Final answer:
The IV dose of epinephrine for NRP is 0.01 to 0.03 mg/kg prepared as a 1:10,000 solution (0.1 mg/mL). This dosage is used during neonatal resuscitation when there is a persistent low heart rate despite ventilation and chest compressions.
Step-by-step explanation:
The recommended intravenous (IV) dose of epinephrine for Neonatal Resuscitation Program (NRP) is 0.01 to 0.03 mg/kg. This concentration should be prepared as a 1:10,000 solution, which is equivalent to 0.1 mg/mL. For a neonate weighing 3 kilograms, the dose would be between 0.03 mg to 0.09 mg, which would translate to a volume of 0.3 mL to 0.9 mL of the 1:10,000 solution.
Use of epinephrine in NRP is indicated when there is heart rate less than 60 beats per minute after 30 seconds of effective positive pressure ventilation and another 60 seconds of chest compressions, combined with adequate ventilation. The route of administration should be IV, preferably through an umbilical venous catheter.