Page 841 - Saunders Comprehensive Review For NCLEX-RN

https://www.ahajournals.org/doi/10.1161/CIR.0000000000000540;

XXIX. Cardiopulmonary Resuscitation (CPR) Guidelines for Infants
A. Description: Infants include individuals who are 1 year of age or
less. The basic life support (BLS) sequence for infants is very
similar to that used for child and adult CPR. The main differences
include the following:
1. Location of the pulse check is the brachial artery in
infants.
2. Compression technique is to use 2 fingers for a single
rescuer and to use a 2-thumb–encircling technique for
2 rescuers.
3. Compression depth should be one-third of the chest
depth, which is approximately 1.5 inches or 4 cm.
4. The compression to ventilation ratio for 1 rescuer is
30:2; 2 rescuers is 15:2.
5. The emergency response system should be activated if
the arrest is not witnessed and the rescuer is alone
after providing 2 minutes of CPR; after 2 minutes the
single rescuer can activate the emergency response
system and get an automated external defibrillator.
6. The emergency response system should be activated
and the automated external defibrillator should be
retrieved before beginning CPR if the arrest is sudden
and witnessed.
B. Refer to Chapter 52 for detailed information on the American
Heart Association’s recommendations for the CPR sequence.

Table 27-1
Five Vital Indicators of Apgar Scoring

Table 27-2

Apgar Score Interventions

Score Intervention
8-10 No intervention required except to support newborn’s spontaneous efforts
4-7 Stimulate; rub newborn’s back; administer oxygen to newborn; rescore at specific intervals
0-3 Newborn requires full resuscitation; rescore at specific intervals

Table 27-3

841