It is essential all healthcare providers caring for children have the most current knowledge and information about neonatal cardiopulmonary resuscitation. In 2015, the American Heart Association (AHA) published updated guidelines for the Neonatal Resuscitation Program (NRP). These updates are designed to guide the cardiopulmonary resuscitation practices of neonatal patients. The resuscitation of children is much different when compared with adult resuscitation; therefore, it is imperative healthcare providers be competent in the most current resuscitation standards. This module is to provide the user with the didactic knowledge of neonatal life support.
Perform an initial assessment of the neonate
Determine the three factors of the initial assessment
Be able to review the goals of resuscitation
Provide initial stabilization of the neonate
Be aware of harmful actions when stimulating a neonate
Understand the differences in the neonatal airway
Be able to position a neonatal airway in the correct position
Know when to suction a neonatal airway
Know when to suction amniotic fluid from a neonatal airway
Know when to suction meconium form a neonatal airway
Know when to intubate a neonatal airway that has meconium stained amniotic fluid
Understand the neonatal oxygen saturation of various locations of the neonate
Know where it is best to place the pulse oximeter on a neonate
Have knowledge about the ductus arteriosus
Know the appropriate oxygen saturation of the first 10 minutes of a normal neonate
Know the concentration of oxygen to give to a neonate
Know how to ventilate a neonate
Be familiar with various ventilation methods of a neonate
Know how to place and fit a mask on a neonate
Know how much ventilation pressure to deliver to a neonate
Know how to treat a neonate who cannot be ventilated
Be familiar with CO2 detectors and capnography
Know how much PEEP to use on a neonate
Be familiar with an LMA for a neonate
Know what size and depth an ETT to use and place in a neonate
Be familiar with the anatomy of the vocal cords
Know the complications of intubation
Know who to insert an orogastric tube and what depth to insert
Know about heart rate assessment and how to detect the heart rate
Know how to deliver chest compressions including the method, rate, location, and depth
Know how to coordinate chest compressions and ventiations
Know about the umbilical arteries and vein and establishing access
Know about resuscitation drugs, indications, doses for neonatal resuscitation
Know about volume administration
Know about hypothermia in resuscitation
Know about stopping or withholding resuscitation
Know about birth physiology
know about fetal hypoxia/acidosis risk factors
Know about delayed cord clamping
Know about temperature management of the neonate
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