Neonatal Resuscitation Drug Calculator

NEONATAL RESUSCITATION DRUGS

Advanced Directives
Yes
No

(If unknown, enter as Patient X, etc.)
kg
 Initials
kg
 initials
Drug Concentration Dose Volume Notes
Adenosine IV
(0.1 mg/kg) 		*0.3 mg/mL
*Dilute 1 mL (3 mg) with 9 mL 0.9% NaCl for a final concentration of 0.3 mg/mL. Administer IV direct over 1- 2 sec (MD only).
Atropine IV/IM/SC/ETT
(0.02 mg/kg) 		0.1 mg/mL
For ETT dilute dose with 1-2 mL of 0.9% NaCl
Calcium Gluconate IV
(100 mg/kg) 		100 mg/mL
(10%)
Give undiluted. For VT, wide QRS or cardiac arrest in the presence of hyperkalemia or hypocalcemia. Slow IV push. Monitor bradycardia. May repeat in 10 min if necessary.
Epinephrine ETT
Draw up in a 3 or 5 mL syringe and label "for ETT"
(0.1 mg/kg) 		0.1 mg/mL
1:10 000
Administer rapidly. Do not follow with a flush.
Epinephrine IV/UVC preferred route Draw up in a 1 mL syringe and label "for IV/UVC"
(0.02 mg/kg) 		0.1 mg/mL
1:10 000
Administer rapidly. Follow with a 3 mL 0.9% NaCl flush.
Fentanyl IV
(2 mcg/kg) 		*10 mcg/mL
* Dilute 2 mL (100 mcg) of fentanyl 50 mcg/mL with 8 mL of 0.9% NaCl for a final concentration of 10 mcg/mL.
Morphine IV
(0.1 mg/kg) 		*0.2 mg/mL
* Dilute 2 mL (2 mg) of morphine 1 mg/mL with 8 mL of 0.9% NaCl for a final concentration of 0.2 mg/mL.
Naloxone IV or IM
(0.1 mg/kg) 		0.4 mg/mL
Rocuronium IV
(0.5 mg/kg) 		10 mg/mL
Range: 0.5 - 1 mg/kg
Sodium Bicarbonate IV
(1 mmol/kg) 		0.5 mmol/mL
(4.2%)
Give slowly, over at least 2 min. May repeat in 10 min one time.
Succinylcholine IV
(2 mg/kg) 		20 mg/mL
References:
  • Circulation 2015; 132 (Suppl 2), S543-S560
  • Weiner, G.M. & Zaichkin, J. (2016). Textbook of neonatal resuscitation. Elk Grove Village, IL: American Academy of Pediatrics

Revised March 2024

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