Your team is caring for a term newborn whose heart rate is 50 bpm after receiving effective ventilation, chest compressions, and intravenous epinephrine administration. There is a history of acute blood loss around the time of delivery. You administer 10 mL/kg of normal saline (based on the newborn’s estimated weight). At what rate should this be administered

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30-04-2022
Medicine

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Your team is caring for a term newborn whose heart rate is 50 bpm after receiving effective ventilation, chest compressions, and intravenous epinephrine administration. There is a history of acute blood loss around the time of delivery. You administer 10 mL/kg of normal saline (based on the newborn’s estimated weight). At what rate should this be administered

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kamakshiruhela11 kamakshiruhela11 · Answer 1 · 2022-05-05T14:03:46+02:00

The gasping respiration, and positive pressure ventilation via face cover should be started with 21 percent oxygen or blended oxygen using a self-inflating bag, flow-inflating bag.

What should you do if the neonate's heart rate falls below 60 beats per minute?

If the heart rate drops 60 bpm despite good oxygenation and ventilation, start chest contractions.

If the heart stays drops 60 bpm after 30-45 seconds of cogent chest squeezes, epinephrine 10 mcg/kg should be nursed intravenously.

Thus, positive pressure ventilation via face cover should be initiated with 21 percent oxygen.

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