Any significant Maternal /Antenatal History RESUSCITATION AT BIRTH MEDICATION Inflation Ven Cord Art breaths pH Cord pH Ventilation Details: Cardiac Vit K Massage □ Drugs Antenatal Steroids □ Apgars 1 min 5 min 10 min Antenatal MgSO4 □ ALLERGIES AIRWAY AND BREATHING Respiratory ET Size □ □ □ □ □ None Low flow O2 HFT CPAP Ventilation Support Cm lips Ventilation Blood Gases pH BE HCO3 BSL Settings: (Date/Time) 2 Mode PIP/PEEP Rate/Flow FiO2 IT Saturation (Preductal Curosurf Postductal★) CARDIOVASCULAR/VITALS VITAL HR BP Temp. SIGNS Inotropes/ Vasodilators/ Prostin/ Bolus: Echo NEUROLOGY PAIN/SEDATION
Any significant Maternal /Antenatal History RESUSCITATION AT BIRTH MEDICATION Vit K □ Antenatal Steroids □ ALLERGIES Antenatal MgSO4 □ Inflation breaths Ven Cord pH Art Cord pH Ventilation Details: Cardiac Massage Drugs Apgars 1 min 5 min 10 min AIRWAY AND BREATHING Respiratory Support None □ Low flow O2 □ HFT □ CPAP □ Ventilation □ ET Size Cm lips Ventilation Settings: Mode PIP/PEEP Rate/Flow FiO2 IT Curosurf Blood Gases (Date/Time) Saturation (Preductal Postductal★) pH BE HCO3 BSL CARDIOVASCULAR/VITALS VITAL SIGNS HR BP Temp. Inotropes/ Vasodilators/ Prostin/ Echo Bolus: NEUROLOGY PAIN/SEDATION 2