Newborn Medications Flashcards
Other name for Vitamin K
Phytonadione
Route for Vitamin K
IM in Vastus lateralis
Use of vitamin K
Prevent hemorrhagic disease of newborn
Provides vitamin k which is not synthesized in the intestine until flora is present for Vit K production
Side effects of Vitamin K
Pain
Edema/erythema at injection site
Hyperbilirubinemia
Nursing responsibilities for vitamin k
Give within 2 hours of birth
Give prior to circumcision
Protect drug from light until ready to give
Observe for signs of bleeding (bruising or bleeding from site, blood in urine or stools)
Patient teaching for vitamin k
Teach parents symptoms of bleeding
Teach signs of infection at injection site
Teach signs of hyperbilirubinemia
Route for erythromycin eye ointment
Opthalmic
1 cm ribbon into each conjunctival sac
Classification of erythromycin eye ointment
Antibiotic - macrolide
Function of erythromycin eye ointment
Prophylaxis for gonorrhea in eyes
Inhibits protein synthesis in bacteria; bacteriostatic
Side effects of erythromycin eye ointment
Temporary blurred vision
Chemical conjunctivitis
Burning
Itching
Redness
Nursing responsibilities for erythromycin eye ointment
Apply inner to outer canthus
May wipe after 1 minute
Give writhing 1-2 hrs after birth
Observe for irritation
Patient teaching for erythromycin eye ointment
Medication does not need to be rinsed from infant’s eyes
Infant’s vision will be blurred while medication is in place
Not treating infant could lead to blindness from infection
Hepatitis b vaccination route
IM in Vastus lateralis
Use of hepatitis b vaccine
Immunization against hep b in exposed and unexposed infants
Nursing considerations for hepatitis b vaccine
Parental consent prior to injection
Shake medication well
Monitor injection site
Give within 12 hours of birth to infants with infected mothers
Patient teaching for hepatitis b vaccine
Teach to complete series of 3 vaccines
Monitor for SE of medication reaction (uticaria, diaphoresis, Angioedema)
Monitor injection site
Route for hepatitis B immunoglobulin
IM Vastus lateralis (different site than hep b vaccine)
Use for hep b immunoglobulin
Prophylaxis for infants born to hep b positive moms
Provides antibodies and passive immunity to hep b
Side effects of hep b immunoglobulin
Erythema, irritation or pain at injection site
Urticaria
Angioedema
Nursing responsibilities for hep b immunoglobulin
Give within 12 hours of birth
Bathe infant or leg prior to administration
Massage site after injection
Give hep b vaccine and hep b immune globulin in different sites
Do not shake the vial of vaccine
Patient teaching for hep b immunoglobulin
Explain need for treatment and potential side effects
Report any signs of anaphylaxis immediately
Route for lidocaine
Topical or SQ
Max dose of lidocaine
5 mg/kg
Use of lidocaine
Local anesthetic for circumcision
Inhibits conduction of nerve impulses from sensory nerves
Side effects of lidocaine
Stinging, burning, or pain at injection site
Swelling or hematoma at injection site
Nursing responsibilities for lidocaine topical cream
Apply to shaft and base of penis and occlude with plastic wrap 20-30 minutes prior to procedure
Evaluate patients’ pain by using NIP score
Obtain consent prior to procedure
NEVER use lidocaine with epi for a penile block. Can cause severe vasoconstriction and penile loss
patient teaching for lidocaine
Contact nurse of PCP (once leave the hospital) if redness, bruising, or swelling worsens
Infant will be monitored Q15 min x 1 hr after the procedure to check for bleeding
Infant may be fussy after the procedure
Generic name for sweet ease
24% oral sucrose water
Rouge of sweet ease
PO
Orally by syringe or pacifier that has been dipped in the solution
Classification of sweet ease
Nonopioid Analgesic
Use for sweet ease
Calms and soothes during painful procedures
The taste provides an analgesic effect
Side effects of sweet ease
Gagging
Choking
Hyperglycemia
Bradycardia
Nursing responsibilities for sweet ease
Monitor for hyperglycemia and aspiration
Administer 2 minutes prior to the procedure as well as during the procedure
Don’t give if an ng ant has absent bowel sounds or is at risk for aspiration
Infants must be at least 32 weeks gestation and <6 months for effectiveness
Patient teaching for sweet ease
Teach reason for use
