It may be a premade suspension such as an oral antibiotic, or a drug in tablet form that will be mixed in water to make a suspension, or a capsule opened and its contents dissolved in water to make a suspension.
Every suspension has a strength of drug.
Such as, Susp Clarithromycin may be available as 125mg/5mL or 250mg/5mL
It means that there is 125 mg of clarithromycin in every 5 mL of suspension.
So,
If weight of the neonate is 3 Kg.
Dose of clarithromycin: 7.5mg per kg per dose given 12 hourly
Dose to be given: 3 x 7.5 = 22.5 mg per dose
Now,
125 mg are in 5 mL
1 mg is in 5/125
And 22.5 mg is in 5/125 multiplied by 22.5
Equals: 0.9 cc per dose
Or
0.9cc to be given 12 hourly
.....
3cc and 5cc syringes have lock mechanism.
1cc syringe, and
10 cc syringes do not have lock mechanism.
So,
One may use a 1cc syringe with detachable needle to administer 0.9cc of suspension to baby twice a day.
Or if the required drug is, say 2.5 cc, one may use a 10cc syringe.
----- Train mother how much drug is to be given. Tell her if she forgets the method/dose she may visit hospital and ask us again. (Try to train 2 persons who will care for the baby).
------ write dose clearly in mL on discharge slip or patient chart, frequency, and the duration in days
------ After training re-evaluate if care taker is able to give the right dose.
------ mention in the chart that you have trained and evaluated (Name: ) regarding administration of drug ( ) at home.
......
You may crush tablets and mix these in water to make a suspension.
Say, tab furosemide 20mg may be crushed, and mixed in 10cc water in syringe.
It will give 20mg furosemide in 10mL
Or, 1 mg in 10/20
Or 1mg in 0.5 mL
Or 2mg in 1 mL
And then mother may be advised to Shake the syringe first, and pour ___ cc in spoon and then give to the baby.
Do not place 10cc syringe direct to baby mouth.
Mother may inadvertently press the plunger more than required.
Document in chart whom you trained and evaluated
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