Neonatal Resuscitation Flashcards
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Read the first 7 Neonatal Resuscitation flashcards as text
What is the recommended dose of intravenous epinephrine in neonatal resuscitation?
Answer: 0.01 to 0.03 mg/kg (0.1 to 0.3 mL/kg of 1:10,000)
The IV epinephrine dose is 0.01 to 0.03 mg/kg using the 1:10,000 (0.1 mg/mL) concentration.
What is the preferred route for administering epinephrine during neonatal resuscitation?
Answer: Umbilical vein catheter
The umbilical vein is the preferred, fastest, and most reliable vascular access route in a newborn.
When epinephrine is given, what heart rate threshold means it is indicated?
Answer: Heart rate remains below 60 bpm despite effective ventilation and compressions
Epinephrine is indicated when the heart rate stays below 60 bpm despite adequate ventilation and chest compressions.
What should be suspected if a newborn does not respond to resuscitation and shows signs of shock with pallor?
Answer: Hypovolemia from blood loss
A poorly responding newborn with pallor and weak pulses may have hypovolemia requiring a volume expander.
What is the recommended initial volume expander and dose for a hypovolemic newborn?
Answer: Normal saline 10 mL/kg over 5 to 10 minutes
Normal saline at 10 mL/kg given over 5 to 10 minutes is the recommended volume expander for hypovolemia.
If umbilical venous access is not yet available, what alternate route can be used for the first epinephrine dose?
Answer: Endotracheal tube (higher dose)
Endotracheal epinephrine at a higher dose may be given while vascular access is being obtained, though it is less reliable.
How often may epinephrine be repeated during ongoing neonatal resuscitation?
Answer: Every 3 to 5 minutes if heart rate stays below 60 bpm
Epinephrine doses may be repeated every 3 to 5 minutes while the heart rate remains below 60 bpm.