NEONATAL RESUSCITATION PROGRAM Diagram

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  • 1. Approximate time BIRTH Routine Care: Term Gestation? A Amniotic Fluid Clear? YES Provide warmth Clear Airway if needed Breathing / Crying? Dry Good Muscle Tone? Assess Color NO30 sec  Provide warmth  Positive clear airway* (as necessary)  Dry, stimulate, reposition Breathing, Evaluate: HR >100bpm & Pink RESPIRATIONS Observational Care HEART RATE COLOR BREATHING, HR >100bpm PINK but CYANOTIC APNEIC or Give HR <100bpm SUPPLEMENTAL OXYGEN30 sec Persistent Cyanosis Effective Ventilation, B Provide: POSITIVE PRESSURE VENTILATION HR >100bpm, Pink Postresuscitaion Care HR <60bmp HR >60bmp Provide: C POSITIVE PRESSURE VENTILATION30 sec Administer: CHEST COMPRESSIONS HR <60bmp Administer: D EPINEPHRINE and/or VOLUME *Endotracheal intubation may considered at several steps