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NEONATAL NIV PA #2, Make sure to ask for an Order before going to change…
NEONATAL NIV PA #2
Gloves on, walk into the room
ASSESS COLOR, TONE, & WOB
"How is baby's color, tone, & WOB?"
LOOK AT MONITOR - SATS, HR, ANY ALARMS PRESENT
Sats - Make sure fit into COD profile
-Prem = 88-100% (93%)
-Term = 92-100% (97%)
HR = 100-160
RR = 30-60
PREPARE FOR INTERVENTION
-Sats low & Increased WOB = CPAP, turn O2 up beforehand
-Apnea (ABD's) = Stimulation of baby
-No response = PPV
"Do I have chest rise?"
-PPV until recovery
"Is baby making spontaneous efforts?"
-Can hold CPAP before taking the mask off
Reassess Intervention
-"I'm just going to reassess, how is baby's WOB?"
-"I'm gonna take a look at sats & make sure they fall within COD profile"
Once baby is STABILZED, continue w Assessment
1) Is the RR that I'm seeing match whats on the monitor?
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