REPUBLIC of the PHILIPPINES
City of Makati
NAME: INOCENCIO, Aina Marie A
CONCEPT: Close and Open EINC
DRUG NAME
Generic name:
Vitamin K (Phytonadione)
Brand name:
Aqua – Mephytone
Dosage, Route and
Frequency:
Intramuscular injection is
given in the vastus lateralis
thigh muscle. A one-time
only prophylactic dose of
0.5 to 1 mg is given
intramuscularly in the
Name: Mrs. Zaimin Marchessa
MECHANISM OF
ACTION
Phytonadione is used in
prophylaxis and treatment
of hemorrhagic disease of
the newborn. It
promotes liver formation of
the clotting factors II, VII,
IX and X. At birth, the
newborn does not have
bacteria in the colon that
necessary for synthesizing
fat-soluble vitamin K.
Therefore, the newborn
may have deceased levels
of prothrombin during the
first 5 to 8 days of life
reflected by a prolongation
of prothrombin time.
UNIVERSITY OF MAKATI
COLLEGE OF ALLIED HEALTH STUDIES
J. P. Rizal Extension, West Rembo, Makati City 1215
Telephone No. : (+632) – 881 – 1571
CENTER OF NURSING
DRUG STUDY
YEAR/GROUP: II – AN GRP. 2
AREA: Lying In DATE: 02 November 2020
SIDE EFFECTS/ NURSING
INDICATION CONTRAINDICATION
ADVERSE REACTION CONSIDERATION
Vitamin K helps the blood to Side effect: Hypersensitivity to Before:
clot and prevents serious Vitamin K
Pain and edema may Read the label on the
bleeding. In newborns, vitamin
occur at injection medication:
K injections can prevent a now
site. Allergic reaction such 1. When it is taken from the
rare, but potentially fatal,
as rash and urticaria, may medication cart
bleeding disorder called
also occur. 2. Before withdrawing the
‘vitamin K deficiency bleeding’
(VKDB), also known as medication
‘hemorrhagic disease of the 3. After withdrawing the
newborn’ (HDeN). Vitamin K Adverse Effect: medication.
helps blood to clot. It is In infants (particularly - Protect drug from light
essential to prevent serious premature babies), - Give vitamin K before
bleeding. Babies do not get excessive doses of vitamin circumcision procedure
enough vitamin K from their k analogs during the first
mothers during pregnancy, or few days of life may cause
when they are breast feeding. hyperbilirubinemia; this in
Without vitamin K, they are atturn may result in severe
risk of getting a rare disorder
hemolytic anemia,
called ‘vitamin K deficiency hemoglobinuria,
Diagnosis: Normal Labor Delivery Ward/Room: 2021
 REPUBLIC of the PHILIPPINES
City of Makati
UNIVERSITY OF MAKATI
COLLEGE OF ALLIED HEALTH STUDIES
J. P. Rizal Extension, West Rembo, Makati City 1215
Telephone No. : (+632) – 881 – 1571
CENTER OF NURSING
birthing area within 1 hour bleeding’ (VKDB). VKDB can kernicterus, leading to
of birth. cause bleeding into the brain, brain damage or even
During:
and may result in brain death
If mother receive
damage or even death. VKDB - Do not massage the
anticoagulant during
can be prevented by giving injection site
pregnancy, an additional
new babies extra vitamin K. - Apply pressure to the
dose may be ordered by
By the age of about six injection site to prevent
the physician and is given
months, they have built up further bleeding
6-8 hours after the first
their own supply.
injection, IM/subcutaneous
concentration: 1 mg/0.5 ml
(neonatal strength) can After:
use 10 mg/ml - Document the giving of
concentration to minimize Reference: the medication to
volume injected. newborn to prevent an
“Vitamin K at accidental doubling of
Birth.”Www.Pregnancybirthba the dose.
Classification: by.Org.Au, - Observe for bleeding
www.pregnancybirthbaby.org. (usually occurs on
fat-soluble vitamins,
au/vitamik-k-at-birth#:- second or third day).
Antifibrinolytic Agents
:text=Vitamin%20K%20helps Bleeding may be seen
%20the%20blood.Accessed 1 as generalized
Nov 2020. ecchymoses or
bleeding from umbilical
cord, circumcision site,
“ nose or gastrointestinal
tract.

