Anemia of Prematurity - Portal Neonatal

Activity: The infant with temperature instability needs thermoregulatory support with a radiant
warmer or incubator. Also, encouraging parental contact is important to ease the stress for parents
and continue the bonding between the parents and child.
MEDICATION Section 7 of 11
Some of the antibiotics commonly used to treat neonatal sepsis syndrome are ampicillin, gentamicin,
cefotaxime, vancomycin, metronidazole, erythromycin, and piperacillin. The choice of antibiotic
agents should be based on the specific organisms associated with sepsis, sensitivities of the
bacterial agent, and prevalent nosocomial infection trends in the nursery. Viral infections, such as
herpes and fungal infections, can masquerade as bacterial infections.
Drug Category: Antibiotics -- Empiric antimicrobial therapy must be comprehensive and should
cover all likely pathogens in the context of the clinical setting.
Drug Name
Pediatric Dose
Ampicillin (Marcillin, Omnipen, Polycillin, Principen, Totacillin) -- A betalactam
antibiotic that is bacteriocidal for susceptible organisms, such as
GBS, Listeria, non–penicillinase-producing Staphylococcus, some
strains of H influenzae, and meningococci.
2000 g: 2.5 mg/kg/dose IV/IM q8h
IV dosage preferred; IM may be used if IV access difficult
Contraindications Documented hypersensitivity
Interactions
Coadministration with other aminoglycosides, cephalosporins,
penicillins, indomethacin, and amphotericin B may increase
nephrotoxicity; because aminoglycosides enhance effects of
neuromuscular blocking agents prolonged respiratory depression may
occur; coadministration with loop diuretics may increase auditory toxicity
of aminoglycosides; possible irreversible hearing loss of varying
degrees may occur (monitor regularly)
Pregnancy D - Unsafe in pregnancy