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Preparation and Administration of Vitamin K Injection 1

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27 views3 pages

Preparation and Administration of Vitamin K Injection 1

Uploaded by

marilexdomagsang
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Republic of the Philippines

CAMARINES SUR POLYTECHNIC COLLEGES


Nabua, Camarines Sur

COLLEGE OF HEALTH SCIENCES

Name: ________________________________ Rating: ________________________


Year and Section: _______________________ Group: ________ Date: _________

PROCEDURE CHECKLIST

VITAMIN K PREPARATION AND ADMINISTRATION TO A NEWBORN

Instruction: Check under the following:


5- Well done -95 to 100
4- Normally done -88 to 94
3- Fairly done -82 to 87
2- Poorly done -76 to 81
1- Not done -70 to 75

Definition and Purpose:


It is the injection of vitamin K from an ampule into a newborn to prevent newborn
hemorrhage disease, also known as vitamin K dependent bleeding (VKDB).

Nursing Considerations
1. All newborns delivered in health facilities at all levels should receive Vitamin K
prophylaxis.
2. Vitamin K prophylaxis is given as a single dose IM injection soon after birth. (Once the
newborn is in skin-to-skin contact with the mother and breast feeding is initiated).
3. All newborns with a birth weight of 1500 g or more should be administered 1 mg of
Vitamin K IM, while those weighing less than 1500 g should receive a 0.5 mg dose.

Equipment
• Vitamin K (Phytonadione)
• Disposable syringe (1 ml)
• Cotton ball with alcohol
• Dry cotton ball
• Alcohol
• Gauze
• Medicine tray
• Gloves

PROCEDURE 5 4 3 2 1 Remarks
Preparation
1. Perform proper handwashing. Wear
gloves.
2. Assemble equipment and supplies.
3. Check the Medication Administration
Record (MAR)/ patient’s medication
chart.
4. Follow the “three checks” for
administering the medication and dose.
Read the label on the medication:
• When it is taken from the
medication cart
• Before withdrawing the
medication

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• After withdrawing the medication.
5. Tap the top of ampule with finger to
move medication below neck of ampule.
6. Place a gauze pad or unwrapped alcohol
prep pad around neck of ampule. Snap
quickly and firmly away to break at neck
of ampule.
7. Hold ampule at an angle or set on flat
surface.
8. Pick up syringe and remove needle cap.
Insert needle into the ampule opening.
9. Gently pull back on syringe plunger to
aspirate medication into syringe.
10. Hold syringe with needle pointing up to
express air bubbles.
11. Tap the side of syringe to bring bubbles
up toward the needle.
12. Pull back slightly on plunger, and then
expel air.
13. Recheck medication dose in syringe.
14. Organize the equipment.
Administration of Vitamin K
15. Introduce yourself and explain to the
mother that you will be administering
Vitamin K to prevent bleeding. Reassure
her that this is a routine procedure.
16. Prepare the newborn.
- Expose the thigh and identify the
injection site.
17. Put on clean gloves.
18. Clean the site with a cotton ball soak in
alcohol. Using a circular motion, start at
the center and move outward by about 5
cm (2 inches).
19. Transfer and hold the dry cotton ball
between the third and fourth fingers of
your nondominant hand in readiness for
needle withdrawal or position the swab
on the client’s skin above the intended
site. Allow the skin to dry prior to
injecting medication.
20. Grasp the muscle between the thumb
and finger of your hand and introduce the
needle of the loaded syringe at right
angles into the middle of vastus lateralis
muscle.
21. Holding the syringe between the thumb
and forefinger, pierce the skin quickly
and smoothly at a 90-degree angle, and
insert the needle into the muscle.
22. Hold the barrel of the syringe steady with
your nondominant hand, and aspirate by
pulling back on the plunger with your
dominant hand. Aspirate for 5–10
seconds.
23. If blood appears in the syringe, withdraw
the needle, discard the syringe, and
prepare a new injection.
24. If blood does not appear, inject the
medication steadily and slowly After the
injection, wait 10 seconds.
25. Withdraw the needle smoothly at the
same angle of insertion. Release the
skin.

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26. Apply gentle pressure to the site with a
dry cotton ball.
27. Activate the needle device or discard the
uncapped needle and attached syringe
into the proper receptacle.
28. Remove gloves. Perform handwashing.
29. Document all relevant information, such
as the date and time of administration,
drug name, dose, route, and the client’s
reactions.

___________________________________
Clinical Instructor

noo’77

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