Common Neonatal Medications

Question 1

Vitamin K

Answer 1

Hypo-prothrombinemia & hemorrhagic disease prevention r/t deficiency

Question 2

Hepatitis B

Answer 2

ALL INFANTS should receive 1st dose before d/c

1st dose may be given by 2 mo if mom hep B neg

Question 3

Erythromycin

Answer 3

Prevention of gonococcal opthalmia neonatorum

Question 4

Narcan

Answer 4

Reverses CNS & respiratory depression in neonatal opiate depression

Question 5

Simethicone

Answer 5

Relieves flatulence

Kids < 2 yo: 20 mg PO 4x daily

Question 6

Diaper rash barrier creams

Answer 6

Zinc oxide
A&D ointment
Nystatin for yeast

• lay on towel to air dry
• avoid wipes or soaps; warm water only

Question 7

Iron

Answer 7

Formula fed infants: iron-enriched formula

Breast fed infants: no supplementation until 6 mo

Question 8

Vitamin D

Answer 8

All babies receive 1 cc or 400 IU vitamin D/ day within 1st few days of life

Continue until infant weaned to < 1 qt or 1 L of vit D-fortified formula or whole milk daily

Non-breastfed infants, older children, and teens who drink less than 1 qt of vitamin D–fortified milk per day, should also receive 400 IU of supplemental vitamin D per day

Other dietary sources of vitamin D (e.g., fatty fish, fortified cereal, egg yolks) may be included in the daily intake

Question 9

Fluoride

Answer 9

Start @ 6 mo if breastfed or non-fluorinated water

Dose: 0.25 mg daily in form of paste or mouthwash

Question 10

Nystatin

Answer 10

Treat oral thrush, skin, or vaginal/diaper yeast fungal infections (Candida)

PO - Neonates: 100,000u 4x daily or 50,000u to each side of mouth 4x daily (use Q tip)

Skin - Topical: apply 2-4x daily
(diaper tends to be in folds; cream about 1 in above rash border)

Question 11

Tdap for mom

Answer 11

Tdap should be given at every pregnancy @ 27-36 weeks to transfer to fetus

If not, give tdap immediately postpartum & anyone in contact with baby