Intended Audience: All neonatal nurses
NCC Codes: NNP4, NIC3, LRN4

Objectives: Upon completion, learners will be able to:

Describe the pathophysiology of neonatal hypotension and PDA.
Differentiate vasopressors and inotropes and apply their mechanisms to the different physiologies of neonatal hypoperfusion.
Describe the risks and benefits of indomethacin, ibuprofen, and acetaminophen for PDA closure.

Purpose of this CNE activity: Our speakers describe the physiology and pharmacology of neonatal cardiovascular support. The first half focuses on the physiology of hypovolemic, cardiogenic, and vasodilatory hypotension and hypoperfusion. Volume expanders, inotropes, and vasopressors utilized to support these physiologies are explored in detail. The second half focuses specifically on cardiogenic hypoperfusion caused by patent ductus arteriosus (PDA). The physiology of ductal steal is described, and we explore the risks and benefits of available pharmacotherapies utilized to constrict the duct.

Requirements for Completion: The following requirements are necessary for successful completion of this CNE activity.

Access to the internet and the ANN Online Library
Attend and watch 90% of the session
Complete and submit the evaluation for this CNE activity

Accreditation
The Academy of Neonatal Nursing is accredited with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.

Provider, Academy of Neonatal Nursing, approved by the California Board of Registered Nursing, Provider #CEP 6261; and Florida Board of Nursing, Provider #FBN 3218, content code 2505.

Release Date: 9/07/2022
Expiration Date: 9/30/2025

Disclosures:

This CNE activity has been reviewed by the Lead Nurse Planner. It has been determined that the material presented here shows no bias.
The content of this CNE activity has been developed by the planning committee and has been reviewed by the Lead Nurse Planner.
The speakers discloses no relevant financial interest or affiliations with any commercial interests.

Disclaimer: The Academy of Neonatal Nursing assumes no responsibility or liability for the content presented. Care of the infant should always be individualized and no one source relied upon for information regarding aspects of care. Accredited status does not imply endorsement by ANN, ANA, or the American Nurses Credentialing Center of any commercial products displayed or discussed in conjunction with an educational activity.

Amy J. Jnah DNP, APRN, NNP-BC

Associate Professor, East Carolina University

Appearances