Generic name

Romeo Victor M. Valderrama BSN-3A

Name: Date of Admission:Age: CC:Room: Attending Physician: Generic nameBrand name Drug Classification Mechanism of Action Indications Adverse Reactions Nursing Responsibilities

Vitamin K (Phytonadione)

Intramuscular injectionis given in the vastus lateralis thigh muscle.A one time onlyprophylactic dose of 0.5 to 1 mgis given intramuscularly in the birthing areawithin 1 hour of birth.

Aqua-MephytonPharmacologic:fat-soluble vitaminsTherapeutic:Antifibrinolytic AgentsPhytonadioneis 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.To preven t hemorrhagic disease of the newborn CNS:Dizziness

CV:flushing, rapid and weak pulse

Skin:diaphoresis, erythema

Others:anaphylaxis, pain,swelling and hematoma at the injection site

1. Document the giving of the medication to newborn to prevent an accidental doubling of the dose.1. 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.1. Observe for jaundice and kernicterus,especially in preterm infants.1. Observe for signs of local inflammation.1. Apply pressure to the injection site to prevent further bleeding1. Protect drug from light.1. Give vitamin K before circumcision procedure