Name: Mrs. Zaimin Marchessa Diagnosis: Normal Labor Delivery Ward/Room: 2021
 REPUBLIC of the PHILIPPINES
City of Makati
UNIVERSITY OF MAKATI
COLLEGE OF ALLIED HEALTH STUDIES
J. P. Rizal Extension, West Rembo, Makati City 1215
Telephone No. : (+632) – 881 – 1571
CENTER OF NURSING
- Observe for jaundice
and kernicterus,
especially in preterm
infants.
- Observe for signs of
local inflammation

Name: Mrs. Zaimin Marchessa Diagnosis: Normal Labor Delivery Ward/Room: 2021
 REPUBLIC of the PHILIPPINES
City of Makati
UNIVERSITY OF MAKATI
COLLEGE OF ALLIED HEALTH STUDIES
J. P. Rizal Extension, West Rembo, Makati City 1215
Telephone No. : (+632) – 881 – 1571
CENTER OF NURSING

MECHANISM OF SIDE EFFECTS/ NURSING

DRUG NAME INDICATION CONTRAINDICATION
ACTION ADVERSE REACTION CONSIDERATION

Generic name: Many epidemiological
studies indicate that
Hepatitis B vaccine
patients who develop anti-
(Recombinant)
hepatitis B surface antigen
antibodies (anti-HBs)
following infection with
Brand name:
hepatitis B are immune to
Engerix B, Recombivax the virus upon re-
HB exposure. Active
immunization with hepatitis
B vaccine stimulates the
Dosage, Route and immune system to produce
anti-HBs without exposing
Frequency:
the patient to the risks of
Intramuscular injection is active infection. Infection
given in the anterolateral with hepatitis D can occur
thigh muscle, avoiding only with concurrent
blood vessels and nerves. hepatitis B infection, so
vaccination with
Recombivax: 0.5 mL recombinant hepatitis B
(5mcg) at 0, 1 and 6 mo vaccine provides
protection against hepatitis
To promote active immunity in
individuals at high risk of
potential exposure to hepatitis
B virus or HBsAg – positive
materials. Has been used
simultaneously (into different
sites) with hepatitis immune
globulin (H-BIG) got post –
exposure prophylaxis in
selected patients and in
infants born to HBsAg –
positive mothers.
Recombivax HB is indicated
for prevention of infection
caused by all known subtypes
of hepatitis B virus.
Recombivax HB is approved
for use in individuals of all
ages
Side effect:
Side effects usually are
mild, and can include a
mild fever and soreness or
redness at the injection
site. Allergic reactions to
the vaccine are rare.
Adverse Effect:
Body Whole: Mild local
tenderness at injection
site, local inflammatory
reaction (swelling, heat,
redness, induration, pain);
fever, malaise, fatigue,
headache, dizziness,
faintness, leg cramps,
myalgia, arthralgia.
Contraindicated for use Before:
by persons with known
Read the label on the
yeast hypersensitivity o
medication:
r hypersensitivity to any
1. When it is taken from the
component of the
medication cart
vaccine and in patients
2. Before withdrawing the
with a severe allergic
medication
reaction such
as anaphylaxis after a 3. After withdrawing the
previous dose of any medication.
hepatitis B-containing - Shake vial well before
vaccine. withdrawing dose to
assure uniform
HBsAg carriers. Safe
suspension.
use during pregnancy
- Store unopened and
(category C) and
opened vials at 2°–8°
lactation is not
C (36°–46° F) unless
established.
otherwise directed.
Avoid freezing
(freezing destroys
potency).

