Accepted at: Feb, 16, 2026
5:37 a.m.
Author:
ebakbak
Related Deck:
1675118865074
Accepted
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What is the next best step in management for a neonate with a pulse < 100 or respiratory distress (gasping, apnea) in the first 10 minutes after birth?
{{c1::Positive pressure ventilation (PPV)}}
At what respiration rate?
{{c1::40-60 BPM}}
At what pressures?
Term: {{c1::30/5cm H20}}
Pre-term: {{c1::20-25/cm H2O}}
Text
<div>What is the next best step in management for a neonate with a <b>pulse < 100</b> or <b>respiratory distress</b> (gasping, apnea) in the first 10 minutes after birth?</div><br><div>{{c1::Positive pressure ventilation (PPV)}}<br></div><br><div>At what respiration rate?</div><div>{{c1::40-60 BPM}}</div><br><div>At what pressures?</div><div>Term: {{c1::30/5cm H20}}</div><div>Pre-term: {{c1::20-25/cm H2O}}</div>
Extra
- Once the neonate is breathing well with a heart rate over 100 bpm and good muscle tone, routine care such as skin-to-skin contact, vitamin K injections, and erythromycin eye ointment should be given
- The ventilation should begin with 21% O2 (room air) and a rate of 40-60 breaths/minute
- If there is no improvement with PPV, the next step is intubation
- If HR drops below 60 despite adequate ventilation for > 30 seconds, start CPR
Extra
- Once the neonate is breathing well with a heart rate over 100 bpm and good muscle tone, routine care such as skin-to-skin contact, vitamin K injections, and erythromycin eye ointment should be given<br><br><div>- The ventilation should begin with 21% O<sub>2</sub> (room air) and a rate of 40-60 breaths/minute</div><br><div>- If there is no improvement with PPV, the next step is intubation</div><br><div>- If HR drops below 60 despite adequate ventilation for > 30 seconds, <u>start CPR</u></div><br><div><img src="f9f36cb99aa097a8b07a23b6a4f0dcb7.webp"><br></div>
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Source
QLD Health<br><a href="https://www.health.qld.gov.au/__data/assets/pdf_file/0017/144233/f-resus-chart.pdf">https://www.health.qld.gov.au/__data/assets/pdf_file/0017/144233/f-resus-chart.pdf</a>
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