Iowa Neonatology Handbook: Pulmonary

Medications for Use in Neonatal Resuscitation

Jonathan M. Klein, MD
Peer Review Status: Internally Peer Reviewed


 

Drug or Volume Expander

Concentration to Administer
Preparation (based on recommended concentration)
Dosage
Route/Rate

Epinephrine

1:10,000

1 mL in a syringe 

Can dilute 1:1 with normal saline if giving I.T.

0.1-0.3 mL/kg

I.V. or I.T.

Give rapidly

Volume Expanders

  • 5% Albumin/ Saline Solution
  • Normal Saline
  • Ringer's Lactate

40 mL to be given by syringe or I.V. drip

10 mL/kg

I.V.

Give over

5-10 minutes

Sodium Bicarbonate

0.5 mEq/mL

(4.2% solution)

10 mL prefilled syringe

2 mEq/kg

I.V.

Give slowly over at least 2 minutes (1 mEq/kg/min)

Naloxone Hydrochloride (NARCAN)

1.0 mg/mL

2 mL ampul

0.1 mL/kg

I.V., I.M., S.Q., or I.T. 

Give rapidly

 

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Last modification date: Thu Jun 26 10:58:16 2008
URL: http://www.uihealthcare.com /depts/med/pediatrics/iowaneonatologyhandbook/pulmonary/medications.html