NRP 8th Edition, Ch 1-4

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What are the five blocks of the NRP algorithm?
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What are the five blocks of the NRP algorithm?
1) Rapid evaluation: this evaluation determines if the baby can stay wit the mother for routine care or should be moved to the radiant warmer
2) Airway: The initial steps open the airway and support spontaneous respirations.
3) Breathing: Assist breathing with PPV if baby apneic, gasping, or bradycardic. CPAP or or O2 may be appropriate for labored breathing or low O2 sat.
4) circulation: Perform chest compressions coordinated with PPV if severe bradycardia exists despite assisted ventilation
5) drug: administer epinephrine if severe bradycardia persists despite PPV and coordinated chest compressions.
Image: What are the five blocks of the NRP algorithm?
What skills must be present to comprise a qualified team that must be immediately available for every resuscitation?
Persons skilled in endotracheal intubation, chest compressions, emergency vascular access, and medication administration. (probably requires 4 or more qualified persons)
What is a NRP quick equipment checklist?
List of all supplies and equipment for a complete resuscitation that must be readily available and functional for every birth.
NRP checklist - warming and clear airway supplies
Image: NRP checklist - warming and clear airway supplies
NRP checklist - Ventilate & oxygenate equipment
Image: NRP checklist - Ventilate & oxygenate equipment
After completing the rapid evaluation, the next step is completion of the initial steps of newborn care, which include __________ and __________.
After completing the rapid evaluation, the next step is completion of the initial steps of newborn care, which include opening the airway and supporting spontaneous respiration.
What is looked at in determining if baby can stay with Mum?
-Term gestation?
-Good tone?
-breathing or crying?

Determine within 1 minute.
What if baby fails rapid evaluation?
Warm, dry, stimulate, position airway, suction if needed.
What if baby is apneic or gasping or heart rate under 100 bpm after stimulation, et al?
PPV, pulse oximetry, consider cardiac monitor.
What if severe bradycardia persists (under 60)
ETT or laryngeal mask, chest compressions.
Heart rate still under 60 bpm?
epinephrine q 3-5 minutes. Consider hypovolemia or pneumothorax
According to the NRP algorithm, what are the indicators for PPV?
_cyanosis
-apnea
-tachycardia
-gasping
-heart rate less than 100 bpm
According to the NRP algorithm, what are the indicators for PPV?
_cyanosis
-apnea
-tachycardia
-gasping
-heart rate less than 100 bpm
What is the single most important and effective step in neonatal resuscitation?
Learning how to provide positive pressure ventilation.
Newborn resuscitation is usually the result of _____________.
Respiratory failure.
What are the four prebirth questions to ask to determine appropriate team and equipment?
-What is the expected gestational age?
-Is the amniotic fluid clear
-Are there any additional risk factors?
-What is our umbilical cord management plan?