Name: Mrs. Zaimin Marchessa Diagnosis: Normal Labor Delivery Ward/Room: 2021

Engerix-B: 0.5 mL (10 D as well.
mcg) at 0, 1 and 6 mo or 0,
CDC.
1, 2 and 12 mo The recombinant hepatitis
B vaccine is produced by
injecting Saccharomyces
Classification: cerevisiae (yeast) with a
plasmid that codes for the
antiinfective; vaccine adw subtype of HBsAg.
Pregnancy Category: C The genetically altered
yeast produced significant
quantities of HBsAg, which
are released by cell
disruption, collected, and
purified. The particulate
matter present in the
hepatitis B vaccine,
recombinant contains
large amounts of protein
derived from HBsAg
against which an immune
response occurs, resulting
in the formation of anti-
HBs. Extensive study of
the recombinant-
stimulated antibodies
reveals that they are
remarkably similar to
Name: Mrs. Zaimin Marchessa
REPUBLIC of the PHILIPPINES
City of Makati
UNIVERSITY OF MAKATI
COLLEGE OF ALLIED HEALTH STUDIES
J. P. Rizal Extension, West Rembo, Makati City 1215
Telephone No. : (+632) – 881 – 1571
CENTER OF NURSING
Reference: GI: Nausea,
vomiting, diarrhea.
“Vaccine (Shot) for Hepatitis During:
B.” Centers for Disease
- Do not massage the
Control and Prevention, 2 Skin: Rash, urticaria,
injection site
Aug. 2019, pruritus.
- Apply pressure to the
www.cdc.gov/vaccines/parent injection site to prevent
s/diseases/hepb.html. interaction drug: No further bleeding
Accessed 1 Nov. 2020. clinically significant
interactions established.
After:
- Document the giving of
the medication to
newborn to prevent an
accidental doubling of
the dose.
- Observe for signs of
local inflammation
- Note: The ACIP
recommends serologic
confirmation of
postvaccination
immunity in patients
undergoing dialysis
Diagnosis: Normal Labor Delivery Ward/Room: 2021
 REPUBLIC of the PHILIPPINES
City of Makati
UNIVERSITY OF MAKATI
COLLEGE OF ALLIED HEALTH STUDIES
J. P. Rizal Extension, West Rembo, Makati City 1215
Telephone No. : (+632) – 881 – 1571
CENTER OF NURSING
naturally occurring anti- and in immunodeficient
HBs in variety, patients.
biochemistry, potency, and - Monitor temperature.
protective efficacy Some patient
developed a
temperature elevation
of 38.3° C (101° F)
following vaccination
that may last 1 or 2 d.
Patient & Family
Education
- Learn potential adverse
reaction.
- Do not breast feed
while taking this drug
without consulting
physician.

Name: Mrs. Zaimin Marchessa Diagnosis: Normal Labor Delivery Ward/Room: 2021
 REPUBLIC of the PHILIPPINES
City of Makati
UNIVERSITY OF MAKATI
COLLEGE OF ALLIED HEALTH STUDIES
J. P. Rizal Extension, West Rembo, Makati City 1215
Telephone No. : (+632) – 881 – 1571
CENTER OF NURSING
MECHANISM OF SIDE EFFECTS/ NURSING
DRUG NAME INDICATION CONTRAINDICATION
ACTION ADVERSE REACTION CONSIDERATION

