• Drug Type Vitamin. Trade Name
  • IV prophylaxis
  • Neonatal Intensive Care Drug Manual




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    Vitamin K1


    Revision Date : 23-12-2020

    Approved: TC, KOH




    Alert

    Check ampoule carefully as an adult 10 mg ampoule (Konakion MM Adult) is also available.

    Indication

    Prophylaxis and treatment of vitamin K deficiency bleeding (VKDB) including haemorrhagic disease of the newborn.

    Action

    Fat soluble vitamin which promotes the activation of blood coagulation Factors II, VII, IX and X in the liver.

    Drug Type

    Vitamin.

    Trade Name

    Konakion MM Paediatric.

    Presentation

    2 mg/0.2 mL ampoule.

    Dosage / Interval


    IM

    prophylaxis

    < 1500 g administer 0.5 mg (0.05 mL) as a single dose at birth.

    ≥ 1500 g administer 1 mg (0.1 mL) as a single dose at birth.


    Oral prophylaxis

    Administer 2 mg orally for 3 doses:

    First dose: At birth.

    Second dose: 3–5 days of age (at time of newborn screening) or at one week of age

    Third dose: 4 weeks of age.
    IV prophylaxis

    Administer 0.3 mg/kg as a single dose. Administer slowly, not exceeding 1 mg/minute.

    IV prophylaxis may be given in sick infants if unable to give by IM injection.
    IV treatment of haemorrhagic disease of the newborn

    Administer 1 mg IV as a slow bolus (maximum 1 mg per minute). If required, dilute with glucose 5% or sodium chloride 0.9% as described below.

    Dose can be repeated in 4–6 hours if required.

    Must be administered in the presence of a medical officer.

    May be given subcutaneously if venous access not available.


    Route



    IM, Oral, IV, subcutaneous


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    Neonatal Intensive Care Drug Manual

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