NRP Medication Administration 2

Question 1

What is the recommended intravenous/intraosseous dose of epinephrine during neonatal resuscitation?

Accepted Answer

0.01–0.03 mg/kg (0.1–0.3 mL/kg of 1:10,000 solution)

Answer

0.05–0.1 mg/kg (0.5–1 mL/kg of 1:10,000 solution)

Answer

0.1–0.2 mg/kg (1–2 mL/kg of 1:10,000 solution)

Answer

0.001–0.003 mg/kg (0.01–0.03 mL/kg of 1:10,000 solution)

Question 2

Which of the following is the FIRST-LINE route for medication administration during neonatal resuscitation once IV access is needed?

Accepted Answer

Umbilical venous catheter

Answer

Endotracheal tube

Answer

Peripheral IV

Answer

Intraosseous

Question 3

What is the normal saline flush volume recommended after giving epinephrine through an umbilical venous catheter in a neonate?

Accepted Answer

0.5–1 mL

Answer

0.1 mL

Answer

2–3 mL

Answer

5 mL

Question 4

When should volume expansion with normal saline be considered during neonatal resuscitation?

Accepted Answer

When the infant is suspected to have hypovolemia not responding to epinephrine

Answer

Routinely after every 10 minutes of resuscitation

Answer

As the first intervention after confirming absent heart rate

Answer

Only after three doses of epinephrine have been given

Question 5

What is the endotracheal dose of epinephrine if IV/IO access is unavailable during neonatal resuscitation?

Accepted Answer

0.05–0.1 mg/kg (0.5–1 mL/kg of 1:10,000 solution)

Answer

0.01–0.03 mg/kg (0.1–0.3 mL/kg of 1:10,000 solution)

Answer

0.1–0.3 mg/kg (1–3 mL/kg of 1:10,000 solution)

Answer

0.001–0.005 mg/kg (0.01–0.05 mL/kg of 1:10,000 solution)

Question 6

Which medication is used for neonatal resuscitation in cases of suspected opioid-induced respiratory depression?

Accepted Answer

Naloxone

Answer

Atropine

Answer

Adenosine

Answer

Dextrose