Chest Compressions and Cardiac Resuscitation 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 Chest Compressions and Cardiac Resuscitation flashcards as text
After compressions are stopped because the heart rate is above 60 bpm, what is the next step?
Answer: Continue PPV and assess if the infant can maintain heart rate above 100 bpm independently
Once compressions stop, continued PPV supports the recovering heart while assessing for sustained improvement above 100 bpm.
Which route of epinephrine administration is preferred in neonatal resuscitation?
Answer: Intravenous (umbilical venous catheter)
IV administration via an umbilical venous catheter is preferred because it delivers a reliable and predictable dose to the circulation.
What epinephrine dose is used via the intravenous route during neonatal resuscitation?
Answer: 0.01–0.03 mg/kg (1:10,000 solution)
The IV dose of epinephrine is 0.01–0.03 mg/kg using the 1:10,000 (0.1 mg/mL) concentration.
What is the approximate combined rate of compressions and ventilations per minute during 3:1 CPR?
Answer: 120 events per minute (90 compressions + 30 ventilations)
The 3:1 ratio at the correct pace delivers 90 compressions and 30 ventilations, totaling 120 coordinated events per minute.
If the heart rate does not respond after epinephrine and effective CPR, what should be considered?
Answer: Hypovolemia, pneumothorax, or other reversible causes
Reversible causes such as hypovolemia, tension pneumothorax, or equipment failure must be considered when resuscitation is not effective.
What volume expander is recommended for neonatal hypovolemia during resuscitation?
Answer: Normal saline (0.9% NaCl) at 10 mL/kg IV over 5–10 minutes
Normal saline at 10 mL/kg administered IV over 5–10 minutes is the recommended volume expander in neonatal resuscitation.