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Generic Name Vitamin K (Phytonadione)

Brand Name Mephyton
Classification Blood coagulation modifier, fat soluble vitamin
Action It works by helping the liver to produce blood clotting factors.
Dosage 0.1 ml at Right Vastus Lateralis
Vitamin K is used to treat and prevent low levels of certain
Indication substances (blood clotting factors) that your body naturally produces.
These substances help your blood to thicken and stop bleeding
normally.
Contraindication Hypersensitivity.
Side Effects Pain, swelling, or soreness at the injection site may occur. flushing,
taste changes, dizziness, rapid heartbeat
Adverse Sweating, shortness of breath, or bluish lips/skin/nails.
Reactions
Drug Aspirin, NSAIDs and Warfarin
Interactions
Nursing 1. Educate the patient about the indication and contraindication of
Responsibilities vitamin K.
2. Inform the patient about the side and adverse effects.
3. Instruct patient if side effects persist immediately notify the
physician.
4. Stop administration of vitamin K if severe side effects occur.
5. Assist patient when ambulating, dizziness may occur.
6. Educate patient about the drug interaction of vitamin k
7. Instruct patient not to take any medication without doctors
prescription.
8. Do not give aspirin for pain medication.
9. Encourage patient to eat green leafy vegetables especially
broccoli, lettuce and spinach.
10. Continue to administer medication as prescribed by the doctor.

Source Gilliam, S.T. Springhouse Nurses Drug Guide 2006 (9 th ed.).

Lippincott Williams & Wilkins, 323, Norristown Road, Suite 200,
Ambler.
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Generic Name Dexamethasone

Brand Name Dexasone
Dosage 0.08 0.3 mg/kg/day PO divided q6-12h
Therapeutic: Anti asthmatics, corticosteroids
Classification Pharmacologic: Corticosteroids (systemic)
Suppress inflammation and the normal immune response.
Suppress adrenal function.
Action Have negligible mineralocorticoid activity.
Therapeutic Effects: Suppression of inflammation and modification of
the normal immune response. Replacement therapy in adrenal
insufficiency.
Used systemically and locally in a wide variety of chronic diseases
Indication including inflammatory, allergic, hematologic, neoplastic and
autoimmune disorders.
Management of cerebral edema
Active untreated infections (may be used in patients being treated for
Contraindication some forms of meningitis)
Known alcohol, bisulfite or tartrazine hypersensitivity or intolerance
Administration of live virus vaccines
Depression, euphoria, headache, intracranial pressure (children only),
personality changes, psychoses, restlessness, cataracts, intraocular
pressure hypertension, peptic ulceration, anorexia, nausea, vomiting,
Side Effects and acne, wound healing, ecchymoses, fragility, hirsutism, petechiae,
Adverse Effects adrenal suppression, hyperglycemia, fluid retention (long-term high
doses), hypokalemia, hypokalemic alkalosis, thromboembolism,
thrombophlebitis, weight gain, muscle wasting, osteoporosis, avascular
necrosis of joints, muscle pain.
Increase risk of hypokalemia with thiazide and loop diuretics, or
amphotericin B.
Hypokalemia may increase risk of digoxin toxicity.
Drug Interaction May increase requirement for insulin or oral hypoglycemic agents.
Phenytoin, phenobarbital, and rifampin increase metabolism; may
decrease effectiveness.
Hormonal contraceptives may increase metabolism.
Increase risk of adverse GI effects with NSAIDs (including aspirin).

Monitor and report S&S of Cushing's syndrome (see Appendix F) or

other systemic adverse effects.
Nursing
Responsibilities
Monitor neonates born to a mother who has been receiving a
corticosteroid during pregnancy for symptoms of hypoadrenocorticism.
 Monitor for S&S of a hypersensitivity reaction (see Appendix F). The
acetate and sodium phosphate formulations may contain bisulfites,
parabens, or both; these inactive ingredients are allergenic to some
individuals.

Source Hopfer, J. D., Vallerand, A. H., & Sanoski, C. A. (2011). Davis's Drug Guide
for Nurses (12th ed.). Philadelphia: F.A. Davis Company.
Ateneo de Davao University
Jacinto St., Davao City
School of Nursing

In Partial Fulfillment of the Requirements of Intensive Nursing Practicum

At SPMC Delivery Room
Drug Study (Dexamethasone)
Nursing Care Plan
Reading

Submitted to:

Anabel T. Bauzon, RN MN
Clinical Instructor

Submitted by:

Patricia Anne P. Hipol

Bachelor of Science in Nursing 4A
 January 27, 2017

Ateneo de Davao University

Jacinto St., Davao City
School of Nursing

In Partial Fulfillment of the Requirements of Intensive Nursing Practicum

At SPMC Delivery Room
Drug Study (Vitamin K)
Nursing Care Plan

Submitted to:

Anabel T. Bauzon, RN MN
Clinical Instructor

Submitted by:

Patricia Anne P. Hipol

Bachelor of Science in Nursing 4A
 January 27, 2017

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