What are the four pre birth Questions?
The 4 pre-birth questions have been changed with removal of the question related to the number of babies. The 8th edition questions are : (1) Gestational age? (2) Amniotic fluid clear? (3) Additional risk factors? (4) Umbilical cord management plan?
What is the preferred way to administer epinephrine during neonatal resuscitation?
Intravenous Epinephrine. This is the preferred route of administration during neonatal CPR in the delivery room as it appears to be more efficacious compared to other routes (1, 8, 9). The umbilical vein is a rapidly accessible, direct intravenous route.
What volume of normal saline flush should you administer NRP?
The current NRP guidelines recommend a 0.5–1.0 mL normal saline flush following epinephrine administration from a low lying UVC .
What are the primary methods of confirming endotracheal tube placement within the trachea?
1 Exhaled carbon dioxide detection is the recommended method of confirming endotracheal intubation. The exhaled carbon dioxide detector changes from purple to yellow with endotracheal intubation, and a negative result suggests esophageal intubation.
Where do you administer resuscitation drugs in a neonate?
Can you give epinephrine to an infant?
The Food and Drug Administration (FDA) has approved a new lower dose epinephrine auto-injector for the emergency treatment of allergic reactions in infants and toddlers.
How fast do you administer IV epinephrine NRP?
The timeline during neonatal resuscitation for the invasive procedures of intubation or venous access is 45-60 seconds to administer the first dose of epinephrine (NRP, 2011).
What should oxygen Blender be set at NRP?
5) Recommendations for initial oxygen concentrations are 21% oxygen for term neonates and 21-30% for neonates <35 weeks gestational age. The oxygen concentration should be titrated until target oxygen saturations are achieved.
What is the most reliable method to confirm and monitor correct placement of an endotracheal tube?
Continuous waveform capnography is recommended in addition to clinical assessment as the most reliable method of confirming and monitoring correct placement of an endotracheal tube (Class I, LOE A).
What time frame should be used to administer epinephrine NRP?
Once given, epinephrine can be administered every 3–5 minutes if the heart rate remains less than 60 bpm. The recommended intravenous dose of epinephrine is 0.01–0.03 mg/kg, or 0.1–0.3 ml/kg, of a 1:10,000 concentration.