Vitamin K Injection Newborn Dose In Ml
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Vitamin k injection newborn dose in ml. Prevention of vitamin k deficiency bleeding. It is your choice whether or not your baby receives vitamin k and whether it is given by injection or by mouth. The main advantage of a vitamin k injection given through the intramuscular route in the thigh is that your baby will only need one dose puckett and offringa 2000. 2012 accp guidelines recommend vitamin k1 po dose not specified.
The suggested dose of vitamin k for patients requiring a complete reversal of a warfarin overdose is 250 300 micrograms kg administered by iv injection. Giving vitamin k by mouth orally does not provide as much protection for your baby and they will need to have 2 more doses over a period of weeks. It s also more effective for preventing hdn. Inr 10 no bleeding.
Medications are injected into the bulkiest part of the vastus lateralis thigh muscle which is the junction of the upper and middle thirds of this muscle. Cornelissen m et al. 2008 accp guidelines suggest 2 5 5 mg po once. A single intramuscular dose of vitamin k1 injection 0 5 to 1 mg within one hour of birth is recommended.
You may need another dose of vitamin k. Inr reduction observed within 24 48 hr monitor inr and give additional vitamin k if needed. After breaking the ampoule open 0 2 ml of. Improving the vitamin k status of breastfeeding infants with maternal vitamin k supplements.
Intramuscular im injections in neonates may be required to administer medications or vaccines. Efficacy of different multiple oral dose schedules of vitamin k. For oral administration oral dispensers are provided in the pack. Treatment of hemorrhagic disease of the newborn empiric administration of vitamin k1 should not replace proper laboratory evaluation of the coagulation.
Vitamin k 1 mg 0 5 ml injection solution. The american academy of pediatrics recommends that vitamin k1 be given to the newborn. Giving vitamin k by injection provides the best protection for your baby. Some centres administer intravenous iv vitamin k to preterm infants undergoing intensive care to avoid the pain inflicted by injection.
Greer fr et al. Birth for the prophylaxis of vitamin k deficiency bleeding weight of the dose of vitamin injection baby k at birth volume 1 kg 0 4 mg 0 04 ml 1 5 kg 0 6 mg 0 06 ml 2 kg 0 8 mg 0 08 ml 2 5 kg 1 mg 0 1 ml over 2 5 kg 1 mg 0 1 ml oral use. Consider 2 5 5 mg po once. In one small study of 14 preterm infants a single 0 3 mg kg 0 1 mg kg dose of iv vitamin k achieved plasma levels at 24 and 120 hours similar to that achieved by po or im doses of 1 5 mg.
May repeat if needed after 24 hr. The anterolateral thigh is the preferred site for im injection in infants under 12 months of age.