Newborn - Pediatric Algorithm

What gestational status is assessed first in a newly born?

Term gestation.

What breathing finding is assessed in the initial newly born assessment?

Breathing or crying.

What tone finding is assessed in the initial newly born assessment?

Good muscle tone.

What initial care does a vigorous term newborn get?

Warm, dry, and stimulate the infant.

When is the airway cleared in a vigorous newborn?

Only if necessary.

What is done after warming, drying, and stimulating a vigorous newborn?

Monitor and reassess.

What heart rate prompts BVM ventilations in a newborn?

Less than 100 bpm.

What breathing finding prompts supplemental oxygen in a newborn?

Labored breathing.

What skin finding prompts supplemental oxygen in a newborn?

Persistent central cyanosis.

What ventilation rate is used for newborn BVM?

40 to 60 breaths per minute.

What oxygen flow rate is used for newborn BVM?

10 L/min.

How much volume is given with each newborn BVM breath?

Only enough for chest rise.

What oxygenation monitoring is applied with newborn BVM ventilations?

Pulse oximetry.

What ventilation monitoring is applied with newborn BVM ventilations?

Capnography.

What cardiac monitoring is applied with newborn BVM ventilations?

Cardiac monitor.

What is given for labored breathing or persistent central cyanosis in a newborn?

Supplemental oxygen.

What SpO2 should be maintained in the newly born?

94% or greater.

What must be maintained while giving a newborn supplemental oxygen?

Warmth.

What is done after starting supplemental oxygen in a newborn?

Monitor and reassess.

What is the first fix if newborn heart rate stays below 100 bpm during BVM?

Change position or the BVM technique.

What should be observed to confirm effective newborn BVM ventilation?

Bilateral chest rise.

What is next if BVM is not improving a newborn with a heart rate of 60 to 100 bpm?

Move to intubation.

What protocol covers newborn intubation when BVM is not working?

Pediatric Airway Protocol.

What heart rate triggers newborn chest compressions?

Less than 60 bpm.

How long must effective BVM be given before starting newborn compressions?

At least 30 seconds.

How deep are newborn chest compressions?

1.5 inches.

What fraction of chest depth is used for newborn compressions?

One third of the anterior-posterior diameter.

What is the compression rate for newborn chest compressions?

110 compressions per minute.

What concentration of epinephrine is used in newborn resuscitation?

1:10,000.

What is the dose of epinephrine 1:10,000 for newborn resuscitation?

0.01 mg/kg.

How is epinephrine administered in newborn resuscitation?

IV/IO.

How often is epinephrine repeated in newborn resuscitation?

Every 3 to 5 minutes.

What is the max number of epinephrine doses in newborn resuscitation?

3 doses.

What is the dose of normal saline for newborn resuscitation?

10 mL/kg.

How is normal saline administered in newborn resuscitation?

IV/IO.

How many times can the normal saline bolus be repeated in newborn resuscitation?

Once, if needed.

What procedure is followed for vascular access during newborn resuscitation?

IV / IO Procedure.

What protocol is followed for airway management during newborn compressions?

Pediatric Airway Protocol.

What happens after newborn resuscitation in the newly born algorithm?

Transport.