NRP 9th edition

What is the PIP for greater than 35 weeks?

25

What is the target ventilation rate?

30-60 breaths per minute

(Breathe, two, three; Breathe, two, three) occlude on "breathe" and release on "two three"

What does MR SOPA stand for?

M--mask adjustment

R--reposition head and neck

S--suction mouth and nose

O--open mouth

P--pressure increase (increments of 5 until 40 max)

A--alternate airway (laryngeal)

What size ET tube is used for term infants?

3.5 mm

What is the initial oxygen concentration (FiO2) for greater than 35 weeks?

21%

What is the initial oxygen concentration (FiO2) for 32-34 weeks?

21-30%

If the heart rate is less than 100 at 1 minute with gasping or apnea what needs to be done?

ventilate

pulse ox

cardiac monitor

What are the 3 most important things to consider when baby is born?

1. is baby term?

2. does baby have good tone?

3. is baby crying or breathing?

What do you do if the heart rate is still below 100 after starting ventilation?

MRSOPA

consider intubation if not improving

cardiac monitor

What do you do if the heart rate remains below 60 after 30 seconds of effective ventilation?

-intubate or laryngeal mask (if not already present)

-chest compressions (3:1 ventilation- one and two and three and breath)

-100% oxygen

-UVC

When catching a baby, what 4 things should you know or ask?

1. Gestational age

2. Color of amniotic fluid

3. What risk factors are there

4. Cord clamping plans

If risk factors are present, how many people minimum should attend delivery?

2

What should the flowmeter be set to?

10L/min

What should PEEP be set to?

5 cmH20

What indicates successful ventilation?

Rising heart rate

What do you do if you do not observe chest movement and heart rate is not rising within 15-30 seconds of starting ventilation?

M- mask adjustment

R- reposition the head and neck

S- suction

O- open mouth

P- pressure increase

A- alternate airway

What should be inserted if CPAP or an alternate airway is used for more than several minutes?

OG tube

What is Peak Inflation Pressure (PIP)?

the highest pressure administered with each breath

What is Positive End Expiratory Pressure (PEEP)?

the gas pressure maintained in the lungs between breaths when infant is receiving assisted breaths

When do you stop compressions?

When heart rate is 60 or greater

What is the IV dose for epinephrine?

0.2 mL/kg

Given every 3-5 minutes

How much saline should be flushed after IV epinephrine?

3 mL

When is epinephrine indicated?

Heart rate less than 60 after 30 seconds of ventilation with chest movement and another 60 seconds of compressions with 100% O2

What is the concentration of epinephrine?

0.1 mg/mL or 1 mg/10 mL

What are some common conditions that can occur post resuscitation?

temperature instability

pneumothorax

pneumonia

pulmonary hypertension

hypotension

hypoglycemia

feeding problems

metabolic acidosis