Published Aug 22, 2003
Brain drain, brain drain. Need some help STAT. Will be lecturing on NRP next week and would like to throw in a few scenarios with our CPR baby at the end of the lecture and have some students come up and demonstrate how to work through the scenarios. For instance, the baby has persistent central cyanosis after 20 seconds of free-flow 02. HR is 110 and baby is breathing spontaneously. What do you do now? (PPV...student would have to answer correctly and demonstrate.) Any ideas you can throw my way for scenarios? Thanx so much!!!:kiss
KRVRN, BSN, RN
Non-vigorous meconium baby, vigorous mec baby, premature baby that's vigorous and perhaps okay, micropreemie, term baby needing Narcan... this what you had in mind, or did you want more specific?
Also be sure and throw in "have you weighed him yet?" while baby is needing PPV and compressions!
VickyRN, MSN, DNP, RN
Any scenarios that would help the students to learn the basic principles of the algorithm would be very helpful.
NicuGal, MSN, RN
Diaphragmatic hernia is always a good one...so is anything cardiac. These are 2 of the most common ones we use...meconium is another.
Any good scenarios on meconium?
With mec babies emphasize whether the baby is active or not because that dictates the next step. Will get them thinking about whether or not to dry and stim immediately if the baby is non-vigorous.
Give a scenario that it's a non ruptured full or post term woman having a bad strip. Then say that the BOW ruptured soon before delivery and there was mec. The students will have to think fast about setting up for intubation, etc.
Maybe a scenario where the baby has mec but comes out vigorous and crying... baby seems fine but then throw in something that will complicate it. Maybe the baby needs Narcan or has a diaphragmmatic hernia or something ELSE to make it complicated and get them thinking.
Make it clear that if it's a preemie that has mec then you might be in for a real train wreck because preemies rarely have mec.
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