This document summarizes the administration of the hepatitis B and vitamin K vaccines to a newborn baby in September 2023. It describes the general actions and mechanisms of the vaccines, their indications for preventing hepatitis B infection and vitamin K deficiency bleeding, respectively. It also outlines the nursing responsibilities before, during, and after administering the vaccines, which include obtaining consent, monitoring for adverse reactions, educating parents, and documenting the administration.
This document summarizes the administration of the hepatitis B and vitamin K vaccines to a newborn baby in September 2023. It describes the general actions and mechanisms of the vaccines, their indications for preventing hepatitis B infection and vitamin K deficiency bleeding, respectively. It also outlines the nursing responsibilities before, during, and after administering the vaccines, which include obtaining consent, monitoring for adverse reactions, educating parents, and documenting the administration.
This document summarizes the administration of the hepatitis B and vitamin K vaccines to a newborn baby in September 2023. It describes the general actions and mechanisms of the vaccines, their indications for preventing hepatitis B infection and vitamin K deficiency bleeding, respectively. It also outlines the nursing responsibilities before, during, and after administering the vaccines, which include obtaining consent, monitoring for adverse reactions, educating parents, and documenting the administration.
NAME OF DATE ROUTE OF GENERAL INDICATION/ CLIENT’S NURSING
DRUG ADMINISTERED ADMINISTRATION, ACTION AND PURPOSE RESPONSE TO RESPONSIBILITIES DOSAGE OF MECHANISM MEDICATION PRIOR TO, ADMINISTRATION, ACTION WITH ACTUAL DURING AND FREQUENCY OF SIDE EFFECTS AFTER ADMINISTRATION (IF ANY) Hepatitis B September 05, 2023 Route of Generel Action: Against hepatitis B is to Pior to: Administration: is to stimulate the provide them with early 1. Obtaining informed immune system to protection against the virus. consent from the parents produce antibodies Hepatitis B can be transmitted or guardians of the baby. against the hepatitis B from an infected mother to her 2. Assessing and Dosage of virus. This helps to baby during childbirth. By documenting the baby's Administration: prevent the virus from administering the hepatitis B medical history, infecting the baby and vaccine to the newborn, it including any known causing liver disease. helps stimulate the production allergies or previous of antibodies that can prevent adverse reactions to infection and reduce the risk vaccines. Frequency of of developing hepatitis B and 3. Ensuring that the Mechanism Action: Administration: associated liver disease later in baby's healthcare the vaccine involves introducing a small, life. It is an important provider has ordered the harmless part of the preventive measure to ensure vaccine and that it is hepatitis B virus into the baby's long-term health appropriate for the baby's the body. This part is and well-being. age and health status. called an antigen. The 4. Reviewing the vaccine immune system package insert and being recognizes the antigen familiar with the as foreign and mounts vaccine's indications, an immune response contraindications, and by producing specific potential side effects. antibodies against it. 5. Checking the expiration date and integrity of the vaccine vial. 6. Preparing the necessary equipment, such as syringes, needles, and alcohol swabs, in a sterile manner. 7. Educating the parents or guardians about the benefits and potential risks of the vaccine. During: 1. Explaining the procedure to the parents or guardians and addressing any concerns or questions they may have. 2. Ensuring a clean and sterile environment. 3. Using proper technique to administer the vaccine, following the manufacturer's instructions and healthcare facility protocols. 4. Monitoring the baby for any immediate adverse reactions or signs of distress. 5. Providing support and comfort to the baby and their parents or guardians during the procedure. After: 1. Observing the baby for any immediate or delayed adverse reactions, such as swelling, redness, or allergic reactions. 2. Documenting the vaccine administration, including the date, time, site of injection, and any adverse reactions or side effects. 3. Educating the parents or guardians about common side effects and when to seek medical attention. 4. Providing information on follow-up doses and any necessary schedule adjustments. 5. Assisting with the completion of necessary paperwork and reporting any adverse events to the appropriate authorities or vaccine surveillance systems. DRUG STUDY(BABY) NAME OF DATE ROUTE OF GENERAL INDICATION/ CLIENT’S NURSING DRUG ADMINISTERED ADMINISTRATION ACTION AND PURPOSE RESPONSE TO RESPONSIBILITIES , DOSAGE OF MECHANISM MEDICATION PRIOR TO, ADMINISTRATION ACTION WITH ACTUAL DURING AND , FREQUENCY OF SIDE EFFECTS AFTER ADMINISTRATION (IF ANY) Vitamin K September 05, 2023 Route of General Action: The main indication for Prior to: Administration: Vitamin K is a administering a vitamin K 1. Assessing the baby's commonly vaccine to a newborn baby is medical history and any administered vaccine to prevent vitamin K potential to newborn babies to deficiency bleeding (VKDB), contraindications or Dosage of prevent vitamin K also known as hemorrhagic allergies to the vaccine. Administration: deficiency bleeding disease of the newborn. 