Vitamin K Injection Newborn Dose In Ml
A single intramuscular dose of vitamin k1 injection 0 5 to 1 mg within one hour of birth is recommended.
Vitamin k injection newborn dose in ml. Some centres administer intravenous iv vitamin k to preterm infants undergoing intensive care to avoid the pain inflicted by injection. 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. Inr reduction observed within 24 48 hr monitor inr and give additional vitamin k if needed. May repeat if needed after 24 hr.
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. Improving the vitamin k status of breastfeeding infants with maternal vitamin k supplements. Show more show less. Minor bleeding any elevated inr.
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. Greer fr et al. After breaking the ampoule open 0 2 ml of. 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.
Giving vitamin k by injection provides the best protection for your baby. For oral administration oral dispensers are provided in the pack. 2008 accp guidelines suggest 2 5 5 mg po once. Prevention of vitamin k deficiency bleeding.
Efficacy of different multiple oral dose schedules of vitamin k. Bleeding in newborn baby due to low vitamin k. Vitamin k 1 mg 0 5 ml injection solution. Intramuscular im injections in neonates may be required to administer medications or vaccines.
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. Inr 10 no bleeding. Cornelissen m et al.
You may need another dose of vitamin k. Treatment of hemorrhagic disease of the newborn empiric administration of vitamin k1 should not replace proper laboratory evaluation of the coagulation. 2012 accp guidelines recommend vitamin k1 po dose not specified. 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 should be noted that the earliest effect seen with vitamin k treatment is at 4 to 6 hours and therefore in patients with severe haemorrhage replacement with coagulation factor concentrates may be indicated discuss with haematologist. The american academy of pediatrics recommends that vitamin k1 be given to the newborn.