Ordered: sertrаline HCl 25 milligrаms оnce dаilyHave: Use the drug label tо gather this infоrmation.What will the individual dose be? ________ Conversion/Note Sheet
Scenаriо: Enrоute The Pаrаmedic is dispatched tо a residence for a 0-day-old patient who is unresponsive at home delivery. The time of the call is 1100. The response time will be 8 minutes. The Paramedic is partnered with an AEMT, and a BLS fire department engine crew is dispatched with an ambulance. The patient is located inside the residence bedroom. It’s a clear spring afternoon, and the temperature is 88°F (31°C). A small hospital is located 15 minutes away, and the nearest comprehensive medical facility is 30 minutes away. Scenario: Scene The patient (7.8 pounds) is being carried by the mother with umbilical cord still attached. The family member states the patient was just born 5 minutes ago and was not responding. Mother states this her third child being born at home and had no prior complication throughout the pregnancy. The pregnancy history of 39-week gestation, gravida 3, parity 2, and 0 abortions. Mother has no prior medical history, and prenatal care is up to date, and no complications were foreseen until delivery. The newborn was delivered in bed with no visible movement and no crying heard. The patient’s skin has central cyanosis and wet. Patient seems to be unresponsive; does not obey motor commands. Eyes are closed, and the pupils are 3 mm and reactive to light. The vital signs are Pulse 0 and Resp 0. Scenario: Post-Scene Despite neonatal resuscitation, the newborn has central cyanosis, limp, with a heart rate of 40 bpm with minimal improvement noted. After two minutes of resuscitation the newborn remains unstable. The mother remains stable but is concerned about her baby. Post-Scene What is the correct dose and route of epinephrine for this neonate?