NPS NPS Pharmacology and Medications 3

Question 1

What is the correct IV dose of adenosine for a pediatric patient with supraventricular tachycardia (SVT)?

Accepted Answer

0.1 mg/kg rapid IV push

Answer

Adenosine 0.1 mg/kg (max 6 mg first dose) is given as a rapid IV push for pediatric SVT, followed by a saline flush to ensure rapid delivery to the heart.

Question 2

Which glucose infusion rate (GIR) is typically required to maintain euglycemia in a term neonate?

Accepted Answer

6–8 mg/kg/min

Answer

Term neonates typically require a glucose infusion rate of 6–8 mg/kg/min to maintain blood glucose between 50–100 mg/dL.

Question 3

A neonate with suspected congenital adrenal hyperplasia presents in a salt-wasting crisis. Which medication is immediately administered?

Accepted Answer

Hydrocortisone IV

Answer

Hydrocortisone IV is the treatment of choice for acute adrenal crisis in neonates because it provides both glucocorticoid and mineralocorticoid activity.

Question 4

Which opiate analgesic is MOST commonly used for procedural pain management in neonates due to its predictable pharmacokinetics?

Accepted Answer

Fentanyl

Answer

Fentanyl is preferred for neonatal procedural pain due to its rapid onset, short duration, minimal histamine release, and predictable pharmacokinetics.

Question 5

A preterm neonate on total parenteral nutrition develops cholestatic jaundice. Which TPN component is most likely responsible?

Accepted Answer

Lipid emulsion (IVFE)

Answer

Intravenous fat emulsions (IVFE), particularly phytosterol-containing soybean-based lipids, are strongly associated with parenteral nutrition-associated liver disease in neonates.

NPS - Neonatal Pediatric Specialist Practice Test

NPS - Neonatal Pediatric Specialist Practice Test

NPS NPS Pharmacology and Medications 3