2. Educating the parents (VKDB), which can be VKDB is a rare but potentially or guardians about the a serious condition in life-threatening condition that purpose of the vaccine infants. The general can occur in infants who have and its potential benefits. action of the vaccine is inadequate levels of vitamin 3. Obtaining informed Frequency of to provide a source of K. By giving the vitamin K consent from the parents Administration: vitamin K that helps vaccine, it helps ensure that or guardians. the baby's blood to clot the baby has enough vitamin 4. Preparing the vaccine properly, reducing the K to support proper blood according to the risk of bleeding. clotting and prevent bleeding manufacturer's problems. instructions. 5. Ensuring proper hand Mechanism Action: hygiene and wearing the vaccine involves appropriate personal stimulating the baby's protective equipment body to produce (PPE). clotting factors, 6. Selecting an particularly factors II, appropriate injection site, VII, IX, and X, which usually the thigh, and are dependent on preparing it for the vitamin K. Vitamin K injection by cleaning with is necessary for the an antiseptic solution. production of these 7. Administering the clotting factors, and vaccine using safe without adequate injection techniques. 8. Observing the infant levels of vitamin K, closely during and after the baby may have an the administration of the increased risk of vaccine for any bleeding. immediate adverse reactions. During: 1. Using appropriate distraction techniques to help calm the baby during the procedure. 2. Ensuring proper needle insertion and administering the vaccine slowly to minimize discomfort. After: 1. Documenting the administration of the vaccine in the baby's medical record. 2. Providing information about possible side effects or adverse reactions and instructing the parents or guardians on what symptoms to watch out for. 3. Offering support and reassurance to the parents or guardians, addressing any concerns or questions they may have. 4. Monitoring the baby for any delayed adverse reactions, such as fever, swelling, or unusual behavior. 5. Providing appropriate post-vaccine care instructions, such as keeping the injection site clean and dry. 6. Following up with the baby and their family as needed to ensure their well-being. DRUG STUDY(MOTHER) NAME OF DATE ROUTE OF GENERAL INDICATION/ CLIENT’S NURSING DRUG ADMINISTERED ADMINISTRATION, ACTION AND PURPOSE RESPONSE TO RESPONSIBILITIES DOSAGE OF MECHANISM MEDICATION PRIOR TO, ADMINISTRATION, ACTION WITH ACTUAL DURING AND FREQUENCY OF SIDE EFFECTS AFTER ADMINISTRATION (IF ANY) Ferrous Sulfate September 05, 2023 Route of General Action: 1. Treatment of iron Prior to: Administration: is to increase the levels deficiency anemia: Postpartum 1. Assessing the mother's Oral (po or by mouth) of iron in the body. mothers often experience iron medical history and Iron is an essential deficiency anemia due to current condition to Dosage of mineral that plays a blood loss during labor and determine if ferrous Administration: crucial role in the delivery. Ferrous sulfate is a sulfate is appropriate for 1 tab production of form of iron supplement that her. hemoglobin, the helps replenish iron stores in 2. Checking the mother's Frequency of protein in red blood the body and increases red hemoglobin and iron Administration: cells that carries blood cell production. levels to confirm the need Once a day oxygen to tissues. By 2. Prevention of iron for iron supplementation. increasing iron levels, deficiency anemia: Even if a 3. Educating the mother ferrous sulfate helps in postpartum mother does not about the purpose of the production of more have iron deficiency anemia, ferrous sulfate, its red blood cells, healthcare providers may dosage, and potential side improving oxygen prescribe ferrous sulfate as a effects. delivery to the body's preventive measure to 4. Ensuring that the tissues and organs. maintain adequate iron levels mother understands the Mechanism Action: and prevent the development importance of taking involves the absorption of anemia. ferrous sulfate regularly of iron in the 3. Replenishment of iron and as prescribed. gastrointestinal tract. stores: Pregnancy and 5. Reviewing the When ferrous sulfate is childbirth can deplete a mother's current ingested, the iron is woman's iron stores medications to check for released and absorbed significantly. Ferrous sulfate any potential interactions in the small intestine. helps restore these iron stores, with ferrous sulfate. It is then transported to which are essential for overall During: the bone marrow, health and energy levels. 1. Administering the where it is used in the 4. Support for lactation: Iron is medication as prescribed, production of red a vital nutrient for lactating either orally or blood cells. mothers as it supports the intravenously, while production of breast milk. following proper Ferrous sulfate can help medication ensure that postpartum administration protocols. mothers have sufficient iron 2. Monitoring the mother levels to support their for any immediate breastfeeding journey. adverse reactions or side effects, such as allergic reactions or gastrointestinal upset. 3. Assisting the mother in taking the medication with food or Vitamin C, if required, to enhance iron absorption. 4. Ensuring that the mother takes the medication regularly and as scheduled. After: 1. Assessing the mother for any delayed or long- term side effects, such as constipation, nausea, or dark stools. 2. Monitoring the mother's hemoglobin and iron levels periodically to evaluate the effectiveness of the supplementation. 3. Providing ongoing education and support to the mother regarding the importance of continuing the medication until prescribed. 4. Encouraging the mother to maintain a healthy diet rich in iron sources, such as leafy greens, lean meats, and fortified cereals.