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17 Cards in this Set

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True or False: If an umbilical line is placed during resuscitation and there is an ongoing need for the catheter after resuscitation, the catheter should be removed and a new one should be placed.
True:Since the first one was most likely placed under not sterile technique, it is likely contaminated. A new one should be inserted.
The umbilical cord has ___ vein(s) and ___ arterie(s).
1 vein
2 arteries: remember arteries has the letter t for two!
True or False: After adiminstering epi, and flushing the umbilical catheter inserter emergently, you may advance the catheter to the T3 location.
False: Do not advance the catheter once the sterile field has been contaminated.
After removing an umbilial (vein/artery) catheter, hold pressure at the site.
Umbilical verin catheter as the umbilical vein runs just below the the skin.
What is the preferred route for drug administration in the newborn?
Umbilical vein
What is the recommended dose of IV epinephrine in a neonate during resuscitation?
0.01-0.03 mg.kg

What is the recommended dose of endotracheal epinephrine for a newborn?

0.05-0.1mg/kg

How long should you wait before checking the HR after giving epinephrine?
1 minute
How often can you repeat the dose of epinephrine during resuscitation?
Every 3-5 minutes

What are the two recommended solutions for hypovolemic shock during resuscitation?


a) 0.9% NaCL and LR


b) LR and 0.45% NaCL


c) D5W and 0.9% NaCL


d) D5W and 0.45% NaCL

a) 0.9% NaCL and LR: These are isotonic crystalloid solutions

What is the universal blood donor type?
O-
True or False: It is recommended to give volume expanders routinely during resuscitation to aide in blood flow and cardiac output.
False: They should only be given when hypovolemia is suspected, as it could result in heart failure.
What is the standard mL/kg to give as a volume expander during neonatal resuscitation?
10mL per kg
What is a major side effect of rapid IV fluid adinistrations in a neonate?
a) renal failure
b) heart failure
c) intercranial hemorrhage
d) decreased Sp02
c) intercranial hemorrhage: remember those cranial veins are delicate!!!
A steady infusion of volume expanders over _____ minutes is reasonable during the resuscitation of a neonate.
5-10 min
True or False: When giving epinephrine IVP, its should be given rapidly:as quick as possible.
TRUE!!!!

True or False: Indications for volume expansion during resuscitation include: baby is not responding to resuscitation or baby appears to be in shock.

False: Baby is not responding to resuscitation AND baby appears to be in shock.