NRP & STABLE UPDATES. Lori Fairfax, APRN-Rx & Jaymie H. Pinho, APRN-Rx. NRP Initial Steps. Position infant, suction the mouth then the nose PRN if secretions visible Dry the infant off & remove wet blankets Stimulate the infant by rubbing back or flicking soles of feet
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Lori Fairfax, APRN-Rx & Jaymie H. Pinho, APRN-Rx
If HR > 100 but distress noted, give CPAP of 5-6 cm (PEEP) with bag & mask
weight: <1000 gms
weight: 1000-2000 gms
weight: 2000-3000 gms
weight: >3000 gms
Emergency UVC place to 2-4 cms until blood return noted
RX: 2 ml/kg of D10W over 5 minutes, check glucose again in 30 mins, may repeat the dose if still <50
I/T ratio <0.2
UAC between T6-T9
UVC just above the diaphragm in the inferior vena cava vessel at the right atrial junction
Changes in PCO2 reflect the respiratory component of acid base balance.
2. Bicarbonate (HCO3) = Base
Changes in HCO3 reflect the metabolic component of acid-base balance.