BCG vaccine is an
Generic name: BCG vaccination is The most common side BCG Vaccine for Before:
immunization agent for
recommended for infants and effects include fever, prevention of
BCG (Bacille Calmette – tuberculosis (TB). It is an Read the label on the
children with negative headache and swollen tuberculosis should not
Guerin) attenuated strain of the medication:
tuberculin skin tests who are glands. be given to persons
bacillus Calmette and 1. When it is taken from the
(a) at high risk of intimate and
Guerin strain of More serious medication cart
prolonged exposure to (a) whose immunologic
Brand name: Mycobacterium bovis. 2. Before withdrawing the
persistently untreated or complications, such as responses are impaired
BCG vaccine stimulates
Tice BCG live (for ineffectively treated patients abscesses or bone because of HIV medication
the reticuloendothelial
intravesical use) with infectious pulmonary inflammation, are rare. infections, congenital 3. After withdrawing the
system (RES) to produce
Tice BCG Vaccine tuberculosis and who cannot immunodeficiency such medication.
macrophages that do not Most children develop a
Theracys 3 be removed from the source of as chronic - Tuberculin sensitivity
allow mycobacteria to sore at the injection site.
Theracys exposure and cannot be granulomatous disease may be rendered
multiple. BCG live is used Once healed, the sore may
placed on long-term primary or interferon gamma positive by BCG
BCG Vaccine (Obsolete) intravesically as a leave a small scar. This is
preventive therapy, or receptor deficiency, intravesical treatment.
biological response normal and nothing to Determine patient’s
modifier for bladder cancer (b) continuously exposed to worry about leukemia, lymphoma,
Dosage, Route and reactivity to tuberculin
in situ. BCG live is thought persons with infectious or generalized
to cause a local before starting therapy
Frequency: pulmonary tuberculosis who Adverse Effect: malignancy or
inflammatory response - For Tice BCG, add 1 ml
have bacilli resistant to
Intradermal leads to destruction of CNS: malaise, fever. (b) whose immunologic (2 ml for neonates
isoniazid and rifampin, and the
younger than 1 month)
child cannot be separated GI: nausea,
(0.05 mL dose for children superficial tumor cells vomiting, responses have been
of sterile diluent
under one year) from the presence of the anorexia, diarrhea. suppressed by steroids,
GU: dysuria, urinary alkylating agents, (preservative-free
infectious patient.
frequency, hematuria, saline injection USP) to

Name: Mrs. Zaimin Marchessa Diagnosis: Normal Labor Delivery Ward/Room: 2021
 REPUBLIC of the PHILIPPINES
City of Makati
UNIVERSITY OF MAKATI
COLLEGE OF ALLIED HEALTH STUDIES
J. P. Rizal Extension, West Rembo, Makati City 1215
Telephone No. : (+632) – 881 – 1571
CENTER OF NURSING
(0.1 mL dose for recipients cystitis, urinary antimetabolites, or 50 mg vial to
over one year) urgency, nocturia, urinary radiation. resuspend. Leave drug
Reference:
incontinence, urinary tract and diluent in contact
Classification: BCG Vaccine should for 1 minute. Then mix
CDC. “BCG Vaccine - FDA Prescribing infection, cramps, pain,
not be administered to the suspension by
Pharmacologic Information, Side Effects and decreased bladder
HIV-infected or withdrawing it into the
classification: biological Uses.” Drugs.Com, 1 Sept. capacity, nephrotoxicity, g
immunocompromised syringe and expelling it
response modifier 2020, enital pain.
infants, children, or gently back into the vial
www.drugs.com/pro/bcg- Hematologic: anemia, leu
adults. two or three times.
vaccine.html#s-34067-9. kopenia.
Therapeutic Avoid producing foam-
Accessed 1 Nov. 2020. Hepatic: liver dysfunction. Prior to administration,
classification: antineoplasti don’t shake. Use this
Musculoskeletal: myalgia the possibility of allergic reconstituted solution
c, antituberculotic
, arthralgia. reactions should be for the tuberculosis
Pregnancy risk category C
Other: hypersensitivity assessed. Allergy to vaccine dose. (To
reaction, chills, disseminat any component of BCG prepare the carcinoma
ed mycobacterial infection; Vaccine or an solution, further dilute
lymphadenopathy (Tice anaphylactic or allergic the reconstituted
BCG). reaction to a previous product in an additional
dose of BCG Vaccine 49 ml of saline solution,
“ are contraindications bringing the total
for vaccination. volume to 50 ml.)

BCG Vaccine is not a

vaccine for the After
treatment of active
Patient education
tuberculosis.

Name: Mrs. Zaimin Marchessa Diagnosis: Normal Labor Delivery Ward/Room: 2021
 REPUBLIC of the PHILIPPINES
City of Makati
UNIVERSITY OF MAKATI
COLLEGE OF ALLIED HEALTH STUDIES
J. P. Rizal Extension, West Rembo, Makati City 1215
Telephone No. : (+632) – 881 – 1571
CENTER OF NURSING
BCG Vaccine should - After bladder
not be used in infants, instillation, patient
children, or adults with should retain the fluid in
severe immune bladder for 2 hours (if
deficiency syndromes. possible). For the first
Children with a family hour, tell patient to lie
history of immune 15 minutes prone, 15
deficiency disease minutes supine, and 15
should not be minutes on each side.
vaccinated; if they are, Patient may be up for
an infectious disease the second hour.
specialist should be - For safety, patient
consulted and anti- should be seated when
tuberculous therapy voiding. Instruct patient
administered if clinically to disinfect urine for 6
indicated. hours after instillation of
drug. Tell patient to add
undiluted household
bleach (5% sodium
hypochlorite solution) in
equal volume to voided
urine to the toilet; let
stand for 15 minutes
before flushing.

