Newborn Care: Difference between revisions
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* After delivery, INTUBATE infant and apply suction to the lumen of the ETT while withdrawing from the trachea. | * After delivery, INTUBATE infant and apply suction to the lumen of the ETT while withdrawing from the trachea. | ||
* After establishing airway and warming infant, clamp and cut cord provided pulsations have ceased. | * After establishing airway and warming infant, clamp and cut cord provided pulsations have ceased. | ||
* Assess respiratory rate. | * Assess respiratory rate. | ||
* Assess heart rate. | ** Premie 40-70 | ||
** Newborn 30-60 | |||
* Assess heart rate. | |||
** Premie 120-170 | |||
** Newborn 100-160 | |||
{| class="wikitable" | {| class="wikitable" | ||
| Line 19: | Line 23: | ||
! RESPIRATIONS ADEQUATE/PATIENT CRYING !! IF RESPIRATIONS SHALLOW, SLOW, ABSENT | ! RESPIRATIONS ADEQUATE/PATIENT CRYING !! IF RESPIRATIONS SHALLOW, SLOW, ABSENT | ||
|- | |- | ||
| Place infant on side in Trendelenburg position.|| Assist ventilations with [[ | | Place infant on side in Trendelenburg position.|| Assist ventilations with [[Oxygen|OXYGEN]] @ 100% via BVM. | ||
|- | |- | ||
| Assess color and provide [[ | | Assess color and provide [[Oxygen|OXYGEN]] @ 100% via <br /> NRB mask if central cyanosis present.|| | ||
If respirations improve, provide [[ | If respirations improve, provide [[Oxygen|OXYGEN]] @ <br /> 100% via NRB mask. | ||
|- | |- | ||
| If respirations improve, administer "blow-by" [[ | | If respirations improve, administer "blow-by" [[Oxygen|OXYGEN]].|| | ||
|} | |} | ||
[[Category:Pediatric and Obstetrical]] | [[Category:Pediatric and Obstetrical|0708]] | ||
Latest revision as of 14:39, 24 April 2020
Section 7 - PEDIATRIC / OBSTETRICAL
7.08 NEWBORN CARE
Deliver infant according to EMERGENCY CHILDBIRTH PRACTICE PARAMETER (7.06), Note the TIME of delivery.
- Record APGAR Score (10.02) at 1 (one) and 5 (five) minutes.
- Continue to suction mouth FIRST, then nose of infant with bulb syringe.
MECONIUM-STAINED INFANTS:
- Suction only upon delivery of the head PRIOR to delivery of the baby.
- After delivery, INTUBATE infant and apply suction to the lumen of the ETT while withdrawing from the trachea.
- After establishing airway and warming infant, clamp and cut cord provided pulsations have ceased.
- Assess respiratory rate.
- Premie 40-70
- Newborn 30-60
- Assess heart rate.
- Premie 120-170
- Newborn 100-160
| RESPIRATIONS ADEQUATE/PATIENT CRYING | IF RESPIRATIONS SHALLOW, SLOW, ABSENT |
|---|---|
| Place infant on side in Trendelenburg position. | Assist ventilations with OXYGEN @ 100% via BVM. |
| Assess color and provide OXYGEN @ 100% via NRB mask if central cyanosis present. |
If respirations improve, provide OXYGEN @ |
| If respirations improve, administer "blow-by" OXYGEN. |