Newborn Medications Flashcards
vitamin K
indication
- neonate vitamin K low at birth
- vitamin K necessary in coagulation
- protects against vitamin K deficiency bleeding (VKDB) d/t GI, nasal, skin, or circumcision site bleeding during first week of life
vitamin K
dose, route
vitamin K 0.5-1.0mg IM
vitamin K
side effects, adverse effects, contraindications
SE: skin irritation at injection site
AE: jaundice w/ high doses; anaphylaxis
C: hypersensitivity
erythromycin ointment
indication
conjunctivitis prophylaxis 2/2 maternal GC/CT, HSV, vaginal microbiome
erythromycin ointment
dose, route
erythromycin ointment 0.5% topical to lower conjunctival sacs w/in 2h of birth
erythromycin ointment
side effects, contraindications
SE: eye irritation
C: erythro allergy
hepatitis B vaccine
indication
CDC: all newborns should receive hepB vax w/in 12h of birth
- if parturient is HBsAg +, neonate receives hepB vax + hepB immune globulin
- if status unknown, give vax and test parturient –> give HBIG w/in 1st week of life if positive
What is the hep B vax schedule?
- at birth (before discharge)
- at 2mo
- at 6mo
hepatitis B vaccine
side effects, contraindications
SE: low-grade fever, pain at injection site, irritability, rhinitis, fatigue, low appetite, diarrhea
C: apnea in premature infants IF weight = 2000g + parturient is HbsAg negative
true or false:
Naloxone should be administered to neonates experiencing respiratory depression
false
focus on ventilation and oxygenation
epinephrine
indication
neonatal resuscitation
epinephrine
dose, route
1:10,000 (0.1mg/mL) epinephrine
IV and intraosseous (preferred): 0.1-0.3mL/kg in 1mL syringe - flush w/ 0.5-1.0mL NS after administration
endotracheal: 0.5-1.0mL/kg
epinephrine
side effects
- post-resuscitation HTN and tachycardia
- pulmonary arterial pressure leevation
- increased myocardial O2 demand
