Medications (Lesson 7)

Question 1

list two ways that epinephrine works

Answer 1

constriction of peripheral blood vessels and increase rate and strength of cardiac contractions

Question 2

when is epinephrine indicated

Answer 2

if the baby’s heart rate remains below 60 beats per minute after: at least 30 seconds of ppv that inflates the lungs and another 60 seconds of chest compressions coordinated with ppv using 100% oxygen.

Question 3

what concentration of epinephrine should be used for neonatal resuscitation?.

Answer 3

1:10,000 (0.1 mg/mL)

Question 4

what is the recommended IV or IO dose of epinephrine?

Answer 4

0.1 to 0.3 mL/kg (equal to 0.01 to 0.03 mg/kg)

Question 5

if you decide to give an endotracheal dose of epinephrine with vascular access is being established, what is the recommended dose

Answer 5

0.5 to 1 mL/kg (equal to 0.05 to 0.1 mg/kg)

Question 6

how is epinephrine given?

Answer 6

rapidly with a 0.5 to 1 milliliter flush of normal saline

Question 7

when should you reassess the heart rate after epinephrine Administration?

Answer 7

after 1 minute

Question 8

how often can you repeat epinephrine

Answer 8

every three to five minutes

Question 9

when are volume expanders indicated?

Answer 9

if the baby is not responding to the steps of resuscitation and there are signs of shock or history of acute blood loss

Question 10

what recommended solution is used for volume expander and at what dose?

Answer 10

0.9% NaCl ( normal saline) at 10 mL/kg

Question 11

at what rate should you give a volume expander in the setting of acute hypovolemia

Answer 11

steady infusion over 5 to 10 minutes