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Eye Prophylaxis for Newborn

Eye Prophylaxis for Newborn

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Outline

Overview

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

Nursing Points

General

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

Assessment

Assess eyes for redness or drainage

Therapeutic Management

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

Nursing Concepts

Pharmacology
Infection control

Patient Education

Educate mother/support system about this before you apply
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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Pharmacology Course Introduction

12 Points to Answering Pharmacology Questions

54 Common Medication Prefixes and Suffixes

Therapeutic Drug Levels (Digoxin, Lithium, Theophylline, Phenytoin)

Essential NCLEX Meds by Class

6 Rights of Medication Administration

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Prostaglandins in Pregnancy

Rh Immune Globulin in Pregnancy

Lung Surfactant for Newborns

Eye Prophylaxis for Newborn

Phytonadione (Vitamin K) for Newborn

Hepatitis B Vaccine for Newborns

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