cover |
step two | assess tone colour breathing and HR |
Airway | position? obstruction? ??jaw thrust?? |
Breathing | 5 inflation breaths sustained for 2-3sec @ 30cm water pressure |
if chest not moving | recheck head, consider spO2, repeat inflations, consider two person airway control |
heart rate | if > 100 and not breathing, ventilate at 30 breaths/min, <60, 3 compressions/breath |
heartrate persistanly low | drugs; bicarbonate, adrenaline, dextrose |