Management of Poractant Administration

Description

• Off- white liquid
• Available in 2 sizes : 1.5ml (120mg phospholipid) and 3ml (240mg phospholipid).

Prescription

• Each dose charted as single dose.

Administration

1. Warm in hand for 8 minutes or at room temperature for 20 minutes.
2. Vial should be gently turned upside down before use.  Do NOT SHAKE.
3. Draw up dose into 3-5ml syringe through a large needle. DO NOT filter.
4. Doctor/NS-ANP administers surfactant directly into ETT.
5. Avoid suctioning for 6 hours if possible. Subsequent suctioning should be as per baby's normal routine and/or on consultation with medical staff.

Nursing Considerations

1. Monitor heart rate, SaO₂, colour, chest movement and document.
2. After administration, monitor closely to prevent post-dose hyperoxia and hypocarbia.
3. Monitor arterial blood gas (ABG) as ordered by doctor/NS-ANP.

Storage

• Unopened vials - refrigerate at 2-8° C. Protect from light.
• Unopened vials that have been rewarmed can be returned to the refrigerator within 24 hours.
• Opened vials can be re-used up to 12 hours after the first dose if kept refrigerated.
• Vials should not be warmed and then refrigerated more than once.

References