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PODELBA NA DETSKATA VOZRAST VO REANIMACIJATA
TUKU[TO RODENO NOVORODENO
24 ~asa do 28 den
(donoseno i nedonoseno)
DOEN^E
do 1 godina
DETE
deca od 1 godina do 8 godini
PRI^INI ZA REANIMACIJA
VO DETSKATA VOZRAST
HIPOOJSIJA KAJ NOVORODENI
ZABOLUVAWA NA
RESPIRATORNIOT TRAKT
GU[EWE KAJ DECA
SRCEVI VRODENI MANI
SBMO KAJ NOVORODENI
osnovno odr`uvawe vo `ivotot
PROCENKA NA NOVORODENOTO PO APGAR :
(0-2 BODAZA SEKOJ ZNAK ZA VITALNOST VO PRVATA MINUTA)
1.PLA^EWE(refleksi na drazba)
2.DI[EWE(napor pri di{ewe)
3.SRCEVA FREKVENCIJA
4.MUSKULEN TONUS
5. BOJA NA KO@A
SEKOJA SOSTOJBA NA
APGAR< 10 BARA SBMO !!!
- STIMULACIJA NA DI[EWETO I
REFLEKSITE
- ODSTRANUVAWE NA SEKRETI (amnionska te~nost)
- PASIVNA OKSIGENOTERAPIJA na maska
- PODPOMAGAWE NA DI[EWETO SO AMBU(di{en o`ivuva~)
- VE[TA^KO DI[EWE (usta na usta-nos)
- MASA@A NA SRCETO
- LEKOVI NIZ UMBILIKALNA VENA
BIRTH
Gently Stimulate
Open Airway
Clear Airway
Response
Yes
s
No
No
Yes
Iregular/No
Respiration
Heart Rate>100/min No Respiration
Heart
rate<100/min
Regular
Respiration
Heart
Rate>100/min
Pink
Face Mask
Resuscitation
Response
Call for help
Baby may require
intubation and chest
compression
Dry baby
Give to Mother
RESUSCITATION OF BABIES AT BIRTH
Call for help
Cear Airway
Intubate
Ventilate
Response
Yes
No
No
Yes
Heart rate<60
min-1
or decreasing
Heart rate>60 min-1
or increasing
Consider volume
Expanders
10-20ml kg-1
Response
Thick Meconium
& unresposive
RESUSCITATION OFBABIES AT BIRTH
Continue Ventilation
until
Heart rate>100 min-1
Continue Ventilation
Start Chest Compression
Rate: 120 min-1 Ratio 3:1
-Inadequate or no respiration.
-HR less than 60 min-1
-HR less than 100 min-1 and falling
despite adequate ventilation.
Canulateumbilical vein
Consider intaoseal Adrenaline
10-30 mcg kg-1
IV Sodium Bicarbonate
(2-4 ml kg-1 4,2% soln)
IV Adrenaline
10-30 mcg kg-1
Consider other
diagnoses
(e.g. Naloxone)
Prepare to admit
to
NNU
Spontaneous
Respiration
HR>100 min-1
Consider extubation
No
DECA
Tehnikite na SBMO
za vozrasnite mo`e da
se primenat kaj decata
Kompresiite se
modificirani: 1/3 od dlabo~inata na
gradite
2 prsta za doen~iwa
Kaj pogolemi: 1 ili 2
dlanki
AKO DETETO E VO BESSVEST A
POSTOI DI[EWE:
AKO DI[EWETO E REGULARNO, POSTAVI
GO VO POLO@BA ZA OPORAVUVAWE