RES 4000 neonate skills 1

At how many minutes without oxygen will the brain tissue start to die?

4-6 minutes

what is the depth required when preforming CPR on an infant?

1 ½ inches deep

how do you check for responsiveness on an infant?

flick/ rub the babies foot, call out to the baby

how many compressions and breaths should be given at a time? 

30 compressions and 2 breaths if you are alone 

what are the indications for intubation?

-respiratory failure

-hemodynamic instability

-neuromuscular disorders

-PaCO2 >60

-pH< 7.3

how do you size an ETT for a pt. 1 year or older?

age (in yr)/ 4 +4 

what is the ETT size for premature infants compared to their weight in grams?

what is the ETT size for pt 6-12 months?

less than 1000g= 2.5

1000-2000=3

2000-3000= 3.5

6- 12 months= 4.0-4.5

how do you measure the depth of the ETT?

size of the ETT x3

ex: ett size 4 would have a depth of 12

what are the suction pressures for neonates? for peds?

neo: -60 to -80

peds: -80 to -100

how do you determine the size fo the suction catheter? 

ETT size x3/ 2 

what should your gas flow rate be set at when using the neo puff?

10 L/min

what should your max pressure relief be set at? PIP? PEEP?

Max oressure relief: 50

PIP: 30 for newborns, 20-25 for preterm

PEEP: 5-8

how does bubble CPAP work?

uses bubbles to generate pressure:

exhaled air exits through the expiratory limb, bubbling in the water column creates back pressure

when is bubble CPAP used?

respiratory distress

post extubation support

mild to moderate respiratory failure

decrease need for intubation

what are contraindications for bubble CPAP?

severe respiratory failure

apnea

pneumothorax