Signs of Respiratory Distress including Cyanosis Grunting respirations Subcostal or intercostal recessions Tracheal Tug Nasal Flare Tachypnoea respiratory rate gt60 Keep skintoskin with mother ID: 1037224
Download Presentation The PPT/PDF document "Assess at time of 10 minute APGAR" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
![Azure Stream Analytics [ Instructor Name ]](https://thumbs.docslides.com/679618/azure-stream-analytics-instructor-name.jpg)
1. Assess at time of 10 minute APGARSigns of Respiratory Distress including:CyanosisGrunting respirationsSubcostal or intercostal recessionsTracheal TugNasal FlareTachypnoea (respiratory rate >60)Keep skin-to-skin with motherConfirm RAG risk categoryFollow pathway and review accordinglyPre-ductal oxygen saturations(right hand)1) Consider NERT call (2222)2) Move to resuscitaire under radiant heat and make sure hat on (RAG as applicable)3) Give 5cm PEEP via facemask and oxygen to maintain adequate saturations (see Box)4) If NERT call not required, call Neonatal SHO/ANNP (bleep 3217) for urgent review – SHO/ANNP to see within 10 minutes1) Keep baby warm skin-to-skin with mum2) If intermittent grunting only Confirm RAG risk category and ensure appropriate pathway actions. 3) Inform neonatal SHO/ANNP (bleep 3217)4) Reassess in 20 minutesAgeSpO22 min60%3 min70%4 min80%5 min85%10 min90%15 min ≥95%<90% at 10 minutes<95% at 15 minutes>90% at 10 minutes>95% at 15 minutesNoYesReassess at 30 minutes of age – see over leafPersistent grunting or clinical concernYesNoPILOT Care Pathway for the Assessment of Term (>37 weeks) Babies at DeliveryH. Daniels, C. Lea, C. Warren, A. Collinson 2018
2. Reassess any baby with resolved or ongoing signs of respiratory distress at 30 minutes of agePre-ductal oxygen saturations(right hand)1) Consider NERT call (2222)2) Move to resuscitaire under radiant heat and make sure hat on (RAG as applicable)3) Give 5cm PEEP via facemask and oxygen to maintain adequate saturations (see Box)4) If NERT call not required, call Neonatal SHO/ANNP (bleep 3217) for urgent review – SHO/ANNP to see within 10 minutesKeep skin-to-skin with motherConfirm RAG risk categoryFollow pathway and review accordingly>95% AND no signs of respiratory distress<95% OR ongoing respiratory distressSigns of Respiratory Distress including:CyanosisGrunting respirationsSubcostal or intercostal recessionsTracheal TugNasal FlareTachypnoea (respiratory rate >60)H. Daniels, C. Lea, C. Warren, A. Collinson 2018