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  • Special Cases: NLS Spec 1

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    min09hihi
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    This document provides guidance on newborn life support. It addresses special cases for preterm babies, meconium, congenital abnormalities, and deliveries outside the labour ward. Key recommendations include drying and covering the baby, assessing airway and breathing with inflation breaths if needed, and performing chest compressions and administering drugs when required. The document also stresses avoiding hypothermia, hypoxia, hyperinflation, and hypoglycemia for preterm babies.

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    Spec

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    This document provides guidance on newborn life support. It addresses special cases for preterm babies, meconium, congenital abnormalities, and deliveries outside the labour ward. Key recommendations include drying and covering the baby, assessing airway and breathing with inflation breaths if needed, and performing chest compressions and administering drugs when required. The document also stresses avoiding hypothermia, hypoxia, hyperinflation, and hypoglycemia for preterm babies.

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    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
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    Download as ppt, pdf, or txt
    8 views17 pages

    Special Cases: NLS Spec 1

    Uploaded by

    min09hihi
    This document provides guidance on newborn life support. It addresses special cases for preterm babies, meconium, congenital abnormalities, and deliveries outside the labour ward. Key recommendations include drying and covering the baby, assessing airway and breathing with inflation breaths if needed, and performing chest compressions and administering drugs when required. The document also stresses avoiding hypothermia, hypoxia, hyperinflation, and hypoglycemia for preterm babies.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as ppt, pdf, or txt
    of 17

    Newborn Life Support

    Special cases

    RC (UK)

    NLS Spec 1

    Newborn Life Support

    Special cases

    Preterm babies Meconium Congenital abnormality Delivery outside labour ward

    RC (UK)

    NLS Spec 2

    Newborn Life Support

    Airway
    reassess

    Breathing
    reassess - is there a response ?

    Chest compressions
    reassess

    Drugs
    RC (UK)

    NLS Spec 3

    Newborn Life Support

    Dry & cover the baby Assess the situation Airway Breathing - Inflation breaths Chest compressions (Drugs)
    RC (UK)

    NLS Spec 4

    Newborn Life Support

    Preterm babies Get cold even faster Have fewer reserves Dont breathe effectively Have fragile lungs

    RC (UK)

    NLS Spec 5

    Newborn Life Support

    Preterm babies
    Below 30 weeks:
    Inflation breaths Start at 20-25 cms water pressure Reassess Assume lung inflation if HR improves
    RC (UK)

    NLS Spec 6

    Newborn Life Support

    Preterm babies
    Avoid: Hypothermia Hypoxia Hyperinflation Hypoglycaemia
    RC (UK)

    NLS Spec 7

    Newborn Life Support

    Preterm Babies
    Hypothermia makes everything worse

    RC (UK)

    NLS Spec 8

    Newborn Life Support

    Meconium
    Stress passage in utero

    Triggered more easily near term Aspiration requires gasping

    RC (UK)

    NLS Spec 9

    Photo A15

    Newborn Life Support

    Meconium

    Screaming babies :have an open airway Floppy babies :have a look


    RC (UK)

    NLS Spec 10

    Newborn Life Support

    Congenital abnormality
    Rarely a problem at resuscitation Increasing antenatal detection Facial anomalies (esp. Pierre Robin) can be difficult - Guedel airway

    RC (UK)

    NLS Spec 11

    Newborn Life Support

    RC (UK)

    Photo A27

    Newborn Life Support

    Outside labour wards

    Mother comes first You will need help

    RC (UK)

    NLS Spec 12

    Newborn Life Support

    Outside labour wards Temperature Cord Equipment (? Transfer)


    RC (UK)

    NLS Spec 13

    Newborn Life Support

    Any questions ?

    RC (UK)

    NLS Spec 14

    Newborn Life Support

    Summary Dry & cover the baby Assess the situation


    Airway Breathing - Inflation breaths

    Chest compressions
    (Drugs)
    RC (UK)

    NLS Spec 15

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