Template:Empiric Treatment for Unstable Neonates: Difference between revisions
ClaireLewis (talk | contribs) No edit summary |
|||
| Line 5: | Line 5: | ||
| align="center" style="background:#f0f0f0;"|'''Dose/Size (for neonate)''' | | align="center" style="background:#f0f0f0;"|'''Dose/Size (for neonate)''' | ||
|- | |- | ||
| Glucose||[[Hypoglycemia]]||5–10 mL/kg of 10% dextrose in water IV | | [[dextrose|Glucose]]||[[Hypoglycemia]]||5–10 mL/kg of [[d10W|10% dextrose in water]] IV | ||
|- | |- | ||
| 3% normal saline||Symptomatic [[hyponatremia]]||3–5 mL/kg bolus IV | | [[hypertonic saline|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 | | Calcium||[[Hypocalcemia]]||50–100 milligrams/kg [[calcium gluconate]] or 20 milligrams/kg [[calcium chloride]] IV | ||
|- | |- | ||
| [[Cefotaxime]]||Infection||50 milligrams/kg IV | | [[Cefotaxime]]||[[sepsis (peds)|Infection]]||50 milligrams/kg IV | ||
|- | |- | ||
| [[Ampicillin]]||Infection||50 milligrams/kg IV | | [[Ampicillin]]||[[sepsis (peds)|Infection]]||50 milligrams/kg IV | ||
|- | |- | ||
|- | |- | ||
| [[Gentamicin]]||Infection||2.5 milligrams/kg IV | | [[Gentamicin]]||[[sepsis (peds)|Infection]]||2.5 milligrams/kg IV | ||
|- | |- | ||
| [[Packed red blood cells]]||[[Anemia]]||10 mL/kg IV | | [[Packed red blood cells]]||[[Anemia]]||10 mL/kg IV | ||
|- | |- | ||
| [[Normal saline]]||Hypotension, dehydration||20 mL/kg IV | | [[Normal saline]]||[[Hypotension]], [[dehydration]]||20 mL/kg IV | ||
|- | |- | ||
| 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) | ||
|- | |- | ||
| Endotracheal [[intubation]]||Hypoventilation or frequent apnea||3mm for preemie; 3mm for term neonate, 4mm for older infant | | Endotracheal [[intubation]]||Hypoventilation or frequent apnea||3mm for preemie; 3mm for term neonate, 4mm for older infant | ||
|} | |} | ||
Revision as of 18:46, 6 October 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 | 20 mL/kg IV |
| 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, 4mm for older infant |
