Instructor's Manual for Essentials of Maternal and Neonatal

As with all aspects of clinical training, the program encourages progressive responsibility and increasing autonomy when on-call. The goal of the program is to promote self-healing through play. Abacavir: Children weighing at least 14 kg who can be treated with pill formulations can initiate therapy with once daily abacavir dosing. The clinical components of the program are conducted at both Harbor-UCLA Medical Center and its affiliated center, Children’s Hospital of Orange County (CHOC). Nutrition plays an important role especially in the first couple of weeks after the child birth.

Sullivan received her medical degree from the Georgetown University School of Medicine, Washington DC. She completed her pediatric residency and her neonatal fellowship at Dartmouth-Hitchcock Medical Center, Lebanon, NH. Both perinatal and neonatal nurses are involved in the childbirth process. The main difference between the two is that perinatal ("around the birth") nurses take care of pregnant women before, during and just after birth, while neonatal ("newly born") nurses care for newborn infants through the first 28 days of life , cited: http://internationalrelo.net/ebooks/prenatal-testosterone-in-mind-amniotic-fluid-studies-bradford-books. Part 15: Neonatal resuscitation: 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. If the heart rate is less than 100 bpm and/or the infant has apnea or gasping respiration, positive pressure ventilation (PPV) via face mask is initiated with 21 percent oxygen (room air) or blended oxygen, and the pulse oximeter probe is applied to the right hand/wrist to monitor heart rate and oxygen saturation. 5, 6 The heart rate is reassessed after 30 seconds, and if it is less than 100 bpm, PPV is optimized to ensure adequate ventilation, and heart rate is checked again in 30 seconds. 5 – 7 If the heart rate is less than 60 bpm after 30 seconds of effective PPV, chest compressions are started with continued PPV with 100 percent oxygen (3:1 ratio of compressions to ventilation; 90 compressions and 30 breaths per minute) for 45 to 60 seconds. 5 – 7 If the heart rate continues to be less than 60 bpm despite adequate ventilation and chest compressions, epinephrine is administered via umbilical venous catheter (or less optimally via endotracheal tube). 5 – 7 Depending on the skill of the resuscitator, the infant can be intubated and PPV delivered via endotracheal tube if chest compressions are needed or if bag and mask ventilation is prolonged or ineffective (with no chest rise). 5 Heart rate, respiratory effort, and color are reassessed and verbalized every 30 seconds as PPV and chest compressions are performed ref.: read here.

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