ALGORITHM
Neonatal patient 20 minutes old at term presents cyanosis, shortness of breath, heart rate 80 per minute, respiratory rate 20 per minute
A= 0
P= 90
G= 1
A= 0
R= 2
TOTAL= 4
Check patient's airway
Term gestation?
Breathing or crying?
Good tone?
yes -- 40 weeks
yes --- 20 rpm
no
Warm, clear airway if necesary, dry stimulate
Vital sings monitoring
HR Below 100, gasping, or apnea
Administer suplemental oxigen, mask with reservoir 10 lpm
BVM Usage
Preparing to initiate CPR
Yes
HR below 100?
yes