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
- 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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Concepts Covered:
- Suffixes
- Concepts of Pharmacology
- Test Taking Strategies
- Med Term Basic
- Prefixes
- Med Term Whole
- Bipolar Disorders
- Immunological Disorders
- Medication Administration
- Learning Pharmacology
- Cardiovascular
- Emergency Care of the Cardiac Patient
- Terminology
- Cardiac Disorders
- Circulatory System
- Dosage Calculations
- Nervous System
- Skeletal System
- Shock
- Shock
- Noninfectious Respiratory Disorder
- Disorders of the Posterior Pituitary Gland
- Endocrine
- Disorders of Pancreas
- Disorders of the Thyroid & Parathyroid Glands
- Anxiety Disorders
- Hematology
- Substance Abuse Disorders
- Adult
- Gastrointestinal
- Upper GI Disorders
- Liver & Gallbladder Disorders
- Newborn Complications
- Lower GI Disorders
- Multisystem
- Cardiovascular Disorders
- Hematologic Disorders
- Central Nervous System Disorders – Brain
- Neurological
- Depressive Disorders
- Renal
- Respiratory
- Urinary System
- Respiratory System
- Pregnancy Risks
- Microbiology
- Female Reproductive Disorders
- Infectious Respiratory Disorder
- Respiratory Disorders
- Neurologic and Cognitive Disorders
- Male Reproductive Disorders
- Sexually Transmitted Infections
- Personality Disorders
- Psychotic Disorders
- Urinary Disorders
- Labor Complications
- Postpartum Complications
- Prenatal Concepts
- Newborn Care
- Musculoskeletal Trauma
- Intraoperative Nursing
- Vascular Disorders
- Oncology Disorders
- EENT Disorders
- Gastrointestinal Disorders
- Acute & Chronic Renal Disorders
- Disorders of the Adrenal Gland
- Integumentary Disorders
- Postoperative Nursing
- Renal Disorders
- Eating Disorders
- Peripheral Nervous System Disorders
Study Plan Lessons
Medical Terminology Course Introduction
Pharmacology Course Introduction
12 Points to Answering Pharmacology Questions
12 Points to Answering Pharmacology Questions
01.01 CCRN Test Overview for CCRN Review
MedTerm Basic Word Structure
54 Common Medication Prefixes and Suffixes
54 Common Medication Prefixes and Suffixes
MedTerm Body as a Whole
MedTerm Suffixes
Therapeutic Drug Levels (Digoxin, Lithium, Theophylline, Phenytoin)
Therapeutic Drug Levels (Digoxin, Lithium, Theophylline, Phenytoin)
Essential NCLEX Meds by Class
Essential NCLEX Meds by Class
MedTerm Prefixes
6 Rights of Medication Administration
6 Rights of Medication Administration
Pharmacodynamics
Pharmacokinetics
The SOCK Method – Overview
The SOCK Method – Overview
The SOCK Method – S
The SOCK Method – S
The SOCK Method – O
The SOCK Method – O
The SOCK Method – C
The SOCK Method – C
The SOCK Method – K
The SOCK Method – K
Basics of Calculations
Basics of Calculations
02.01 Hypertensive Crisis for CCRN Review
Neuro Terminology
Cardiac Terminology
02.02 Cardiomyopathy for CCRN Review
Dimensional Analysis Nursing (Dosage Calculations/Med Math)
Oral Medications
Oral Medications
Respiratory Terminology
02.03 Swan-Ganz Catheters for CCRN Review
Digestive Terminology
Injectable Medications
Injectable Medications
02.04 Pulmonary Artery Wedge Pressure (PAWP) for CCRN Review
02.05 Calculating PAWP on PEEP for CCRN Review
IV Infusions (Solutions)
IV Infusions (Solutions)
Urinary Terminology
Complex Calculations (Dosage Calculations/Med Math)
Complex Calculations (Dosage Calculations/Med Math)
02.06 Heart Murmurs for CCRN Review
Reproductive Terminology
Interactive Pharmacology Practice
Musculoskeletal Terminology
02.07 Reading “A, C, V Waves” & PAWP Waveforms for CCRN Review
02.08 Cardiac Catheterization & Acute Coronary Syndrome for CCRN Review
Interactive Practice Drip Calculations
Metabolic & Endocrine Terminology
02.09 12 Lead EKG- Leads 1, 2, 3, aVL, and aVF for CCRN Review
Hematology Oncology & Immunology Terminology
Pediatric Dosage Calculations
02.10 12 Lead EKG- Lead V1-V6 for CCRN Review
Integumentary (Skin) Terminology
02.11 12 Lead EKG- Injuries for CCRN Review
02.12 Myocardial Infarction- Inferior Wall for CCRN Review
02.13 Myocardial Infarction – Anterior Septal Wall for CCRN Review
02.14 Shock Stages for CCRN Review
02.15 Hypovolemic Shock for CCRN Review
02.16 Cardiogenic Shock for CCRN Review
02.17 Septic Shock for CCRN Review
02.18 Cardiovascular Practice Questions for CCRN Review
Disease Specific Medications
Sensory Terminology
03.01 Syndrome of Inappropriate Antidiuretic hormone (SIADH) for CCRN Review
03.02 Diabetes Insipidus for CCRN Review
Pharmacology Terminology
03.03 Hypoglycemia for CCRN Review
Psychiatry Terminology
Diagnostics Terminology
03.04 DKA vs HHNK for CCRN Review
03.05 Endocrine Practice Questions for CCRN Review
