ILKKM: Drugs used in neonate

What is the correct dose and route of calfactant for 1.2kg baby? (Calfactant dose: 3ml/kg)

• 3ml stat administer through IV

• 3ml stat administer through ETT

• 3.6ml stat administer through IV

• 3.6ml stat administer through ETT

The doctor also ordered IM vitamin K 0.5mg stat to prevent bleeding.

You found 2 different types of IV vitamin K on the medication trolley:

Which ampoule should you use?

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The mother of the baby (1.2kg) is Hepatitis B positive

Should the newborn be given hepatitis B vaccine (Left side) or hepatitis B immunoglobulin (Right side)?

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The baby was 1.2kg, just intubated for RDS. Is this baby fit to be administered with vaccinations for newborn (BCG & hepatitis B vaccine)?

• No, because baby weight is less than 1.8kg and baby is still ill

• Yes, all newborn should be given BCG and hepatitis B vaccine as soon as possible to prevent infection

Which of the following is NOT TRUE about neonatal sepsis?

• Different antibiotics should be used for different type of infection

• Neonatal sepsis means infection in neonate

• Antibiotics should not be started unless blood culture grows bacteria

A patient is started oral Omeprazole 4mg OD. How much volume of omeprazole do you need to administer? (Refer to the label attached)

• 2ml

• 4ml

• 1ml

• 3ml

A baby is started with Ferric Ammonium Citrate. Which of the following is true about ferric ammonium citrate?

• It is used as iron supplement

• It should be administered together with milk

• Mother should stop serving the medication if baby's stool turns black colour

A baby is started with syrup paracetamol 40mg TDS for PDA closure. How much volume of paracetamol should you serve? (Refer to the label of syrup paracetamol attached)

• 0.8ml

• 5ml

• 0.08ml

• 0.5ml