Neonatal resuscitation is a series of actions to assist newborn babies having difficulty transitioning from intrauterine to extrauterine life. Approximately 10% of newborns require some assistance to begin breathing, while less than 1% require extensive resuscitation. The main goals are to initiate breathing, maintain adequate perfusion and cardiac output, and restore normal temperature. Essential equipment includes suction, bag and mask ventilation, intubation equipment and medications. The ABCs of neonatal resuscitation are maintenance of temperature, establishment of an open airway, initiation of breathing, and maintenance of circulation.
This slides contain detailed description of radiant warmer used in hospital setting, various modes , alarms, do's and don't of radiant warmer and nursing care management for the baby under radiant warmer
This slides contain description about breast feeding, anatomy of breast, types of human milk, good position for latching, holding for the baby, advantages of breast feeding, contraindication of breast feeding, barriers and problems associated with breast feeding with their management
This slide contain detail description of basic terminologies, neonatal (head to toe examination) assessment, neonatal reflexes, minor physiological handicaps of newborn
neonatal hypothermia is a very emergency condition. if we identify this in early stage we can save the life of neonate. all should know about the maintaining the temperature if the neonate is in our home.
The Apgar score is a test given to newborns soon after birth. This test checks a baby's heart rate, muscle tone, and other signs to see if extra medical care or emergency care is needed. The test is usually given twice: once at 1 minute after birth, and again at 5 minutes after birth
Neonatal resuscitation skills are essential for all health care providers who are involved in the delivery of newborns. The transition from fetus to newborn requires intervention by a skilled individual or team in approximately 10% of all deliveries.
This slides contain detailed description of radiant warmer used in hospital setting, various modes , alarms, do's and don't of radiant warmer and nursing care management for the baby under radiant warmer
This slides contain description about breast feeding, anatomy of breast, types of human milk, good position for latching, holding for the baby, advantages of breast feeding, contraindication of breast feeding, barriers and problems associated with breast feeding with their management
This slide contain detail description of basic terminologies, neonatal (head to toe examination) assessment, neonatal reflexes, minor physiological handicaps of newborn
neonatal hypothermia is a very emergency condition. if we identify this in early stage we can save the life of neonate. all should know about the maintaining the temperature if the neonate is in our home.
The Apgar score is a test given to newborns soon after birth. This test checks a baby's heart rate, muscle tone, and other signs to see if extra medical care or emergency care is needed. The test is usually given twice: once at 1 minute after birth, and again at 5 minutes after birth
Neonatal resuscitation skills are essential for all health care providers who are involved in the delivery of newborns. The transition from fetus to newborn requires intervention by a skilled individual or team in approximately 10% of all deliveries.
This is only providing the theoretical aspects of neonatal resuscitation and will be helpful for the student nurses to understand what exactly the neonatal resuscitation and compare it with practical scenario.
How to resuscitate, management in meconium aspirated baby, thin and thick meconium, ratio of ventilation and perfusion in new born, latest change in guidelines for resuscitation
CLINICAL TEACHING ON BUBBLE CPAP: Introduction, Definition, History of development, Physiology of Bubble CPAP, Principle, Patient interface, equipments for bubble CPAP, indication and contraindication for bubble CPAP, essential of CPAP, CPAP machine, bubble cpap machine application, setting pressure, FiO2, oxygen flow, Monitoring adequacy and complications of bubble CPAP, Monitoring infant condition, weaning for Bubble CPAP, CPAP Failure, complications related to CPAP, Preventing complications, Nursing Care.
About 10% of all newborn require some assistance to begin breathing after birth, and 1% require extensive resuscitation efforts. Newborn resuscitation cannot always be anticipated in time to transfer the mother before delivery to a facility with specialized neonatal support. Therefore, every hospital with a delivery suite should have an organized, skilled resuscitation team and appropriate equipments available.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
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micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
2. INTRODUCTION
APPROXIMATELY 10% OF TOTAL NEWBORNS
REQUIRE SOME ASSISTANCE TO BEGIN
BREATHING AT BIRTH.
LESS THAN 1% REQUIRE EXTENSIVE
RESUSCITATIVE MEASUREMENTS.
BASIC LIFE SUPPORT ARE NEEDED FOR THE
BABIES WHO ARE HAVING BIRTH ASPHYXIA.
