Asphyxia neonatorum management aims to establish effective ventilation and circulation while preventing hypoxic-ischemic encephalopathy and multi-organ damage. Perinatal asphyxia results from interruption of placental gas exchange causing hypoxia, hypercapnia, and acidosis. Immediate resuscitation follows NRP (Neonatal Resuscitation Program) algorithm: thermal management; airway (positioning, suctioning); breathing (stimulation, positive pressure ventilation); circulation (chest compressions if needed); drugs (epinephrine if severe). Post-resuscitation care: monitor for encephalopathy (seizures, abnormal tone, poor feeding); supportive care (temperature control, glucose maintenance, seizure management); and consider therapeutic hypothermia for moderate-severe encephalopathy. Nurses assess Apgar scores, cord pH, and neurological status. Documentation details resuscitation interventions and response. Prevention through antenatal monitoring and timely delivery. Long-term follow-up for neurodevelopmental outcomes. Therapeutic hypothermia reduces brain injury if started within 6 hours. Multidisciplinary care involves neonatology, neurology, and rehabilitation.

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Zambia

• Joseph Soko – 101 pts

• Visual Pathway Lesions
• Positive and Negative Symptoms
• Hallucinations and Delusions
• Antipsychotic Medications
• Emergency: Environmental Emergencies