Dosage Vitamin K Injection Newborn Dose
The dose may be repeated after six to eight hours if needed.
Dosage vitamin k injection newborn dose. Inr reduction observed within 24 48 hr monitor inr and give. Current scientific data suggest that single or repeated doses of oral po vitamin k are less effective than im. Adults and teenagers the usual dose is 2 5 to 25 mg rarely up to 50 mg injected under the skin. A single intramuscular dose of vitamin k1 injection 0 5 to 1 mg within one hour of birth is recommended.
0 5 to 1 mg im once within one hour of birth. 2008 accp guidelines suggest 2 5 5 mg po once. Inr 10 no bleeding. 2012 accp guidelines recommend vitamin k1 po dose not specified.
2 4mg po vitamin k after first feeding then 2mg within first week and weekly while breastfeeding or. The usual dose is 0 5 to 1 mg injected into a muscle or under the skin right after delivery. Newborns are at risk for vitamin k deficiency bleeding vkdb caused by inadequate prenatal storage and deficiency of vitamin k in breast milk. If parents refuse im vitamin k.
2 4mg po vitamin k after first feeding then 2mg at 2 4 weeks and again at 6 8 weeks or. Systematic review of evidence to date suggests that a single intramuscular im injection of vitamin k at birth effectively prevents vkdb. Usual pediatric dose for vitamin k deficiency. The formulation of oral vitamin k to be used is konakion mm paediatric 2mg 0 2ml and should be given at birth and at 7 days of age.
Those babies who received oral konakion mm paediatric at birth and seven days and are still breast feeding should receive a third oral dose 2mg in 0 2 ml at four weeks of age. Treatment of hemorrhagic disease of the newborn empiric administration of vitamin k1 should not replace proper laboratory evaluation of the coagulation mechanism. For infants who are exclusively or nearly exclusively breast fed weekly oral administration of 2mg or 25 microg day vitamin k after the initial 2 oral doses is justified at completion of breast feeding. For formula fed neonates without risk of haemorrhage a 2 mg oral dose of vitamin k at birth followed by a second 2 mg oral dose between day 2 and 7 is probably sufficient to prevent vkdb.
Prophylaxis and therapy of hemorrhagic disease of the newborn when caused by deficiency or interference with vitamin k activity. 0 5mg 1mg vitamin k im at birth. 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. The american academy of pediatrics recommends that vitamin k1 be given to the newborn.
It s also more effective for preventing hdn.