Baby Meds

Question 1

Why is vitamin K given to newborns?

Answer 1

Necessary for coagulation; helps create factor 2, 7, 9 and 10

Question 2

What dose is Vitamin K given?

Answer 2

0.5-1mg IM (1mg if >1.5kg)

2mg PO x4 (first feed, 1 wk, 4wks, 8wks)

Question 3

Women taking these drugs should get 5mg PO vit K daily during the last trimester

Answer 3

Warfarin
Anticonvulsants
Rifampin
Isoniazid

Question 4

VKDB effects _____ of NBs w/o vit K prophylaxis; ______ of VKDB occurs in infants who did not receive vit K at birth.

Answer 4

0.25-1.7%

30-70%

Question 5

Adverse effects to vitamin K

Answer 5

: jaundice (only with very high doses), anaphylaxis

Question 6

True or False: breastfed babies are more likely to have VKDB

Answer 6

True–breastmilk contains very little vitamin k (<15mcg/L), while formula contains 50-60mcg/L. NOT a reason to formula feed though. ;)

Question 7

What ointment(s) do you give right after birth to protect the NB from GC/CT?

Answer 7

Erythromycin

Tetracycline

Question 8

What dose do you give Erythromycin & Tetracycline in?

Answer 8

0.5% Erythromycin

1% Tetracycline

Question 9

When and where should you give GC/CT prophylaxis ointment?

Answer 9

Within 2 hours of birth in the conjunctiva of the eye

Question 10

Adverse effects to Erythro?

Answer 10

Allergic reaction or irritation

Question 11

How to treat NB whose mothers are infected GC/CT?

Answer 11

GC: treat with ceftriaxone
CT: closely monitor for signs of infection

Question 12

What vaccine should all newborns receive within 12 hours at birth?

Answer 12

Hep B vaccine (which contains 10-40mcg of HBsAg) per millimeter

Question 13

What should all NBs whose mothers are infected with Hep B (HbsAg) get after birth?

Answer 13

Hep B vaccine AND Hep B immune globulin (HBIG) within 12 hours of birth (inject at SEPARATE sites)

Question 14

What do you do for a NB whose mother is Hep B unknown?

Answer 14

Hep B Vaccine w/in 12 hours AND test the mother, if positive, administer HBIG within one week of life

Question 15

Adverse effects of Hep B Vaccine:

Answer 15

Low grade fever
Pain or irritation aat site
irritability
Rhinitis
Fatigue
Low appetite
Diarrhea

Question 16

Contraindications to Hep B vaccine

Answer 16

Contraindications: = 2000g–can cause apnea in premature infants (case by case)

Question 17

T or F: Narcan is the second line after epi for NB resuscitation

Answer 17

False– Narcan should NEVER be given to a NB for resuscitation measures

Question 18

When do you give epinephrine?

Answer 18

Resuscitating a NB whose HR is <60 bpm

Question 19

How do you give Epi (route & dose?)

Answer 19

Route:

• IV or Intraosseous:
• • 0.1-0.3mL/kg in a 1 mL syringe, flush with 0.5-1 mL NS after administration, Repeat every 3-5 minutes if heart rate is persistently <60
• Endotracheal (not recommended):
• • 0.5-1.0 mL/kg, Repeat every 3-5 minutes if heart rate is persistently <60

Dose is in 1:10,000 epinephrine (0.1mg/mL) concentration
dieaous

Question 20

When should the remaining Hep B vaccines be given?

Answer 20

Single-Antigen vaccine: 1-2 & 6 mons

Single-Antigen + combination vaccine: 2, 4, & 6 mons