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Antianxiety Meds
04.01 Hematology for CCRN Review
Benzodiazepines
Benzodiazepines
04.02 Hematology Review Questions for CCRN Review
ACLS (Advanced cardiac life support) Drugs
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05.02 Liver Overview and Disease for CCRN Review
05.03 Jaundice for CCRN Review
05.04 Ruptured Spleen for CCRN Review
05.05 GI Practice Questions for CCRN Review
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NG Tube Medication Administration
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Coumarins
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06.04 Differentiating Ectopy and Aberrancy for CCRN Review
Thrombin Inhibitors
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07.01 CVA (Cerebrovascular Accident/Stroke) for CCRN Review
07.02 Neuro Anatomy for CCRN Review
07.03 Uncal Herniation for CCRN Review
07.04 Supratentorial Herniation and Glasgow Coma Scale for CCRN Review
07.05 Supratentorial Herniation: Cushings Triad for CCRN Review
07.06 Increased Intracranial Pressure (ICP) for CCRN Review
07.07 Cerebral Perfusion Pressure for CCRN Review
07.08 Basilar Skull Fracture for CCRN Review
07.09 Meningitis for CCRN Review
07.10 Neurologic Review questions for CCRN Review
Antidepressants
08.01 Psychological Review for CCRN Review
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MAOIs
SSRIs
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TCAs
09.01 Acute Renal Failure Overview for CCRN Review
Antidiabetic Agents
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09.04 Continuous Renal Replacement Therapy for CCRN Review
Insulin
Insulin
09.05 Chronic Renal Failure for CCRN Review
09.06 Renal Practice Questions for CCRN Review
Insulin – Mixtures (70/30)
10.01 Arterial Blood Gas (ABG) Interpretation for CCRN Review
Histamine 1 Receptor Blockers
Histamine 1 Receptor Blockers
10.02 Breath Sounds for CCRN Review
10.03 Acute Respiratory Failure for CCRN Review
Histamine 2 Receptor Blockers
Histamine 2 Receptor Blockers
10.04 Pulmonary Question Review for CCRN Review
Renin Angiotensin Aldosterone System
Renin Angiotensin Aldosterone System
Sympatholytics (Alpha & Beta Blockers)
ACE (angiotensin-converting enzyme) Inhibitors
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Anti-Infective – Penicillins and Cephalosporins
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Atypical Antipsychotics
Antipsychotics
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Autonomic Nervous System (ANS)
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Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)
Parasympathomimetics (Cholinergics) Nursing Considerations
Parasympatholytics (Anticholinergics) Nursing Considerations
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Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)
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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
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Anti-Infective – Aminoglycosides
Anti-Infective – Carbapenems
Anti-Infective – Macrolides
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Anti-Infective – Sulfonamides
Anti-Infective – Tetracyclines
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Insulin Drips
ABG (Arterial Blood Gas) Interpretation-The Basics
ABG (Arterial Blood Gas) Oxygenation
ABG Course (Arterial Blood Gas) Introduction
ABGs Nursing Normal Lab Values
ABGs Tic-Tac-Toe interpretation Method
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Hepatitis B Vaccine for Newborns
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Hydrocodone-Acetaminophen (Vicodin, Lortab) Nursing Considerations
Hydromorphone (Dilaudid) Nursing Considerations
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Magnesium Sulfate (MgSO4) Nursing Considerations
Mannitol (Osmitrol) Nursing Considerations
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Meropenem (Merrem) Nursing Considerations
Metabolic Acidosis (interpretation and nursing diagnosis)
Metabolic Alkalosis
Metformin (Glucophage) Nursing Considerations
Methadone (Methadose) Nursing Considerations
Methylergonovine (Methergine) Nursing Considerations
Methylphenidate (Concerta) Nursing Considerations
Methylprednisolone (Solu-Medrol) Nursing Considerations
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Neostigmine (Prostigmin) Nursing Considerations
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Respiratory Acidosis (interpretation and nursing interventions)
Respiratory Alkalosis
Rifampin (Rifadin) Nursing Considerations
ROME – ABG (Arterial Blood Gas) Interpretation
Salmeterol (Serevent) Nursing Considerations
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