Neonatal Resuscitation Interventions

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Hello,

I am trying to answer the following question for my women's health class:

"If an infant is born at term but is not crying and has poor muscle tone,

what initial steps should we take to stabilize the newborn?"

I have gone through power points and the text and can't find specific interventions for non-crying atonic neonates. Are these characteristics of a specific neonatal condition?

Any help would be appreciated.

Thanks

Jon

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Specializes in Critical Care, Emergency Medicine, C-NPT, FP-C.

Usually starts with O2 and PPV. Blow by, and if no change after 30 seconds, PPV for 30 seconds. If no change and HR is below 60, initiate chest compressions.

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Specializes in NICU, ICU, PICU, Academia.

I disagree- starts with drying and tactile stimulation.

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Specializes in Critical Care, Emergency Medicine, C-NPT, FP-C.
I disagree- starts with drying and tactile stimulation.

D'oh I always forget to type those in. Yep, that would be the first two things, after bulb suctioning of the nares and mouth.

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Specializes in L&D, OBED, NICU, Lactation.
D'oh I always forget to type those in. Yep, that would be the first two things, after bulb suctioning of the nares and mouth.

Bulb suctioning is not always indicated and is actually somewhat deprecated in the newest version of NRP (noted in the book "as indicated" rather than just go ahead and do it). Of course, every now and then you get that juicy kid...

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Specializes in Critical Care, Emergency Medicine, C-NPT, FP-C.

Ah ok. Im about due for my NRP renewal and am waiting for the newest edition text to come in. Thanks for the update!

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