Name: Mrs. Zaimin Marchessa Diagnosis: Normal Labor Delivery Ward/Room: 2021
 REPUBLIC of the PHILIPPINES
City of Makati
UNIVERSITY OF MAKATI
COLLEGE OF ALLIED HEALTH STUDIES
J. P. Rizal Extension, West Rembo, Makati City 1215
Telephone No. : (+632) – 881 – 1571
CENTER OF NURSING
- Tell patient to call if
symptoms worsen or if
the following occur:
blood in the urine, fever
and chills, frequent
urge to urinate or
painful urination,
nausea, vomiting, joint
pain, rash, or cough.
- Tell patient to keep the
vaccination area dry for
at least 24 hours after
administration.

Name: Mrs. Zaimin Marchessa Diagnosis: Normal Labor Delivery Ward/Room: 2021
 REPUBLIC of the PHILIPPINES
City of Makati
UNIVERSITY OF MAKATI
COLLEGE OF ALLIED HEALTH STUDIES
J. P. Rizal Extension, West Rembo, Makati City 1215
Telephone No. : (+632) – 881 – 1571
CENTER OF NURSING
DRUG NAME MECHANISM OF INDICATION SIDE EFFECTS/ CONTRAINDICATION NURSING
ACTION ADVERSE REACTION CONSIDERATION

Generic name: Activates receptors that Elective induction of labor is Side effect: Hypersensitivity to Before:
trigger increase indefined as the initiation of oxytocin. Adequate
Oxytocin Occasional: Tachycardia, Read the label on the
intracellular calcium levelslabor in a pregnant individual uterine activity that fails
premature ventricular medication:
in uterine myofibrils; who has no medical contractions, hypotension, to progress,
1. When it is taken from the
Brand name: increases prostaglandin indications for induction. Since nausea, vomiting. cephalopelvic
medication cart
production. the available data are disproportion, fetal
Pitocin Rare: Nasal: 2. Before withdrawing the
inadequate to evaluate the distress without
Therapeutic Effect: Lacrimation/tearing, nasal medication
benefits to- risks imminent delivery,
Stimulates uterine irritation, rhinorrhea, 3. After withdrawing the
considerations, Pitocin is not grand multiparity,
Dosage, Route and contractions. unexpected uterine medication.
indicated for elective induction hyperactive or
bleeding/contractions.
Frequency: of labor. hypertonic uterus,
- Assess baselines for
obstetric emergencies
Induction or Stimulation Antepartum vital signs, B/P, fetal
Adverse Effect: that favor surgical heart rate. Determine
of Labor
Pitocin is indicated for the intervention, frequency, duration,
IV: ADULTS: 0.5–1 initiation or improvement of Hypertonicity may occur prematurity, strength of contractions
milliunit/min. May uterine contractions, where with tearing of uterus, unengaged fetal head,
gradually increase in this is desirable and increased bleeding, unfavorable fetal
abruptio placentae (i.e., During:
increments of 1–2 considered suitable for position/presentation,
milliunits/min q30–60 reasons of fetal or maternal placental abruption), when vaginal delivery is - Do not massage the
minutes until desired concern, in order to achieve cervical/vaginal contraindicated (e.g., injection site
contraction pattern is vaginal delivery. It is indicated lacerations. Fetal: active genital herpes
Bradycardia, CNS/brain
Name: Mrs. Zaimin Marchessa Diagnosis: Normal Labor Delivery Ward/Room: 2021

