Eye Prophylaxis for Newborn (Erythromycin)

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Outline

Overview

  1. Given to protect from neonatal conjunctivitis or ophthalmia neonatorum caused by chlamydia or gonorrhea

Nursing Points

General

  1. Required by law in US
    1. Parents have the right to refuse
  2. These conditions are transmitted to newborn in birth canal by mother infected with gonorrhea or chlamydia
  3. If not treated, can ultimately cause blindness

Assessment

  1. Assess eyes for redness or drainage

Therapeutic Management

  1. Give by 1 hours of life
  2. Open eyes
  3. Apply ointment from inner canthus to outer
  4. Don’t wipe off, will absorb

Nursing Concepts

  1. Pharmacology
  2. Infection control

Patient Education

  1. Educate mother/support system about this before you apply
  2. Educate mother/support system not to wipe it off

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Transcript

In this lesson I will help you understand the use of eye prophylaxis for the newborn and your role in this care.

Eye prophylaxis is given after delivery and is required by law in US. Parents can always refuse but it is mandated by the states. Transmission occurs from the newborn passing through the birth canal of a mother infected with gonorrhea or chlamydia. This causes conjunctivitis that can even lead to blindness If not treated. So this treatment is erythromycin eye ointment that is given to every newborn at delivery.

Assessment will be to check eyes for redness or drainage which would be signs of infection. The management will be administering the eye prophylaxis. This should be given by 1 hour of life by opening eyes and applying the ointment from the inner canthus to outer. And we don’t want to wipe it off, it will absorb.

Education will be for the parents on why we are applying this and then also to not wipe it off.
Pharmacology and infection control are the nursing concepts because this medication will hopefully prevent infection.
Eye ointment is an antibiotic, typically erythromycin. It is given prophylactically and protects the eyes from conjunctivitis and blindness that can be caused by chlamydia and gonorrhea as the newborn passes through the birth canal.

Make sure you check out the resources attached to this lesson and review the key points. Now, go out and be your best selves today. And, as always, happy nursing.

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Concepts Covered:

  • Prenatal Concepts
  • Pregnancy Risks
  • Postpartum Complications
  • Fetal Development
  • Labor and Delivery
  • Labor Complications
  • Postpartum Care
  • Newborn Care
  • Newborn Complications
  • Integumentary Disorders
  • Liver & Gallbladder Disorders
  • Microbiology

