Final answer:
If HR remains below 60 bpm despite PPV, start chest compressions and prepare for potential administration of epinephrine, as per resuscitation guidelines. Bradycardia in this context may require CPR to support circulation and prevent brain damage.
Step-by-step explanation:
If the heart rate (HR) remains less than 60 beats per minute (bpm) despite at least 30 seconds of face-mask positive pressure ventilation (PPV) that inflates the lungs, the next step would be to assess for possible bradycardia and prepare to administer chest compressions and possibly epinephrine as recommended in resuscitation guidelines. The Apgar score assesses HR and respiration in newborns, highlighting the importance of these vital signs.
The face-mask PPV is being used to address inadequate breathing or respiratory distress, but if the HR does not respond to the provision of oxygen and ventilation, then the low HR (<60 bpm) could indicate that the newborn’s heart is not effectively pumping blood. This condition, known as bradycardia, may require initiation of CPR to mechanically support the heart’s pumping action and provide perfusion to vital organs, especially the brain to prevent damage.
Moreover, if the bradycardia persists, despite effective ventilation and chest compressions, intravenous access should be obtained for the administration of medications like epinephrine, which can stimulate the heart rate. It’s crucial to work swiftly and efficiently, as prompt interventions are key in resuscitation scenarios.