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OB > Newborn Medications > Flashcards

Newborn Medications Flashcards

1
Q

Other name for Vitamin K

A

Phytonadione

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2
Q

Route for Vitamin K

A

IM in Vastus lateralis

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3
Q

Use of vitamin K

A

Prevent hemorrhagic disease of newborn
Provides vitamin k which is not synthesized in the intestine until flora is present for Vit K production

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4
Q

Side effects of Vitamin K

A

Pain
Edema/erythema at injection site
Hyperbilirubinemia

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5
Q

Nursing responsibilities for vitamin k

A

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)

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6
Q

Patient teaching for vitamin k

A

Teach parents symptoms of bleeding
Teach signs of infection at injection site
Teach signs of hyperbilirubinemia

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7
Q

Route for erythromycin eye ointment

A

Opthalmic
1 cm ribbon into each conjunctival sac

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8
Q

Classification of erythromycin eye ointment

A

Antibiotic - macrolide

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9
Q

Function of erythromycin eye ointment

A

Prophylaxis for gonorrhea in eyes
Inhibits protein synthesis in bacteria; bacteriostatic

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10
Q

Side effects of erythromycin eye ointment

A

Temporary blurred vision
Chemical conjunctivitis
Burning
Itching
Redness

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11
Q

Nursing responsibilities for erythromycin eye ointment

A

Apply inner to outer canthus
May wipe after 1 minute
Give writhing 1-2 hrs after birth
Observe for irritation

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12
Q

Patient teaching for erythromycin eye ointment

A

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

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13
Q

Hepatitis b vaccination route

A

IM in Vastus lateralis

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14
Q

Use of hepatitis b vaccine

A

Immunization against hep b in exposed and unexposed infants

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15
Q

Nursing considerations for hepatitis b vaccine

A

Parental consent prior to injection
Shake medication well
Monitor injection site
Give within 12 hours of birth to infants with infected mothers

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16
Q

Patient teaching for hepatitis b vaccine

A

Teach to complete series of 3 vaccines
Monitor for SE of medication reaction (uticaria, diaphoresis, Angioedema)
Monitor injection site

17
Q

Route for hepatitis B immunoglobulin

A

IM Vastus lateralis (different site than hep b vaccine)

18
Q

Use for hep b immunoglobulin

A

Prophylaxis for infants born to hep b positive moms
Provides antibodies and passive immunity to hep b

19
Q

Side effects of hep b immunoglobulin

A

Erythema, irritation or pain at injection site
Urticaria
Angioedema

20
Q

Nursing responsibilities for hep b immunoglobulin

A

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

21
Q

Patient teaching for hep b immunoglobulin

A

Explain need for treatment and potential side effects
Report any signs of anaphylaxis immediately

22
Q

Route for lidocaine

A

Topical or SQ

23
Q

Max dose of lidocaine

A

5 mg/kg

24
Q

Use of lidocaine

A

Local anesthetic for circumcision
Inhibits conduction of nerve impulses from sensory nerves

25
Q

Side effects of lidocaine

A

Stinging, burning, or pain at injection site
Swelling or hematoma at injection site

26
Q

Nursing responsibilities for lidocaine topical cream

A

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

27
Q

patient teaching for lidocaine

A

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

28
Q

Generic name for sweet ease

A

24% oral sucrose water

29
Q

Rouge of sweet ease

A

PO
Orally by syringe or pacifier that has been dipped in the solution

30
Q

Classification of sweet ease

A

Nonopioid Analgesic

31
Q

Use for sweet ease

A

Calms and soothes during painful procedures
The taste provides an analgesic effect

32
Q

Side effects of sweet ease

A

Gagging
Choking
Hyperglycemia
Bradycardia

33
Q

Nursing responsibilities for sweet ease

A

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

34
Q

Patient teaching for sweet ease

A

Teach reason for use

OB (11 decks)

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