SHARE

vitamin-k--drug-study

Generic Name:Vitamin K(Pytonadione)
Brand name:Aqua-Mephyton
Classification:fat-soluble vitamins,Antifibrinolytic Agents

Action
Phytonadione is used in prophylaxis and treatment of hemorrhagic disease of the newborn. It promotes liver formation of the clotting factors II, VII, IX and X. At birth, the newborn does not have bacteria in the colon that necessary for synthesizing fat-soluble vitamin K.Therefore,the newborn may have deceased levels of prothrombin during the first 5 to 8 days of life reflected by a prolongation of prothrombin time.

Route,Dosage,Frequency

Intramuscular injection is given in the vastus lateralis thigh muscle.A one time only prophylactic dose of 0.5 to 1 mg is given intramuscularly in the birthing area within 1 hour of birth.

If mother receive anticoagulant during pregnancy, an additional dose may be ordered by the physician and is given 6-8 hours after the first injection,IM/subcutaneous concentration: 1 mg/0.5 ml(neonatal strength)can use 10 mg/ml concentration to minimize volume injected.

Neonatal Side Effects
Pain and edema may occur at injection site. Allergic reaction such as rash and urticaria,may also occur.

Nursing Implications

  • Document the giving of the medication to newborn to prevent an accidental doubling of the dose.
  • Observe for bleeding (usually occurs on second or third day). Bleeding may be seen as generalized ecchymoses or bleeding from umbilical cord, circumcision site, nose or gastrointestinal tract.
  • Observe for jaundice and kernicterus,especially in preterm infants.
  • Observe for signs of local inflammation.
  • Apply pressure to the injection site to prevent further bleeding
  • Protect drug from light.
  • Give vitamin K before circumcision procedure

Credit:Contemporary Maternal Newborn Nursing Care sixth edition

SHARE
This is a community of professional nurses gifted with literary skills who share theoretical and clinical knowledge, nursing tidbits, facts, statistics, healthcare information, news, disease data, care plans, drugs and anything under the umbrella of nursing. All information expressed here are courtesies of the respective authors. Views on topics do not generally reflect that of the entire community. Articles submitted here are original but are checked for minor typographical errors, and are formatted for site compatibility.This is a site that continuously improves and broadcasts healthcare information relevant to today's ever-changing world.