Template:Empiric Treatment for Unstable Neonates: Difference between revisions
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| 10% [[dextrose]] in one fourth normal saline||Metabolic disease||1.5 maintenance (6 mL/kg/h for the first 10 kg) | | 10% [[dextrose]] in one fourth normal saline||Metabolic disease||1.5 maintenance (6 mL/kg/h for the first 10 kg) | ||
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| Endotracheal [[intubation]]||Hypoventilation or frequent apnea||3mm for preemie; 3mm for term neonate, | | Endotracheal [[intubation]]||Hypoventilation or frequent apnea||<3mm for preemie; 3mm for term neonate, 3.5mm for older infant; cuffed tube prefered if not premature | ||
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Revision as of 00:14, 4 December 2019
Empiric Treatment for Unstable Neonates
| Medication/Intervention | Indication | Dose/Size (for neonate) |
| Glucose | Hypoglycemia | 5–10 mL/kg of 10% dextrose in water IV |
| 3% normal saline | Symptomatic hyponatremia | 3–5 mL/kg bolus IV |
| Calcium | Hypocalcemia | 50–100 milligrams/kg calcium gluconate or 20 milligrams/kg calcium chloride IV |
| Cefotaxime | Infection | 50 milligrams/kg IV |
| Ampicillin | Infection | 50 milligrams/kg IV |
| Gentamicin | Infection | 2.5 milligrams/kg IV |
| Packed red blood cells | Anemia | 10 mL/kg IV |
| Normal saline | Hypotension, dehydration | 5-10 mL/kg IV aliquots (up to 60-80 mL/kg) |
| 10% dextrose in one fourth normal saline | Metabolic disease | 1.5 maintenance (6 mL/kg/h for the first 10 kg) |
| Endotracheal intubation | Hypoventilation or frequent apnea | <3mm for preemie; 3mm for term neonate, 3.5mm for older infant; cuffed tube prefered if not premature |