What are the emergency nursing measures for neonatal asphyxia? Many pregnant women are very afraid that their babies will suffocate during childbirth, so some pregnant women want to know how to take first aid measures when their babies suffocate. Let's share the first-aid nursing measures for neonatal asphyxia. Let's have a look.
What are the emergency nursing measures for neonatal asphyxia? 1 Rescue and nursing of the fetus after delivery;
thermal insulation
Immediately after delivery, put the newborn on a preheated infrared radiation platform to dry the whole body skin. The temperature of the delivery room is generally 20 ~ 30 degrees Celsius. All newborns are easy to lose heat and are suppressed. The adjustment function of asphyxiated newborns is unstable, and hypothermia is more likely to occur. Low temperature will lead to hypoxemia, hypercapnia and acidosis, which will hinder effective resuscitation.
Clear the respiratory tract
The amniotic fluid properties, respiration, skin color, muscle tension and neonatal maturity were evaluated immediately after delivery. Keep the umbilical cord (the umbilical cord breaks about 10cm from the umbilical chakra), and establish a smooth airway and spontaneous breathing. The key to the success of neonatal resuscitation is effective ventilation to correct hypoxemia, acidosis and bradycardia. Once the fetal head is delivered, the nasal secretions are squeezed by hand and the carcass is delivered. Immediately, the neonatal electric sputum suction device was connected to the sputum suction tube 12, and the suction force was 100 times/minute. At this time, the child's skin color quickly turned red, the heart rate accelerated, and the hypoxia state was alleviated.
Observation and nursing after resuscitation;
thermal insulation
When using the incubator, we should pay attention to the evaporation of skin moisture. Newborns are prone to dehydration and corneal dryness. We should give more 30 ml/(kg d) of liquid and pay attention to protecting eyes.
Controlled oxygen supply
At present, we use children's masks to supply oxygen. After the oxygen is humidified, it is input into the mask device, so that the oxygen opening is as close as possible to the nose and mouth of the sick child. The mask is made of transparent plastic, which is convenient for observing the illness, but attention should be paid to the adjustment of oxygen concentration, because hypoxia and hyperoxia do great harm to newborns. Hypoxia can cause tachycardia and acidosis, and hyperoxia can cause posterior lens fibrosis. Therefore, newborns, especially premature infants, should adjust oxygen supply according to blood gas results. After resuscitation, oxygen should be inhaled for 3 ~ 6h hours according to the situation of the child, and then oxygen can be given intermittently until cyanosis disappears or breathing is stable, and the oxygen concentration is 40% ~ 50%. Keep quiet and move as little as possible to avoid causing or aggravating intracranial hemorrhage. Posture can slightly raise the head and shoulders, lower the abdominal organs, increase the chance of chest enlargement, and also reduce the burden on the heart and intracranial pressure.
Give rehydration, anti-infection, hemostasis and acid correction according to the doctor's advice.
The rehydration speed should not be too fast, and it should be 8 ~ 12 drops/minute to avoid excessive infusion in a short time, which will increase the burden on the heart and cause heart failure and pulmonary edema. According to the situation, liquid intravenous administration and rescue can be maintained. If conditions permit, try to suck and breastfeed as soon as possible. Because breast milk is rich in trace elements, amino acids, immune factors, globulin and so on. It can promote the growth and development of newborns, defend and resist the invasion of external pathogenic factors, and is conducive to the recovery of diseases. In addition, the temperature of breast milk is appropriate, which is beneficial to gastrointestinal absorption of newborns and can prevent diarrhea in children. Avoid excessive movement after feeding. When feeding, the head is slightly raised and the back is slightly backward. After feeding, stand up and pat your back, and sleep to the right to prevent vomiting. If you can't suck, feed it with a dropper or tube.
What are the emergency nursing measures for neonatal asphyxia? 2. Prevent neonatal asphyxia.
1, perinatal care
Strengthen perinatal health care and deal with high-risk pregnancy in time.
2. Fetal monitoring
Strengthen fetal monitoring to avoid and correct intrauterine hypoxia in time. For the fetus with intrauterine hypoxia, we can know the degree of meconium pollution in amniotic fluid through amniotic cavity mirror, or take fetal scalp blood for blood gas analysis when the fetal head is exposed from the cervix, so as to estimate that the degree of intrauterine hypoxia before birth is low PG and SP-A, or L/S, PG and SP-A are low, and the risk of RDS is high, so we should take active measures.
Step 3 avoid dystocia
Closely monitor pregnant women in labor to avoid dystocia.
4. Master the recycling technology.
Train delivery personnel to master recycling technology skillfully.
5, equipped with recycling equipment
Hospital delivery rooms need to be equipped with resuscitation equipment, and there must be personnel who master resuscitation technology during delivery of high-risk pregnancy. During clinical resuscitation, attention should be paid to avoid stimulating newborns to cry before airway cleaning (especially for children with meconium pollution), so as to avoid further inhalation of inhalants in the airway into the lungs.