Medics are expecting a fresh influx of patients on Sunday as supplies run low.
Rescuers in places used their bare hands to dig for survivors still buried underneath piles of rubble and debris overnight on Saturday.
Army officer Santosh Nepal told the Reuters news agency that he and his soldiers had to dig a passage into a collapsed three-storey residential building in Kathmandu using pickaxes because bulldozers could not get through the ancient city's narrow streets.
"We believe there are still people trapped inside," he told Reuters