NICU meds

Question 1

bolus dose D10W for hypoglycemia

Answer 1

2 mL/kg

Question 2

maintenance dose D10W

Answer 2

60-80 mL/kg/day

Question 3

indication D10W

Answer 3

hypoglycemia (prophylaxis or Tx)

Question 4

dose D10W for infants <37 EGA (preterm babies)

Answer 4

100 mL/kg/day

Question 5

dose D10W for infants >37 EGA (term babies)

Answer 5

80 mL/kg/day

Question 6

adverse effects D10W

Answer 6

promotion of fat deposition
liver impairment
steatosis
impairment of protein metabolism

Question 7

what kind of fluid is NS

Answer 7

crystalloid

Question 8

bolus dose NS

Answer 8

10 mL/kg/dose

Question 9

indication NS

Answer 9

hypovolemia; when delivery of rapid infusion of fluids is necessary

Question 10

adverse effects NS

Answer 10

excessive fluids

Question 11

what is the dose of ampicillin and gentamicin based on

Answer 11

postmenstrual age
post-natal days
indication

Question 12

dose ampicillin

Answer 12

50-100 mg/kg/dose

Question 13

indication ampicillin

Answer 13

broad spectrum Abx for group B strep, listeria, and E coli

Question 14

adverse effects ampicillin
*important thing to remember

Answer 14

-very large doses = CNS excitation or seizures
*draw cultures before starting Abx

Question 15

dose gentamicin

Answer 15

4-5 mg/kg/dose q24-48hrs

Question 16

indication gentamicin

Answer 16

Abx for gram neg bacilli (pseudomonas, klebsiella, e coli)

Question 17

adverse effects gentamicin
*important things to remember

Answer 17

-transient/reversible renal tubular dysfunction
-increased urinary losses Na, Ca, Mg
-vestibular/auditory ototoxicity

*monitor I&O, BUN, Cr, peak and trough, UOP

Question 18

loading dose phenobarbital

Answer 18

20 mg/kg IV

Question 19

maintenance dose phenobarbital

Answer 19

3-5 mg/kg IV

Question 20

indication phenobarbital

Answer 20

anticonvulsant

Question 21

dose morphine

Answer 21

0.1 mg/kg q4h PRN IV

Question 22

indication morphine

Answer 22

pain control

Question 23

initial dose surfactant (curosurf)

Answer 23

2.5 mL/kg per ETT

Question 24

2nd dose surfactant (curosurf)

Answer 24

1.25 mL/kg

Question 25

indication surfactant

Answer 25

babies <34 EGA to help with RDs

Question 26

thing to remember with surfactant

Answer 26

vials supplied in 1.5 mL or 3 mL

Question 27

dose dopamine

Answer 27

*use large vein for IV 2-20 mcg/kg/min

Question 28

when can fluid refractory shock start with dopamine admin

Answer 28

less than 10 mcg/kg/min

Question 29

indication dopamine

Answer 29

hypoTN, severe sepsis and shock

Question 30

how to calculate dopamine (mcg/kg/min)

Answer 30

[weight (kg) x dose x 60] / concentration (800 mcg or 1600 mcg)

Question 31

what are the two concentrations dopamine comes in

Answer 31

800 mcg 1600 mcg

Question 32

adverse effects dopamine

Answer 32

-tachycardia -arrhythmias -increased pulmonary arterial pressure -reversible suppression prolactin and thyrotropin secretion

Question 33

what concentration does epinephrine come in

Answer 33

1 mg/10mL (0.1 mg/mL)

Question 34

dose epinephrine IV

Answer 34

0.1 mL-0.3 mL/kg (recommended dose NRP: 0.2 mL/kg) *give rapid IV (but don't slam) may repeat q3-5min

Question 35

dose epinephrine ETT

Answer 35

1 mL/kg

Question 36

indication epinephrine

Answer 36

hypoTN persistent bradycardia NRP (flush w 3 mL NS with NRP)

Question 37

what should you do after giving epi IV during NRP

Answer 37

flush with 3 mL NS

Question 38

adverse effects epinephrine

Answer 38

bolus doses associated with severe HTN and IVH

Question 39

dose fentanyl

Answer 39

0.5-3 mcg/kg (*slow IV push q2-4h)

Question 40

reversal med for fentanyl and dose

Answer 40

narcan/naloxone 0.1 mg/kg IV push

Question 41

indication fentanyl

Answer 41

analgesia

Question 42

adverse effect fentanyl

Answer 42

chest wall rigidity

Question 43

how many grams in a lb

Answer 43

454 grams/lb