MATERNITY PHARMACOLOGY
AquaMEPHYTON (Vitamin K)
Definition: This is used to prevent hemorrhage in newborns due to insufficient prothrombin levels.
Side Effects: Pain at the injection site, swelling, and bleeding.
Nursing Care: Vitamin K is administered in the vastus lateralis thigh muscle. Monitor for side effects and complications such as bleeding. The medication is light sensitive and should be kept in a brown glass vial.
Betamethasone
Definition: This is administered to increase respiratory development in newborns who lack surfactant.
Side Effects: Infection, increase in blood glucose, and edema are common side effects.
Nursing Care: Betamethasone is administered through IM injections. Assess the site for pain or swelling. Continue to monitor the fetus. Monitor for side effects and complications.
Erythromycin Ointment
Definition: This is a prophylactic eye ointment that is used to decrease the risk of neonatal conjunctivitis from Neisseria gonorrhea and Chlamydia.
Side Effects: Blindness.
Nursing Care: Erythromycin is administered shortly after birth. Wash hands and clean the newborn's eyes before administration. Apply the ointment to the lower lid. Assess for side effects or reaction to the medication.