Baby Meds Flashcards
Meds given to baby or for baby
Why is vitamin K given to newborns?
Necessary for coagulation; helps create factor 2, 7, 9 and 10
What dose is Vitamin K given?
0.5-1mg IM (1mg if >1.5kg)
2mg PO x4 (first feed, 1 wk, 4wks, 8wks)
Women taking these drugs should get 5mg PO vit K daily during the last trimester
Warfarin
Anticonvulsants
Rifampin
Isoniazid
VKDB effects _____ of NBs w/o vit K prophylaxis; ______ of VKDB occurs in infants who did not receive vit K at birth.
0.25-1.7%
30-70%
Adverse effects to vitamin K
: jaundice (only with very high doses), anaphylaxis
True or False: breastfed babies are more likely to have VKDB
True–breastmilk contains very little vitamin k (<15mcg/L), while formula contains 50-60mcg/L. NOT a reason to formula feed though. ;)
What ointment(s) do you give right after birth to protect the NB from GC/CT?
Erythromycin
Tetracycline
What dose do you give Erythromycin & Tetracycline in?
0.5% Erythromycin
1% Tetracycline
When and where should you give GC/CT prophylaxis ointment?
Within 2 hours of birth in the conjunctiva of the eye
Adverse effects to Erythro?
Allergic reaction or irritation
How to treat NB whose mothers are infected GC/CT?
GC: treat with ceftriaxone
CT: closely monitor for signs of infection
What vaccine should all newborns receive within 12 hours at birth?
Hep B vaccine (which contains 10-40mcg of HBsAg) per millimeter
What should all NBs whose mothers are infected with Hep B (HbsAg) get after birth?
Hep B vaccine AND Hep B immune globulin (HBIG) within 12 hours of birth (inject at SEPARATE sites)
What do you do for a NB whose mother is Hep B unknown?
Hep B Vaccine w/in 12 hours AND test the mother, if positive, administer HBIG within one week of life
Adverse effects of Hep B Vaccine:
Low grade fever Pain or irritation aat site irritability Rhinitis Fatigue Low appetite Diarrhea
Contraindications to Hep B vaccine
Contraindications: = 2000g–can cause apnea in premature infants (case by case)
T or F: Narcan is the second line after epi for NB resuscitation
False– Narcan should NEVER be given to a NB for resuscitation measures
When do you give epinephrine?
Resuscitating a NB whose HR is <60 bpm
How do you give Epi (route & dose?)
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
When should the remaining Hep B vaccines be given?
Single-Antigen vaccine: 1-2 & 6 mons
Single-Antigen + combination vaccine: 2, 4, & 6 mons
