Neonatal Pharmacology Flashcards
6 cards from real RNC-NIC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Neonatal Pharmacology flashcards as text
Dopamine at low doses (1–5 mcg/kg/min) in neonates primarily causes:
Answer: Renal and mesenteric vasodilation
Low-dose dopamine acts on dopaminergic receptors to cause renal and mesenteric vasodilation, increasing organ perfusion.
A neonate is receiving a prostaglandin E1 (PGE1) infusion. The nurse should monitor for which adverse effect?
Answer: Apnea
PGE1 commonly causes apnea in neonates, requiring respiratory support and monitoring for all infants receiving this medication.
Which statement about neonatal drug dosing is correct?
Answer: Neonates have reduced protein binding, increasing free drug availability
Neonates have lower albumin levels and fetal albumin with reduced binding affinity, resulting in more free (active) drug.
Dextrose 10% (D10W) is the standard IV fluid for neonates because:
Answer: It provides glucose to meet high neonatal metabolic demands and prevent hypoglycemia
Neonates have limited glycogen stores and high glucose requirements, making D10W the standard maintenance fluid to prevent hypoglycemia.
Which medication is used as an antidote for neonatal opioid toxicity?
Answer: Naloxone
Naloxone is a pure opioid receptor antagonist used to reverse respiratory depression caused by maternal or neonatal opioid exposure.
Furosemide is used in the NICU to manage:
Answer: Fluid overload and pulmonary edema
Furosemide is a loop diuretic that promotes sodium and water excretion to manage fluid overload, edema, and chronic lung disease.