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During resuscitation, which one of the following following medications is indicated initially if the heart rate is less than 60 per minute after 30 se
Question

During resuscitation, which one of the following following medications is indicated initially if the heart rate is less than 60 per minute after 30 seconds of Positive Pressure Ventilation and Chest Compression?

A.

Epinephrine

B.

Sodium Bicarbonate

C.

Dexamethasone

D.

Amiodarone

Correct option is A


Ans. (a) Sol. Epinephrine is the first-line medication used in neonatal resuscitation when the heart rate remains less than 60 beats per minute after 30 seconds of ventilation and chest compression. Epinephrine helps stimulate the heart to increase the heart rate and improve circulation.
· (b) Sodium Bicarbonate: This is not typically used initially unless there is a metabolic acidosis that does not respond to ventilation and chest compressions.
· (c) Dexamethasone: This is not recommended in neonatal resuscitation.
· (d) Amiodarone: This is a medication for arrhythmias but is not used as the initial treatment in neonatal resuscitation.

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