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Review NRP part II. Lone Star college systems: Kingwood Elizabeth Kelley Buzbee AAS, RRT-NPS, RCP. Exactly how do we mask bag a newborn?. We select a mask that fits over the nose and mouth without fitting over the eyes We make sure the airway is clear

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Review NRP part II

Lone Star college systems: Kingwood

Elizabeth Kelley Buzbee AAS, RRT-NPS, RCP



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  • With in 30 seconds fitting over the eyes

    • see & feel the chest rise

    • Have someone listen to the BBS

    • Monitor the patient’s HR which should rise as the baby gets good ventilation

    • Observe the skin color get pinker

    • And the baby’s muscle tone improve

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  • Reassess the seal around mask fitting over the eyes

  • Re-establish head position

  • Increase PIP till you see chest rising

  • If these don’t work, orally intubate

  • Check that the 02 line has not come off the bag or that the flow meter has not been turned off

  • Is the belly getting full of air?

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  • Without interrupting mask bagging, measure from bridge of nose to ear lobe and then to midway between the xyphoid process and the naval.

  • Note the cm mark at this point

  • Insert tube through the mouth & aspirate stomach contents with syringe

  • Remove syringe so gas can be vented from belly

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  • Go here to view picture without the reservoir?

  • http://perinatalcyprus.com/video/video.php?video=22&PHPSESSID=e17cb7b0bb4e3a2ba9ca39754a39d3b9

  • Set 5-15 LPM from blender or 02 flowmeter

  • Set max pressure at 40 cmH20 [on dial on the left of page. Keep finger over PEEP cap

  • Set PIP on right-sided dial; keep finger over PEEP cap

  • Set the PEEP by removing finger from PEEP cap and adjusting level between zero to 5 cmH20 on the top of the cap itself

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  • One- and- two- and- three- and bag shorter than the upward stroke

  • There should be 90 compressions/minute with 30 breaths

  • Do this for 30 seconds before reassessing HR with palpation of umbilical cord

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  • Continue CPR sucessfuly, you’ve bagged effectively, and given epinephrine, but your babies HR is still less than 60 BPM

  • Continue bagging; reassess BBS and chest rising

  • If there is a history of bleeding or patient appears shocky—administer volume expanders

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The end is no longer rising & you have breath sounds only on one side.


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