Gestational Age:
< 32 weeks
| Drug | Dose | Calculated | Administration | |
|---|---|---|---|---|
| Epinephrine IV [0.1 mg/mL] |
0.02 mg/kg (0.2 mL/kg) |
— | Rapid push, flush with 3 mL NSq3-5 min if HR < 60 | |
| Epinephrinea ETT [0.1 mg/mL] |
0.1 mg/kg (1 mL/kg) |
— | Rapid push, no flushPPV to distribute into lungs | |
| Ca2+ Gluconate IV [100 mg/mL] |
100 mg/kg (1 mL/kg) |
— | Give over 5-10 minRepeat q10 min if no response | |
| Normal Saline IV [154 mEq/L] |
10 mL/kg | — | Give over 5-10 minHigh threshold to repeat bolus | |
|
aETT Epi: May administer while vascular access is established
bReversible Causes of Neonatal Cardiac Arrest: If HR < 60 at pulse check following epinephrine administration, consider reversible contributing factors |
||||