Medication Administration Flashcards
6 cards from real NRP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Medication Administration flashcards as text
What is the recommended intravenous/intraosseous dose of epinephrine during neonatal resuscitation?
Answer: 0.01–0.03 mg/kg (0.1–0.3 mL/kg of 1:10,000 solution)
The recommended IV/IO dose of epinephrine is 0.01–0.03 mg/kg, which equals 0.1–0.3 mL/kg of a 1:10,000 (0.1 mg/mL) solution, per NRP 8th edition.
Which of the following is the FIRST-LINE route for medication administration during neonatal resuscitation once IV access is needed?
Answer: Umbilical venous catheter
The umbilical venous catheter (UVC) is the preferred and first-line route for emergency vascular access in neonatal resuscitation due to its accessibility in the delivery room.
What is the normal saline flush volume recommended after giving epinephrine through an umbilical venous catheter in a neonate?
Answer: 0.5–1 mL
After administering epinephrine via UVC, a flush of 0.5–1 mL of normal saline is recommended to ensure the full drug dose reaches the circulation.
When should volume expansion with normal saline be considered during neonatal resuscitation?
Answer: When the infant is suspected to have hypovolemia not responding to epinephrine
Volume expansion with isotonic saline is indicated when the infant shows signs of hypovolemia (pallor, weak pulses, poor response to resuscitation) and the cause is suspected to be blood loss or severe hypovolemia.
What is the endotracheal dose of epinephrine if IV/IO access is unavailable during neonatal resuscitation?
Answer: 0.05–0.1 mg/kg (0.5–1 mL/kg of 1:10,000 solution)
The endotracheal dose of epinephrine is 0.05–0.1 mg/kg (0.5–1 mL/kg of 1:10,000 solution) — significantly higher than the IV/IO dose — because absorption via the pulmonary route is unreliable.
Which medication is used for neonatal resuscitation in cases of suspected opioid-induced respiratory depression?
Answer: Naloxone
Naloxone is an opioid antagonist used to reverse respiratory depression caused by maternal opioid administration. However, NRP emphasizes that PPV should be the primary intervention, and naloxone is used as an adjunct.