Lesson 6: Medications1.How soon after delivery of epinephrine should you recheck the baby’s heart rate?
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2.You are called to an emergency cesarean delivery of a term baby due to Category 3 fetal heartrate monitoring strip. At your request additional help has arrived. At delivery the baby is apneicwith very poor tone and color. The baby appears to be about 3kg. Despite repositioning, dryingand stimulation, the newborn remains apneic with a heart rate of 30 beats per minutes. Youinitiate ventilation and achieve chest rise, but the heart does not improve. You intubate, confirmappropriate endotracheal tube placement and secure. The heart rate is now 30 beats perminute and a team member begins chest compressions.Together you provide 45 to 60 secondsor coordinated compression and ventilations, but the heart rate is now undetectable. Youdecide to administer epinephrine via endotracheal tube while another team member obtain IVaccess. What is the appropriate dose of 1:10,000 concentration of epinephrine for endotrachealdelivery to 3kg baby?
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3.If a newborn’s heart rate remains less than 60 beats per minute after positive-pressureventilation and chest compressions, you should do all of the following except
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4.During resuscitation, one of your team members suggests that the baby might benefit from abolus of fluid. Which of the following is an indication of volume expansion during resuscitation?a.The baby’s heart rate remain 70 after resuscitative efforts and pulses are weakb.The baby’s heart rate is 120 after resuscitative efforts but she is very palec.The baby’s heart rate is 110 after resuscitative efforts and there is a history of extensivevaginal bleeding during labor.d.The baby’s heart rate is increasing with resuscitative efforts but his pulses seem weak.