established. Rates greater
than 9–10 milliunits/min
are rarely required.
Abortion
IV: ADULTS: (Midterm
elective abortion): 10–20
milliunits/min. Maximum:
30 units/12-hr dose.
(Incomplete, inevitable
abortion): 10 units as IV
infusion after suction or a
sharp curettage.
Control of Postpartum
Bleeding
IV Infusion: ADULTS: 10–
40 units in 1,000 mL IV
fluid at rate sufficient to
sustain uterine
contractions and control
uterine atony. IM:
ADULTS: 10 units (total
dose) after delivery.
Name: Mrs. Zaimin Marchessa
REPUBLIC of the PHILIPPINES
City of Makati
UNIVERSITY OF MAKATI
COLLEGE OF ALLIED HEALTH STUDIES
J. P. Rizal Extension, West Rembo, Makati City 1215
Telephone No. : (+632) – 881 – 1571
CENTER OF NURSING
for (1) induction of labor in damage, trauma due to infection, invasive - Apply pressure to the
patients with a medical rapid propulsion, low cervical cancer, injection site to prevent
indication for the initiation of Apgar score at 5 min, placenta previa, cord further bleeding
labor, such as Rh problems, retinal hemorrhage occurs presentation). - Monitor B/P, pulse,
maternal diabetes, preeclamp rarely. Prolonged IV Cautions: Induction of respirations, fetal heart
rate, intrauterine
sia at or near term, when infusion of oxytocin with labor should be for
pressure, contractions
delivery is in the best interests excessive fluid volume has medical, not elective,
(duration, strength,
of mother and fetus or when caused severe water reasons. Generally, not
frequency) q15min.
membranes are prematurely intoxication with seizures, recommended in fetal
Notify physician of
ruptured and delivery is coma, death. distress, hydramnios,
contractions that last
indicated; (2) stimulation or partial placental previa,
longer than 1 min, occur
reinforcement of labor, as in predisposition to
more frequently than
selected cases of uterine uterine rupture
inertia; (3) as adjunctive every 2 min, or stop.
therapy in the management of Maintain careful I&O;
incomplete or be alert to potential
water intoxication.
inevitable abortion. In the first
Check for blood loss.
trimester, curettage is
- When giving drug to
generally considered primary
control post-partal
therapy. In second trimester
bleeding, monitor and
abortion, oxytocin infusion will
record vaginal
often be successful in
bleeding.
emptying the uterus. Other
means of therapy, however,
After:
Diagnosis: Normal Labor Delivery Ward/Room: 2021
 REPUBLIC of the PHILIPPINES
City of Makati
UNIVERSITY OF MAKATI
COLLEGE OF ALLIED HEALTH STUDIES
J. P. Rizal Extension, West Rembo, Makati City 1215
Telephone No. : (+632) – 881 – 1571
CENTER OF NURSING
Classification: may be required in such - Document the giving of
cases. the medication to
Pharmacologic class: newborn to prevent an
Posterior pituitary Postpartum accidental doubling of
hormone the dose.
Pitocin is indicated to produce
Therapeutic class: Uterine- uterine contractions during - Observe for signs of
local inflammation
active agent the third stage of labor and to
- Assess fluid intake and
control postpartum bleeding
Pregnancy risk category output. Watch for signs
or hemorrhage.
NR. and symptoms of water
intoxication

Patient & Family

Reference:
Education
CDC. “Pitocin.” RxList, RxList, 6 Feb. - Keep pt, family
2017, www.rxlist.com/pitocin- informed of labor
drug.htm. Accessed 1 Nov. progress.
2020. - Inform patient about
risks and benefits of
oxytocin-induced labor.
- Teach patient to
recognize and
immediately report
adverse drug effects.

