Question

you an Rcp covering labor and delivery, you are called to a delivery and as you enter the room, the labor RN informs you that the mom is 36 weeks gestation, with spontaneous rupure of membranes. The is born with very poor tone, cyanosis, heart rate 80, no respiration, no grimace. what equipment should you have available in order to resuscitate this patient effectively? what are the resuscitation steps needed for this patient? what is the apgar score? when is ok to stop recording apgar scores during resuscitation?.As an RCP what are you looking for to deem the patient fully resuscitated and stable

Answer 1

Answer 1:

Following equipments are required for the effective resuscitation of a

A.Suction Equipment:
Bulb syringe
Mechanical suction
No. 5, 8, 10 French suction catheters
8 French feeding tube and 20-mL syringes
Meconium aspirator
Wall suction

B.Bag and Mask Equipment:

Infant resuscitation bag with pressure-release valve or pressure manometer; the bag must deliver 100% oxygen
Face masks in premature and term infant sizes (No. 1, 2, 3) with cushioned rims
Oral airways
Oxygen source with intact flow meter and tubing

C. Intubation Equipment :

Laryngoscopes with straight blades

No. 0—premature
No. 1—term

Extra bulbs and batteries for laryngoscope
Endotracheal tubes
2.5 mm—Infants < 1 kg
3 mm—Infants 1–2.5 kg
3.5 mm—Infants > 2.5 kg

Stylet
Scissors
Gloves

D. Medications:

Epinephrine 1:10,000, 3- or 10-mL ampules
Naloxone hydrochloride 0.4 mg/mL in 1-mL ampules or 1 mg/mL in 2-mL ampules
Volume expanders
Whole blood
Fresh frozen plasma
Albumen (5%)/saline solution

Sodium bicarbonate 4.2% (5 mEq/10 mL)
Dextrose 10%, 250 mL
Sterile water 30 mL
Normal saline solution 30 mL
Other Equipment and Supplies
Radiant warmer
Stethoscope
Blood pressure monitor with appropriate cuffs
Adhesive tape
Syringes
Needles
Alcohol sponges
Umbilical catheterization tray
Umbilical tape
Umbilical catheters—3.5, 5 French
3-way stopcocks
5 French feeding tube
Cardiotachometer with electrocardiogram oscilloscope
Pressure transducer and monitor
Pulse oximeter

Answer 2: following resuscitation steps should be followed:

step 1: stabilisation: placing the infant under light(warmth) clear airway if needed.

step 2: ventilation

step 3: chest compression

step 4: administration of adrenaline

Answer 3:

apgar stands for appearance, pulse, grimace , activity, and respiration.

apgar score is a quick method to quickly examine and summarize the health condituon of a new born infant.

answer 4:

a Apgar score of 5 to10 means that the infant is in good/healthy condition

at a score between 0 to 3 , the infant shoul be given immediate resuscitation

the resuscitation should be stopped when the heart beat of infant is undetectable and remains so for about 10 minutes. that is , at a apgar score of 0

Answer 5:

a baby is said to be stable when its appearance becomes pink, pulse becomes above 100/minute, baby becomes active respiration is good, the baby has started crying.

At this stage, rwsuscitation can be stopped