Neonatal Resuscitation Program

 

Drug volume or 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 given IT
0.1-0.3 ml/kg

IV or IT

Give rapidly
Volume Expanders
  • Plasmanate
  • Whole blood
  • 5%Albumin/solution
  • Normal saline
  • Ringer's Lactate

 

40 ml to be given by syringe or IV drip
10 ml/kg

IV

Give over 5-10 minutes
Sodium Bicarbonate

0.5% mEq/ml

(4.2% solution)

20 ml in a syringe or two 10ml prefilled syringes
2 mEq/kg

IV

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

NARCAN

Adult Narcan 0.4 mg/ml or

1 mg/ml
1 ml in a syringe
0.1 mg.kg = 0.25 ml/kg or 0.1 ml/kg

IV, IM, SQ or IT

Give rapidly/

may repeat
Glucose
10%
20 ml in syringe

2 ml/kg (bolus) 96 ml/kg/day

(continuous)
IV
Calcium Gluconate
10%
Exact amount to be given in syringe
1-2 ml/kg

IV

Give slowly - Stop if bradycardia
Atropine
0.1 mg/ml
Multiple strengths
0.02 mg/kg
IV, IT, IM, SQ
Dopamine
6 x wt (kg) x desired dose (mcg/kg/min)/ml/hr = Amount (mg)/100ml
(Refer to the left box)
5-20 mcg/kg/min
IV Continuous infusion (pump)