Aqua.pdf - ACTIVE LEARNING TEMPLATE Medication Jen Forbes...

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Unformatted text preview: ACTIVE LEARNING TEMPLATE: Medication Jen Forbes STUDENT NAME______________________________________ aquamephyton MEDICATION___________________________________________________________________________ REVIEW MODULE CHAPTER____________ vitamins CATEGORY CLASS__antidotes, _____________________________________________________________________ PURPOSE OF MEDICATION Expected Pharmacological Action required for hepatic synthesis of blood coagulation factors II (prothrombin), VII,IX,and X Therapeutic Use Prevention of bleeding due to hypoprothrombin-emia Complications gastric upset, flushing, rash, urticaria, hemolyticanemia, erythema, pain at injection site, swelling, allergic reactions,hyperbilirubinemia (large doses in very premature infants), kernicterus Contraindications/Precautions Contraindicated in: Hypersensitivity or intolerance to benzyl alcohol (injection only). Use Cautiously in:Impaired liver function. Exercise Extreme Caution in:Severe life-threatening reactions have occurred following IV administration, use other routes unless risk is justified. Interactions Drug-Drug:Large doses will counteract the effect of warfarin. Large doses of salicylates or broad spectrum anti-infectives may increase vitamin K requirements. Bile acid sequestrants,mineral oil, and sucralfate may decrease vitamin K absorption from the GI tract. Evaluation of Medication Effectiveness Prevention of spontaneous bleeding or cessation of bleeding in patients with hypoprothrombinemia secondary to impaired intestinal absorption or oral anticoagulant, salicylate, or anti-infective therapy. Prevention of hemorrhagic disease in the newborn. ACTIVE LEARNING TEMPLATES Medication Administration IM (Neonates):0.5–1 mg, within 1 hr of birth, may repeat in 6–8 hr if needed. Maybe repeated in 2–3 wk if mother received previous anticonvulsant /anticoagulant/ antiinfective/antitubercular therapy. 1–5 mg may be given IM to mother 12–24 hr before delivery Nursing Interventions Monitor for side effects and adverse reactions. Children may be especially sensitive to the effects and side effects of vitamin K. Neonates, especially premature neonates, may be more sensitive than older children. Lab Test Considerations: Monitor prothrombin time (PT) prior to and throughout vitamin K therapy to determine response to and need for further therapy. Client Education advise parents to report any symptoms of unusual bleeding or bruising (bleeding gums; nosebleed; black, tarry stools; hematuria; excessive menstrual flow) in the infant. Therapeutic Procedure  A7 ...
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