What volume expander dose is recommended during newborn resuscitation?

What volume expander dose is recommended during newborn resuscitation?

• A. 10 ml/kg IV push
• B. 5 ml/kg IV push
• C. 20 ml/kg IV push
• D. 50 ml/kg IV push

Answer: (A)

When a newborn isn’t responding after ventilation and there are signs of poor perfusion that suggest hypovolemia, the first step is volume expansion with an isotonic crystalloid. The recommended dose is a rapid bolus of 10 ml/kg given IV (often via the umbilical venous catheter). Reassess right away after the bolus; if perfusion and heart rate remain inadequate, you can give a second bolus for a total of up to 20 ml/kg. Larger volumes, such as 50 ml/kg, are not used in this situation because they increase the risk of fluid overload and pulmonary edema. The goal is to restore intravascular volume quickly while monitoring response.

When a newborn isn’t responding after ventilation and there are signs of poor perfusion that suggest hypovolemia, the first step is volume expansion with an isotonic crystalloid. The recommended dose is a rapid bolus of 10 ml/kg given IV (often via the umbilical venous catheter). Reassess right away after the bolus; if perfusion and heart rate remain inadequate, you can give a second bolus for a total of up to 20 ml/kg. Larger volumes, such as 50 ml/kg, are not used in this situation because they increase the risk of fluid overload and pulmonary edema. The goal is to restore intravascular volume quickly while monitoring response.