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Delivery Room Management (APGAR SCORES (Apearance (1 = Pink/peripheral…
Delivery Room Management
RT's are needed in the delivery room with neonatal management after high-risk deliveries (especially deliveries prior to 35 weeks gestation
APGAR SCORES
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Score less than 7 at 5 mins, assess every 5 mins up to 20 mins
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Silverman-Anderson Scale
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0 = No respiratory distress 1-6 = mild to moderate respiratory distress 7 or greater impending respiratory failure
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37 weeks or more
Dry, place in skin-to-skin contact with mom, cover with linen to keep warm, continue to observe breathing, activity, color
Apply PPV immediately after clearing airway, baby exhibits apnea, gasping, or labored breathing or HR < 100
Meconium-stained babies
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Meconium is retried via ET suctioning and HR > 100 recommend repeat suctioning IF HR <100 administer PPV and consider resuming suctioning later
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