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Template:Empiric Treatment for Unstable Neonates
From WikEM
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 |