Study Plan Lessons

OB Course Introduction
OB Course Introduction
OB Course Introduction
Gestation & Nägele’s Rule: Estimating Due Dates
Gestation & Nägele’s Rule: Estimating Due Dates
Gestation & Nägele’s Rule: Estimating Due Dates
Fundal Height Assessment for Nurses
Fundal Height Assessment for Nurses
Fundal Height Assessment for Nurses
Physiological Changes
Physiological Changes
Physiological Changes
Discomforts of Pregnancy
Discomforts of Pregnancy
Discomforts of Pregnancy
Nutrition in Pregnancy
Nutrition in Pregnancy
Nutrition in Pregnancy
Abortion in Nursing: Spontaneous, Induced, and Missed
Abortion in Nursing: Spontaneous, Induced, and Missed
Abortion in Nursing: Spontaneous, Induced, and Missed
Anemia in Pregnancy
Anemia in Pregnancy
Anemia in Pregnancy
Cardiac (Heart) Disease in Pregnancy
Cardiac (Heart) Disease in Pregnancy
Cardiac (Heart) Disease in Pregnancy
Hematomas in OB Nursing: Causes, Symptoms, and Nursing Care
Hematomas in OB Nursing: Causes, Symptoms, and Nursing Care
Hematomas in OB Nursing: Causes, Symptoms, and Nursing Care
Hydatidiform Mole (Molar pregnancy)
Hydatidiform Mole (Molar pregnancy)
Hydatidiform Mole (Molar pregnancy)
Gestational HTN (Hypertension)
Gestational HTN (Hypertension)
Gestational HTN (Hypertension)
Infections in Pregnancy
Infections in Pregnancy
Infections in Pregnancy
Preeclampsia: Signs, Symptoms, Nursing Care, and Magnesium Sulfate
Preeclampsia: Signs, Symptoms, Nursing Care, and Magnesium Sulfate
Preeclampsia: Signs, Symptoms, Nursing Care, and Magnesium Sulfate
HELLP Syndrome
HELLP Syndrome
HELLP Syndrome
Fertilization and Implantation
Fertilization and Implantation
Fertilization and Implantation
Fetal Development
Fetal Development
Fetal Development
Fetal Environment
Fetal Environment
Fetal Environment
Fetal Circulation
Fetal Circulation
Fetal Circulation
Process of Labor
Process of Labor
Process of Labor
Mechanisms of Labor
Mechanisms of Labor
Mechanisms of Labor
Leopold Maneuvers
Leopold Maneuvers
Leopold Maneuvers
Fetal Heart Monitoring (FHM)
Fetal Heart Monitoring (FHM)
Fetal Heart Monitoring (FHM)
Obstetrical Procedures
Obstetrical Procedures
Obstetrical Procedures
Prolapsed Umbilical Cord
Prolapsed Umbilical Cord
Prolapsed Umbilical Cord
Placenta Previa
Placenta Previa
Placenta Previa
Abruptio Placentae (Placental abruption)
Abruptio Placentae (Placental abruption)
Abruptio Placentae (Placental abruption)
Precipitous Labor
Precipitous Labor
Precipitous Labor
Dystocia
Dystocia
Dystocia
Postpartum Physiological Maternal Changes
Postpartum Physiological Maternal Changes
Postpartum Physiological Maternal Changes
Postpartum Interventions
Postpartum Interventions
Postpartum Interventions
Postpartum Discomforts
Postpartum Discomforts
Postpartum Discomforts
Breastfeeding
Breastfeeding
Breastfeeding
Postpartum Hematoma
Postpartum Hematoma
Postpartum Hematoma
Subinvolution
Subinvolution
Subinvolution
Postpartum Thrombophlebitis
Postpartum Thrombophlebitis
Postpartum Thrombophlebitis
Initial Care of the Newborn (APGAR)
Initial Care of the Newborn (APGAR)
Initial Care of the Newborn (APGAR)
Newborn Physical Exam
Newborn Physical Exam
Newborn Physical Exam
Body System Assessments
Body System Assessments
Body System Assessments
Newborn Reflexes
Newborn Reflexes
Newborn Reflexes
Babies by Term
Babies by Term
Babies by Term
Transient Tachypnea of Newborn
Transient Tachypnea of Newborn
Transient Tachypnea of Newborn
Retinopathy of Prematurity (ROP)
Retinopathy of Prematurity (ROP)
Retinopathy of Prematurity (ROP)
Erythroblastosis Fetalis
Erythroblastosis Fetalis
Erythroblastosis Fetalis
Addicted Newborn
Addicted Newborn
Addicted Newborn
Newborn of HIV+ Mother
Newborn of HIV+ Mother
Newborn of HIV+ Mother
Tocolytics
Tocolytics
Tocolytics
Betamethasone and Dexamethasone
Betamethasone and Dexamethasone
Betamethasone and Dexamethasone
Magnesium Sulfate
Magnesium Sulfate
Magnesium Sulfate
Opioid Analgesics
Opioid Analgesics
Opioid Analgesics
Prostaglandins
Prostaglandins
Prostaglandins
Uterine Stimulants (Oxytocin, Pitocin)
Uterine Stimulants (Oxytocin, Pitocin)
Uterine Stimulants (Oxytocin, Pitocin)
Meds for PPH (postpartum hemorrhage)
Meds for PPH (postpartum hemorrhage)
Meds for PPH (postpartum hemorrhage)
Rh Immune Globulin (Rhogam)
Rh Immune Globulin (Rhogam)
Rh Immune Globulin (Rhogam)
Lung Surfactant
Lung Surfactant
Lung Surfactant
Eye Prophylaxis for Newborn (Erythromycin)
Eye Prophylaxis for Newborn (Erythromycin)
Eye Prophylaxis for Newborn (Erythromycin)
Phytonadione (Vitamin K)
Phytonadione (Vitamin K)
Phytonadione (Vitamin K)
Hb (Hepatitis) Vaccine
Hb (Hepatitis) Vaccine
Hb (Hepatitis) Vaccine
Antepartum Testing
Antepartum Testing
Antepartum Testing
Chorioamnionitis
Chorioamnionitis
Chorioamnionitis
Disseminated Intravascular Coagulation (DIC)
Disseminated Intravascular Coagulation (DIC)
Disseminated Intravascular Coagulation (DIC)
Ectopic Pregnancy
Ectopic Pregnancy
Ectopic Pregnancy
Family Planning & Contraception
Family Planning & Contraception
Family Planning & Contraception
Fetal Alcohol Syndrome (FAS)
Fetal Alcohol Syndrome (FAS)
Fetal Alcohol Syndrome (FAS)
Gestational Diabetes (GDM)
Gestational Diabetes (GDM)
Gestational Diabetes (GDM)
Gravidity and Parity (G&Ps, GTPAL)
Gravidity and Parity (G&Ps, GTPAL)
Gravidity and Parity (G&Ps, GTPAL)
Hyperbilirubinemia (Jaundice)
Hyperbilirubinemia (Jaundice)
Hyperbilirubinemia (Jaundice)
Hyperemesis Gravidarum
Hyperemesis Gravidarum
Hyperemesis Gravidarum
Incompetent Cervix
Incompetent Cervix
Incompetent Cervix
Mastitis
Mastitis
Mastitis
Maternal Risk Factors
Maternal Risk Factors
Maternal Risk Factors
Meconium Aspiration
Meconium Aspiration
Meconium Aspiration
Menstrual Cycle
Menstrual Cycle
Menstrual Cycle
Postpartum Hemorrhage (PPH)
Postpartum Hemorrhage (PPH)
Postpartum Hemorrhage (PPH)
Premature Rupture of the Membranes (PROM)
Premature Rupture of the Membranes (PROM)
Premature Rupture of the Membranes (PROM)
Preterm Labor
Preterm Labor
Preterm Labor
Signs of Pregnancy (Presumptive, Probable, Positive)
Signs of Pregnancy (Presumptive, Probable, Positive)
Signs of Pregnancy (Presumptive, Probable, Positive)