3. DEFINITION
NEONATAL RESUSCITATION IS THE SERIES OF
ACTIONS, USED TO ASSIST NEW BORN
BABIES, WHO HAVE DIFFICULTY WITH MAKING
THE PHYSIOLOGICAL TRANSITION FROM THE
INTRAUTERINE TO EXTRAUTERINE LIFE
5. GOALS
THE MAIN GOALS OF NEONATAL RESUSCITATION
ARE –
1. TO INITIATE NORMAL BREATHING OF THE
BABY
2. TO MAINTAIN ADEQUATE TISSUE PERFUSION
3. TO RESTORE NORMAL CORE TEMPERATURE
4. TO MAINTAIN ADEQUATE CARDIAC OUTPUT
9. EQUIPMENTS
THE ESSENTIAL EQUIPMENTS WHICH ARE
USED FOR NEONATAL RESUSCITATION ARE –
1. SUCTION EQUIPMENTS
2. BAG AND MASK EQUIPMENTS
3. INTUBATION EQUIPMENTS
4. MEDICATIONS
5. FLUID EQUIPMENTS
6. MISCELLANEOUS
10. SUCTION
EQUIPMENTS
BULB SYRINGE
SUCTION CATHETER
SUCTION TUBING
MECONIUM ASPIRATOR
SUCTION APPARATUS
SYRINGE CATHETER ( 10 mL or 20
mL )
21. T STANDS FOR MAINTENANCE OF
TEMPERATURE
A STANDS FOR ESTABLISHMENT OF AN
OPEN AIRWAY
B STANDS FOR INITIATION OF
BREATHING
C STANDS FOR MAINTENANCE OF
TEMPERATURE
22. MAINTENANCE OF
TEMPERATURE
IT CAN BE DONE BY –
RECEIVING THE BABY IN A PREWARM
TOWEL
PROVISION OF HEAT SOURCES
DRYING THE BABY
REMOVING WET LINEN
23. ESTABLISHMENT OF AN OPEN
AIRWAY
IT CAN BE DONE BY –
1. PROPER POSITIONING THE INFANT
2. SUCTION THE MOUTH, NOSE. IN SOME
CASES TRACHEA TOO
3. IF NECESSARY, INSERT AN E.T. TUBE ALSO
24. INITIATION OF BREATHING
IT CAN BE DONE BY –
1. TACTILE STIMULATION
2. P.P.V. ( POSITIVE PRESSURE VENTILATION )
27. PROCEDURE
INITIAL STAGE –
1.RECEIVE THE BABY IN A PREWARMED
TOWEL
2.PLACE THE BABY IN A PREHEATED
WARMER
3. POSITION THE BABY ON BACK WITH THE
NECK SLIGHTLY EXTENDED ( SNIFFING
POSITION )
4.NO HYPEREXTENSION &
UNDEREXTENSION
28. CONT…..
5. SUCTIONING OF THE MOUTH SHOULD BE
DONE FIRST, THEN NOSE TO PREVENT THE
CHANCE OF ASPIRATION OF SECRETION BY
MOUTH
6. USE MECONIUM SUCCAR IN CASE OF
MECONIUM ASPIRATION
30. CONT…..
2. USING FREE FLOW OXYGEN –
BY BLOWING OVER THE NEONATE’S NOSE, SO
THAT THE BABY BREATHES OXYGEN
ENRICHED AIR.
FLOW SHOULD BE 5L / Min
IF THE BABY IS HAVING SPONTANEOUS
RESPIRATION, H.R. IS ABOVE 100 BEATS PER
MINUTE WITH SKIN COLOR PINK, THEN BABY
NEEDS ONLY OBSERVATION AND
MONITORING.
