Medication Administration Flashcards

What is the recommended volume for a normal saline bolus when treating suspected hypovolemia during neonatal resuscitation?

Answer: 10 mL/kg over 5–10 minutes

For suspected hypovolemia, 10 mL/kg of isotonic saline is given over 5–10 minutes via UVC or IO during neonatal resuscitation.

What concentration of epinephrine solution is used for neonatal resuscitation?

Answer: 1:10,000 (0.1 mg/mL)

The 1:10,000 concentration (0.1 mg/mL) of epinephrine is used for neonatal resuscitation, both for IV/IO and endotracheal administration.

After administering the first dose of epinephrine IV during neonatal resuscitation, when should the next dose be given if the heart rate remains below 60 bpm?

Answer: After 3–5 minutes

Epinephrine may be repeated every 3–5 minutes if the heart rate remains below 60 bpm despite continued CPR and adequate ventilation.

Which of the following is NOT an indication for volume expansion during neonatal resuscitation?

Answer: Routine use to improve response to epinephrine

Volume expansion is not used routinely in neonatal resuscitation. It is reserved for specific situations of suspected or confirmed hypovolemia such as blood loss. Routine use can cause harm.

What is the primary reason IV/IO epinephrine is preferred over endotracheal epinephrine during neonatal resuscitation?

Answer: IV/IO delivery provides more reliable and predictable drug absorption

IV/IO administration ensures reliable, systemic delivery of epinephrine with predictable absorption, unlike the endotracheal route where absorption via the pulmonary mucosa is variable and often inadequate.

A 3.2 kg newborn requires IV epinephrine during resuscitation. Using the dose of 0.02 mg/kg, what is the correct volume of 1:10,000 epinephrine to administer?

Answer: 0.64 mL

Dose = 0.02 mg/kg × 3.2 kg = 0.064 mg. Volume = 0.064 mg ÷ 0.1 mg/mL (1:10,000) = 0.64 mL.