Name: Mrs. Zaimin Marchessa Diagnosis: Normal Labor Delivery Ward/Room: 2021
 REPUBLIC of the PHILIPPINES
City of Makati
UNIVERSITY OF MAKATI
COLLEGE OF ALLIED HEALTH STUDIES
J. P. Rizal Extension, West Rembo, Makati City 1215
Telephone No. : (+632) – 881 – 1571
CENTER OF NURSING

Name: Mrs. Zaimin Marchessa Diagnosis: Normal Labor Delivery Ward/Room: 2021
 REPUBLIC of the PHILIPPINES
City of Makati
UNIVERSITY OF MAKATI
COLLEGE OF ALLIED HEALTH STUDIES
J. P. Rizal Extension, West Rembo, Makati City 1215
Telephone No. : (+632) – 881 – 1571
CENTER OF NURSING
DRUG NAME MECHANISM OF INDICATION SIDE EFFECTS/ CONTRAINDICATION NURSING
ACTION ADVERSE REACTION CONSIDERATION
Generic name:
Inhibits protein synthesis in
This medication is used to
Erythromycin Sensitivity reaction with Hypersensitivity to
susceptible organisms by treat certain eye infections Before
increased irritation, erythromycin or any
binding to 50S ribosomal (such as conjunctivitis). It is Read the label on the
burning, itching, component of the
subunits, thereby inhibiting
also used to prevent medication:
Brand name: inflammation formulation
translocation of aminoacyl certain eye infections in 1. When it is taken from the
Ilotycin; Erylex ophthalmic transfer-RNA andnewborns. It belongs to a medication cart
ointment inhibiting polypeptide
class of drugs known as 2. Before withdrawing the
synthesis macrolide antibiotics. Erythro medication
mycin works by stopping the
Exerts effect only against 3. After withdrawing the
Dosage, Route and growth of bacteria.
multiplying organisms; medication.
Frequency: penetrates cell wall of This medication treats only - Cleanse the infant’s eyes
gram-positive bacteria bacterial eye infections. It will as needed before
0.5% dose of erythromycin more readily than that of not work for other types of eye
application.
ointment gram-negative bacteria, infections. Unnecessary use
1 cm long, applied to the and thus, gram-positive or misuse of any antibiotic can
lower conjunctival sac organisms may lead to its decreased During
each eye from inner accumulate 100 times effectiveness. - Observe for blink reflex
canthus to outer canthus more erythromycin than - Be careful in
For prophylaxis of ophthalmia
gram-negative organisms administering the eye
neonatorum due to N.
do ointment in order to
gonorrhoeae or C.
prevent touching the
trachomatis.
cornea which can
cause irritation

Name: Mrs. Zaimin Marchessa Diagnosis: Normal Labor Delivery Ward/Room: 2021
 REPUBLIC of the PHILIPPINES
City of Makati
UNIVERSITY OF MAKATI
COLLEGE OF ALLIED HEALTH STUDIES
J. P. Rizal Extension, West Rembo, Makati City 1215
Telephone No. : (+632) – 881 – 1571
CENTER OF NURSING
Classification: The effectiveness of - Hold the tube in a
erythromycin in the prevention horizontal rather than a
Pharmacologic
of ophthalmia caused by vertical position to
classification: macrolide
penicillinase- prevent injury to the eye
producing N.gonorrhoeae is from sudden
Therapeutic not established movement. Administer
classification: antibiotic from the inner canthus
to the outer canthus. Do
not touch the tip of the
Pregnancy risk category B Reference: tube to any part of the
“Drugs & eye because this may
spread infectious
Medications.” Www.Webmd.
material from one eye
Com,
to the other
www.webmd.com/drugs/2/dru
g-8652/erythromycin- After
ophthalmic-
- Do not rinse. Excess
eye/details#:~:text=Erythromy
ointment may be wiped
cin%20works%20by%20stop
away after 1 minute.
ping%20the. Accessed 1 Nov.
Observe for irritation.
2020.
Use a new tube for
each infant to prevent
spread of infection.
- Document the giving of
the medication to
newborn to prevent an

Name: Mrs. Zaimin Marchessa Diagnosis: Normal Labor Delivery Ward/Room: 2021
 REPUBLIC of the PHILIPPINES
City of Makati
UNIVERSITY OF MAKATI
COLLEGE OF ALLIED HEALTH STUDIES
J. P. Rizal Extension, West Rembo, Makati City 1215
Telephone No. : (+632) – 881 – 1571
CENTER OF NURSING
accidental doubling of
the dose.
- Observe any signs of
irritation, itching,
inflammation and
burning sensation

Name: Mrs. Zaimin Marchessa Diagnosis: Normal Labor Delivery Ward/Room: 2021