31. CONT…..
NOTE : -
IF THE BABY IS HAVING SPONTANEOUS
RESPIRATION, H.R. IS ABOVE 100
BEATS PER MINUTE WITH SKIN COLOR
PINK, THEN BABY NEEDS ONLY
OBSERVATION AND MONITORING
32. CONT…..
BAG & MASK VENTILATION –
SHOULD BE STARTED IF AFTER TACTILE
STIMULATION –
1. THE INFANT IS STILL APNEIC OR
GRASPING
2. HAVING SPONTANEOUS RESPIRATION
BUT H.R. IS BELOW 100 BEATS PER
MIN
33. CONT…..
FOR B.M.V. –
BABY’S NECK SHOULD BE SLIGHTLY
EXTENDED TO ENSURE OPEN AIRWAY
MASK TO BE PLACED IN POSITION WHICH
SHOULD COVER TIP OF THE CHIN,
MOUTH AND NOSE
VENTILATION SHOULD BE DONE AT THE
RATE OF 40 - 60 BR. PER MIN
35. CONT…..
FINDINGS
1. H.R > 100
BEATS/MIN
2. H.R. IS BETWEEN
60 – 100
BEATS/MIN
3. H.R. < 60
BEATS/MIN
INTERVENTIONS
1. STOP B.M.V. AND
MONITOR THE BABY
ONLY
2. CONTINUE B.M.V.
3. CONTINUE WITH
CHEST
COMPRESSION
36. CONT…..
CHEST COMPRESSION –
MUST BE PERFORMED ALONG WITH
VENTILATION AND 100% OXYGENATION
METHODS : -
IT CAN BE DONE BY TWO METHODS,
1. THUMB COMPRESSION
2. TWO FINGER TECHNIQUE
37. CONT…..
LOCATION :-
THE PRESSURE SHOULD BE APPLIED AT
THE LOWER THIRD OF THE STERNUM
DEPTH :-
THE DEPTH SHOULD BE ½ TO ¾ INCH.
RATE :-
THE RATE OF CHEST COMPRESSION WILL BE
90 COMPRESSIONS AT A MINUTE ALONG WITH
30 P.P.V.
TOTAL 120 EVENTS PER MINUTE
38. CONT…..
PATTERN :-
TWO PERSON SHOULD BE THERE
THREE COMPRESSIONS FOLLOWED BY
ONE VENTILATION
TIME DURATION :-
3 CHEST COMPRESSIONS SHOULD BE
DONE WITHIN 1.5 SECOND
1 VENTILATION SHOULD BE DONE
WITHIN 0.5 SECOND
39. CONT…..
4 EVENTS ( 3 COMPRESSIONS + 1 P.P.V. ) NEED
2 SECOND TO BE COMPLETED
THUS, WITHIN 1 MINUTE, TOTAL 120 EVENTS
SHOULD BE COMPLETED.
40. CONT…..
E.T. INTUBATION :-
ENDOTRACHIAL INTUBATION IS
INDICATED WHEN –
1. PROLONGED VENTILATION IS
NEEDED
2. B.M.V IS INEFFECTIVE
3. TRACHEAL SUCTION IS NEEDED
4. DIAPHRAGMATIC HERNIA IS
SUSPECTED
42. CONT…..
MEDICATION :-
UMBILICAL VEIN SHOULD BE USED
FOR ADMINISTERING MEDICATION.
NO INTRACARDIAC DRUG SHOULD BE
GIVEN.
SOME OF THE MEDICATIONS CAN BE
GIVEN THROUGH E.T. TUBE.
47. NURSES
RESPONSIBILITIES
BEFORE C.P.R. –
1. KEEP ALL THE EQUIPMENTS READY BY THE
TIME OF DELIVERY
2. ASSESS THE NEWBORN. CHECK H.R., TEMP,
APGAR SCORE 2 TIMES.
3. WIPE THE BABY DRY AND PLACE ON A
RADIANT WARMER
4. CHECK THE AIRWAY
5. DO SUCTIONING IF NEEDED
6. PROVIDE TACTILE STIMULATION
7. CHECK THE H.R. AGAIN
48. CONT…..
DURING C.P.R. –
1. KEEP THE AMBUBAG READY
2. COVER THE MOUTH WITH THE MASK
PROPERLY
3. MONITOR H.R. CONTINUOUSLY
4. START CHEST COMPRESSION IF H.R.
BELOW 60 beats / min
5. DO NOT GIVE EXTRA PRESSURE WHILE
CHEST COMPRESSION
6. MONITOR VITAL SIGNS CONTINUOUSLY,
SPECIALLY THE H.R.
49. CONT…..
AFTER C.P.R. –
1. MONITOR THE TEMP. OF THE BABY
2. MONITOR THE H.R.
3. PLACE THE BABY IN A RADIANT WARMER
4. DISCARD THE DISPOSABLE ARTICLES
5. SEND THE REUSABLE ARTICLES FOR
STERILIZATION
6. GIVE THE BABY TO THE MOTHER FOR
FEEDING
7. MAINTAIN ALL THE RECORD AND REPORT
IMMEDIATELY IF ANY COMPLICATION IS FOUND