Which medication used in the advanced cardiac life support algorithm is not contraindicated in pregnancy?
a. Atropine c. Lidocaine
b. Epinephrine d. Sodium bicarbonate
A
Epinephrine may decrease uteroplacental perfusion because of its vasoconstrictive nature; however, the benefits outweigh the risks of administration. Lidocaine crosses the placenta but in therapeutic levels does not have adverse fetal or uteroplacental effects. If maternal toxicity occurs, fetal cardiac and central nervous system depression may occur. No contraindications exist for use of atropine in pregnancy. Administration of sodium bicarbonate is to be undertaken cautiously
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