NRP esim 2019
Equiptment set up for all cases. - Select all equiptment for room setup.
On bottom row turn on warmer.
Oxygen set flow for 10, blender 21%.
PPV set PIP at 20, pop off press for 40, PEEP for 5. Suction set at 80-100.
Four (4) Important Questions to Ask the OB provider - Is the baby term?
Is the fluid clear?
How many babies are there?
Any other risk factors?
Eight (8) Things to Remember - 1. Warmer
2. Clear the airway if necessary
3. Dry the newborn
4. Auscultate
5. Oxygenate
6. Ventilate
7. Intubate
8. Medicate
NRP Guidelines to Remember when Resuscitating a Newborn Corrective Steps - M -
Mask adjustment
R - Reposition airway
S - Suction mouth and nose
O - Open mouth
P - Pressure increase
A - Airway alternative
Targeted Pre-ductal SpO2 After Birth - 1 min 60% - 65%
2 min 65% - 70%
3 min 70% - 75%
4 min 75% - 80%
5 min 80% - 85%
10 min 85% - 95%
Practice Case Bby Jai
Baby is 33 wks gest. There is 1 baby. Clear amniotic fluid. Cat. II fetal heart rate tracing
and suspect placental abruption. C-sect is anticipated - 1) Put baby's head in sniffing
position
2) Dry the baby
3) Bulb suction the mouth and nose
4) Provide PPV with self-inflating mask
5) Mask adjustment
, 6) Apply pulse oximeter before 1st minute!
7) Attach 3 lead ECG, temperature sensor
8) Stethoscope -heart rate, lungs
9) Adjust 100% oxygen
10) HR < 60 start Chest compressions
11) Adjust following MRSOPA-
M - Mask adjustment
R - Reposition airway
S - Suction mouth and nose
O - Open mouth
P - Pressure increase
A - Airway alternative
12) Insert endotracheal tube
13) Listen to lungs
14) Prepare and Insert umbilical iv
15) Admin epi in umbilical
Case 1 BBY Santiago
35 wks gest. 1 baby. Clear amniotic fluid. C-Section due to fetal bradycardia. - 1) Put
baby's head in sniffing position
2) Dry the baby
3) Bulb suction the mouth and nose
4) Provide PPV with self-inflating mask
5) Mask adjustment
6) Apply pulse oximeter before 1st minute!
7) Attach 3 lead ECG, temperature sensor
8) Stethoscope -heart rate, lungs
9) Adjust 100% oxygen
10) HR < 60 start Chest compressions
11) Adjust following MRSOPA-
M - Mask adjustment
R - Reposition airway
S - Suction mouth and nose
O - Open mouth
P - Pressure increase
A - Airway alternative
12) Insert endotracheal tube
13) Listen to lungs
14) Prepare and Insert umbilical iv
15) Admin epi in umbilical
Case 2 Baby Kim
38 wks gest. 1 baby. clear amniotic fluid. emergency c-sect with gen. anesthesia due to
cord prolapse and cat. III fetal heart rate tracing. - 1) Put baby's head in sniffing position
2) Dry the baby
3) Bulb suction the mouth and nose
Equiptment set up for all cases. - Select all equiptment for room setup.
On bottom row turn on warmer.
Oxygen set flow for 10, blender 21%.
PPV set PIP at 20, pop off press for 40, PEEP for 5. Suction set at 80-100.
Four (4) Important Questions to Ask the OB provider - Is the baby term?
Is the fluid clear?
How many babies are there?
Any other risk factors?
Eight (8) Things to Remember - 1. Warmer
2. Clear the airway if necessary
3. Dry the newborn
4. Auscultate
5. Oxygenate
6. Ventilate
7. Intubate
8. Medicate
NRP Guidelines to Remember when Resuscitating a Newborn Corrective Steps - M -
Mask adjustment
R - Reposition airway
S - Suction mouth and nose
O - Open mouth
P - Pressure increase
A - Airway alternative
Targeted Pre-ductal SpO2 After Birth - 1 min 60% - 65%
2 min 65% - 70%
3 min 70% - 75%
4 min 75% - 80%
5 min 80% - 85%
10 min 85% - 95%
Practice Case Bby Jai
Baby is 33 wks gest. There is 1 baby. Clear amniotic fluid. Cat. II fetal heart rate tracing
and suspect placental abruption. C-sect is anticipated - 1) Put baby's head in sniffing
position
2) Dry the baby
3) Bulb suction the mouth and nose
4) Provide PPV with self-inflating mask
5) Mask adjustment
, 6) Apply pulse oximeter before 1st minute!
7) Attach 3 lead ECG, temperature sensor
8) Stethoscope -heart rate, lungs
9) Adjust 100% oxygen
10) HR < 60 start Chest compressions
11) Adjust following MRSOPA-
M - Mask adjustment
R - Reposition airway
S - Suction mouth and nose
O - Open mouth
P - Pressure increase
A - Airway alternative
12) Insert endotracheal tube
13) Listen to lungs
14) Prepare and Insert umbilical iv
15) Admin epi in umbilical
Case 1 BBY Santiago
35 wks gest. 1 baby. Clear amniotic fluid. C-Section due to fetal bradycardia. - 1) Put
baby's head in sniffing position
2) Dry the baby
3) Bulb suction the mouth and nose
4) Provide PPV with self-inflating mask
5) Mask adjustment
6) Apply pulse oximeter before 1st minute!
7) Attach 3 lead ECG, temperature sensor
8) Stethoscope -heart rate, lungs
9) Adjust 100% oxygen
10) HR < 60 start Chest compressions
11) Adjust following MRSOPA-
M - Mask adjustment
R - Reposition airway
S - Suction mouth and nose
O - Open mouth
P - Pressure increase
A - Airway alternative
12) Insert endotracheal tube
13) Listen to lungs
14) Prepare and Insert umbilical iv
15) Admin epi in umbilical
Case 2 Baby Kim
38 wks gest. 1 baby. clear amniotic fluid. emergency c-sect with gen. anesthesia due to
cord prolapse and cat. III fetal heart rate tracing. - 1) Put baby's head in sniffing position
2) Dry the baby
3) Bulb suction the mouth and nose
