Newborn

Question 1

Phytonadione / synthetic Vitamin K (Aqua Mephyton)

Answer 1

• Vitamin K₁, fat-soluble vitamin
• Prevention of bleeding
• Brain damage (large doses); hemolytic anemia, hemoglobinuria, hyperbilirubinemia
• Monitor protime: bleeding, P, BP; assess nutritional status
• Give IV after diluting with D₅NS 10 mL or more; give 1 mg/min or more; IV only when other routes not possible

Question 2

Erythromycin ophthalmic

Answer 2

• Antiinfective
• Dysrhythmias; n/v, diarrhea, hepatotoxicity; vaginitis, moniliasis; anaphylaxis
• Assess for allergic reaction; infection; C&S test results before beginning therapy; urine output; blood studies; electrolytes: potassium, sodium, chloride; bowel pattern

Question 3

Triple Dye ointment

Answer 3

• Topical cleansing agents have been used for neonatal baths and umbilical cord care

Question 4

Beractant (Survanta)

Answer 4

• A sterile, non-pyrogenic pulmonary surfactant intended for intratracheal use only
• Pale skin; slow heartbeat; breathing that stops; urinating less than usual; or blood in the urine
• Indicated for prevention and treatment (“rescue”) of Respiratory Distress Syndrome (RDS) (hyaline membrane disease) in premature infants; significantly reduces the incidence of RDS, mortality due to RDS and air leak complications