Reviewed by Dr Simon Rowley, Dorothy Cooper
August 1996
Dose and Pharmacology Newborn Drug Protocol Index Newborn Services Home Page

Management of Survanta Administration




  1. Warm in hand for 8 minutes or at room temperature for 20 minutes.
  2. Do NOT SHAKE.
    Draw up dose into 5 - l0 ml syringe through a large needle. DO NOT filter.
  3. Cut a 6 FG feeding tube to just over the length of the ETT.
  4. Doctor / NS-ANP administers surfactant.
  5. Ventilate between boluses for baby to recover.
  6. Avoid suctioning for one hour if possible. Subsequent suctioning should be as per baby's normal routine and/or on consultation with medical staff.
  7. See Protocol Book for non-ventilated infants on SCBU.

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.




Verder H. et al. NEJM Vol 331, No.16, October 20, 1994. Surfactant Therapy and Nasal Continuous Positive Airway Pressure for Newborns with Respiratory Distress Syndrome.


Formulary of medications, Children's Hospital and Regional Medical Center, Seattle, Washington 1998.