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  • Ashphyxia (Abdurahman S)

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    fachrulmirza
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    This document discusses asphyxia in newborns. It defines asphyxia as progressive hypoxia, accumulation of CO2 and acidemia. Asphyxia is classified as without asphyxia (APGAR 8-10), mild-moderate (APGAR 4-7) or severe (APGAR 0-3). Causes can be pre/intra natal such as placental insufficiency or post natal such as lung insufficiency or heart disease. Resuscitation steps include drying, removing wet lines, suctioning the mouth/nose, tactile stimulation, ventilation and heart rate evaluation. Medications for resuscitation include epinephrine if the heart rate is zero or

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    This document discusses asphyxia in newborns. It defines asphyxia as progressive hypoxia, accumulation of CO2 and acidemia. Asphyxia is classified as without asphyxia (APGAR 8-10), mild-moderate (APGAR 4-7) or severe (APGAR 0-3). Causes can be pre/intra natal such as placental insufficiency or post natal such as lung insufficiency or heart disease. Resuscitation steps include drying, removing wet lines, suctioning the mouth/nose, tactile stimulation, ventilation and heart rate evaluation. Medications for resuscitation include epinephrine if the heart rate is zero or

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    Attribution Non-Commercial (BY-NC)
    Unduh sebagai PPT, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    11 tayangan13 halaman

    Ashphyxia (Abdurahman S)

    Diunggah oleh

    fachrulmirza
    This document discusses asphyxia in newborns. It defines asphyxia as progressive hypoxia, accumulation of CO2 and acidemia. Asphyxia is classified as without asphyxia (APGAR 8-10), mild-moderate (APGAR 4-7) or severe (APGAR 0-3). Causes can be pre/intra natal such as placental insufficiency or post natal such as lung insufficiency or heart disease. Resuscitation steps include drying, removing wet lines, suctioning the mouth/nose, tactile stimulation, ventilation and heart rate evaluation. Medications for resuscitation include epinephrine if the heart rate is zero or

    Hak Cipta:

    Attribution Non-Commercial (BY-NC)
    Unduh sebagai PPT, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    dari 13

    ASHPHYXIA

    By: Dr. Abdurachman Sukadi, dr.,SpAK

    ASPHYXIA
    DEFINITION: Progressive hypoxia, acumulation of CO2 and acidemia CLASSIFICATION: Without asphyxia (APGAR score 8-10) Mild- moderate (APGAR score 4-7) Severe (APGAR score 0-3)

    ETIOLOGI

    Pre/intra natal : Placental insufficiency Post natal: secondary of lung insufficiency heat disease

    Gambar no 5

    RESUSCITATION
    Place under radiant heater Dry thoroughly remove wet line Position Suction mouth then nose Tactile stimulation

    Evaluate respiration Spontaneous < 100 x/m

    None or gasping

    PPV-O2, 100%, 15-30

    Evaluate Heart rate

    > 100 x/m pink or peripheral Black cyanosis


    observe and monitor O2

    Evaluation heart rate

    Evaluate Heart Rate

    < 60 x/m - Continue ventilation - Check compression

    60 - 100 x/m HR not increasing - Continue ventilation - Chest compression if HR < 80 x/m HR increasing - continue ventilation

    > 100 x/m Watch for Spontaneous respiration Then discontinue Ventilation

    Initial medication if HR < 80 x/m, after 30 PPV - 02 100% & Chest compression

    MEDICATION FOR RESUSCITATION


    HR zero or HR below 80/min after 30 seconds PPV and chest compressions

    Give epinephrine

    May be repeated every 3-5 minutes if required

    HR above 100 ?

    Yes

    Discontinue medication

    No

    HR < 100
    Prolonged are that does not response to other therapy Give sodium bicarbonate Evidence or suspicion of acute blood loss with signs of hypovolemia Give volume expander

    May be repeated if signs of hypovolemiapersist

    Evidence of continuing depression ?

    Consider other caused, eg. - Pneumothorax - Diaphragmatic hernia - Persistent pulmonary hypertension Consider stating dopamine Consultation

    Meconium in amniotic fluid

    Intrapartum suctioning of mouth, pharynx, and nose

    Thin

    Thick

    Infant active

    Infant depressed Suction trachea Resuscitate PRN

    Observe

    Resuscitate PRN

    One over the other 2

    Chest3

    Epiglottis

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