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Drugs (Eng) Dr. Rina Atau Dr. Adhi
Drugs (Eng) Dr. Rina Atau Dr. Adhi
berkolaborasi dengan
American Academy of Pediatrics (AAP)
Integrated Resuscitation
Drugs and Fluid Administration
Drugs and fluid is rarely indicated in
newborn resuscitation
Administration of adequate
ventilation is the most important step
to increase the heart rate
Administration of drugs and fluid
should not stop or reduce
ventilation and chest compression
Routes of Administration
Intraosseus Access
Rarely applied to newborns
Consider this route if operator has enough
experience
Umbilical Artery
Indication
Ifventilation and chest compression fail
to increase heart rate to >60x/ min in 1
minute IV adrenaline
IfIV route is not available, give
adrenaline via endotracheal tube
Ifendotracheal dose is not effective
give IV dose as fast as possible
Intratracheal
Intravenous Route
Route
• Dosing : 10-30 • Dosing: 50-100
microgram/kgBW microgram/kgBB
• Administer with • If the dose is not
rapid IV push, effective, give
continue with via IV
saline flush
• Can be repeated
every several
minutes if heart
rate is still
<60x/min
Bicarbonate
Hypoxia
Metabolic acidosis
Indication
Continuing respiratory depression even
after administration of PPV succeed to
restore normal heart rate and
Historyof maternal narcotics
administration during labor
Do not give naloxone to babies born
from mother with suspicion of drug
abuse