Chapter 7 Medications Flashcards
What two interventions need to be tried prior to EPI administration?
Include time frames for intervention
- at least 30 seconds of PPV that moves the chest
AND - another 60 seconds of CPR w/ Fio2 of 100%
(p.181)
How much fluid should be given for volume expansion and over what amount of time?
10ml/kg over 5-10 minutes
(p.182)
How long should CPR be given before considering termination of efforts?
20 minutes
(p.182)
How long should it take a dose of EPI to increase the HR?
60 seconds
(p. 187)
When should a volume expander be used?
List 6 conditions that could cause hemmorhage.
Acute fetal-maternal hemorrhage
1. bleeding vasa previa
2. extensive vaginal bleeding
3. placental laceration
4. fetal trauma
5. umbilical prolapse
6. tight nuchal cord
(p. 189)
What are some dangers of fluid boluses given to preterm their first day of life?
In babies less than 32 weeks, rapid boluses or doses >10mlk/kg are associated with an increased risk of intercranial bleeding
(p. 189)
How many centimeters do you insert a UV catheter? and why?
2-4 cm
deeper insertion may reach liver and cause direct injection of medications into liver causing injury
p. 195
Can an IO be used in a preterm?
Yes
(p. 197)
Where is the location for an IO?
“2cm below and 1-2 cm medial to the tibial tuberosity”
(p.202)
How much fluid should be used to flush EPI through a UVC?
3 mls of saline
(p.203)
What should you do if you are unable to aspirate via an IO?
Aspiration via an IO ins not necessary and unreliable indictor of needle placement
(p.203)
Ventilation that moves the chest has been performed via an ETT for 30 seconds, followed by coordinated chest compressions and 100 FiO2 for an additional 60 seconds. Epi is indicated if the baby’s HR remains less than what rate?
60 bpm.
p. 205
What is the recommended concentration of epi for NBs?
0.1mg/ml
p. 205
Initial dose of a volume expander?
10ml/kg
p. 205
