You are called to an emergent cesarean section of a full ter…
You are called to an emergent cesarean section of a full term neonate due to non-reassuring fetal heart rate tracings. Mother was noted to have a uterine rupture. Apgars were 0 at 1 minute of life, 3 at 5 minutes of life, and 5 at 10 minutes of life. The neonate required a full resuscitation following birth including intubation/ventilation, chest compressions and several doses of epinephrine. The neonate has an abnormal neurological exam compatible with severe HIE and has had seizures. At 24 hours of age, the Na+ level is 130, the creatinine is 1.8, and the urine output is 0.6 ml/kg/hr. Which of the following actions are appropriate?