Eye Prophylaxis for Newborn (Erythromycin)

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Study Tools For 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:

  • Fetal Development
  • Terminology
  • Pregnancy Risks
  • Prenatal Concepts
  • Newborn Care
  • Newborn Complications
  • Labor Complications
  • Postpartum Complications
  • Medication Administration
  • Labor and Delivery
  • Studying
  • Postpartum Care
  • Communication

Study Plan Lessons

Alpha-fetoprotein (AFP) Lab Values
Antepartum Testing
Stages of Fetal Development Nursing Mnemonic (Proficiently Expanding Fetus)
What the Heck is Antepartum Testing? – Live Tutoring Archive
Antepartum Testing Case Study (45 min)
Babies by Term
Blood Cultures
Blood Glucose Monitoring
Body System Assessments
Clindamycin (Cleocin) Nursing Considerations
Congestive Heart Failure (CHF) Labs
Disseminated Intravascular Coagulation (DIC)
Eye Prophylaxis for Newborn (Erythromycin)
Eye Prophylaxis for Newborn
Erythroblastosis Fetalis
Fetal Development
Fetal Distress Interventions Nursing Mnemonic (Stop MOAN)
Fetal Environment
Fetal Heart Monitoring (FHM)
Fetal Heart Monitoring Like A Pro – Live Tutoring Archive
Fetal Heart Monitoring Like A Pro 2 – Live Tutoring Archive
Gestational Diabetes (GDM)
Gestational Diabetes and Why YOU Should Know About It – Live Tutoring Archive
Gestational HTN (Hypertension)
Glucagon Lab Values
Glucose Tolerance Test (GTT) Lab Values
Gravidity and Parity (G&Ps, GTPAL)
HELLP Syndrome
HELLP Syndrome – Signs and Symptoms Nursing Mnemonic (HELLP)
Hemoglobin A1c (HbA1C)
Isotonic Solutions (IV solutions)
Labor Progression Case Study (45 min)
Leopold Maneuvers
Magnesium Sulfate
Magnesium Sulfate (MgSO4) Nursing Considerations
Magnesium Sulfate in Pregnancy
Mastitis
Maternal Risk Factors
Mechanisms of Labor
Meds for Postpartum Hemorrhage (PPH)
Meds for PPH (postpartum hemorrhage)
Methylergonovine (Methergine) Nursing Considerations
Newborn Physical Exam
Newborn Reflexes
Nifedipine (Procardia) Nursing Considerations
Nursing Care Plan (NCP) for Abruptio Placentae / Placental abruption
Nursing Care Plan (NCP) for Chorioamnionitis
Nursing Care Plan (NCP) for Diabetes Mellitus (DM)
Nursing Care Plan (NCP) for Dystocia
Nursing Care Plan (NCP) for Maternal-Fetal Dyad Using GTPAL
Nursing Care Plan (NCP) for Meconium Aspiration
Nursing Care Plan (NCP) for Newborns
Nursing Care Plan (NCP) for Placenta Previa
Nursing Care Plan (NCP) for Preterm Labor / Premature Labor
Nursing Care Plan (NCP) for Process of Labor
Nursing Care Plan (NCP) for Transient Tachypnea of Newborn
Nursing Care Plan for (NCP) Fetal Alcohol Syndrome (FAS)
Nursing Care Plan for Newborn Reflexes
Nursing Case Study for Maternal Newborn
Nutrition Assessments
Nutrition in Pregnancy
Nutritional Requirements
OB (Labor) Nurse Report to OB (Postpartum) Nurses
OB Non-Stress Test Results Nursing Mnemonic (NNN)
OB Pharm and What Drugs You HAVE to Know – Live Tutoring Archive
Obstetrical Procedures
Opioid Analgesics in Pregnancy
Pediatric Vital Signs (VS)
Physiological Changes
Possible Infections During Pregnancy Nursing Mnemonic (TORCH)
Postpartum Discomforts
Postpartum Hematoma
Postpartum Hemorrhage (PPH)
Postpartum Interventions
Postpartum Physiological Maternal Changes
Postpartum Thrombophlebitis
Precipitous Labor
Preeclampsia (45 min)
Preeclampsia, Eclampsia, and HELLP Syndrome for Certified Emergency Nursing (CEN)
Preeclampsia: Signs, Symptoms, Nursing Care, and Magnesium Sulfate
Preload and Afterload
Premature Rupture of the Membranes (PROM)
Preterm Labor
Probable Signs of Pregnancy Nursing Mnemonic (CHOP BUGS)
Process of Labor – Baby Nursing Mnemonic (ALPPPS)
Process of Labor – Mom Nursing Mnemonic (4 P’s)
Process of Labor 2 – Live Tutoring Archive
Prolapsed Umbilical Cord
Promethazine (Phenergan) Nursing Considerations
Prostaglandins
Prostaglandins in Pregnancy
Protein (PROT) Lab Values
Retinopathy of Prematurity (ROP)
Signs of Pregnancy (Presumptive, Probable, Positive)
Stages of Fetal Development Nursing Mnemonic (Proficiently Expanding Fetus)
Subinvolution
Terbutaline (Brethine) Nursing Considerations
Tocolytics
Tocolytics
Umbilical Cord Vasculature Nursing Mnemonic (2A1V)
Uterine Stimulants (Oxytocin, Pitocin)
Uterine Stimulants (Oxytocin, Pitocin) Nursing Considerations
VEAL CHOP Nursing Mnemonic (Fetal Accelerations and Decelerations) (VEAL CHOP)