Hepatitis B Vaccine for Newborns
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Outline
Overview
- Hepatitis B vaccine
- Abbreviated as Hb vaccine or HBV (not to be confused with HPV)
Nursing Points
General
- Recommended by CDC to be given in first 12 hours of life
- IM injection
- If mother already has Hepatitis B, then Hep B immune globulin also needs to be given
Hepatitis B Nursing Considerations
When caring for patients with Hepatitis B, nurses play a crucial role in ensuring proper care and management. Here are some essential nursing considerations:
- Obtain Informed Consent: Before any intervention, it’s vital to obtain informed consent from the patient or their legal guardian.
- Administration of Hepatitis B Vaccine: The Hepatitis B vaccine (Hb vaccine or HBV) is recommended by the CDC to be given within the first 12 hours of life. It is administered via an intramuscular (IM) injection.
- Hepatitis B Immune Globulin (HBIG): If the mother already has Hepatitis B, Hep B immune globulin (HBIG) also needs to be administered to the infant.
- Injection Site: When giving the IM injection, target the lateral side of the middle third of the vastus lateralis muscle.
- Documentation: Proper documentation is essential. This typically includes documenting in the hospital chart and providing a record card to the parents for their reference.
These nursing considerations are crucial for the effective care and prevention of Hepatitis B in both newborns and individuals at risk. Following these guidelines ensures safe and efficient management of the condition.”
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- Obtain consent
- Give IM injection in lateral side of middle 3rd of vastus lateralis muscle
- Document per policy
- Typically includes documenting in hospital chart and providing a card to the parents for their records
Patient Education
- Educate importance and need
- If they want to refuse; follow hospital policy and document appropriately
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My Study Plan
Concepts Covered:
- Concepts of Pharmacology
- Test Taking Strategies
- Prefixes
- Suffixes
- Bipolar Disorders
- Immunological Disorders
- Medication Administration
- Learning Pharmacology
- Dosage Calculations
- Noninfectious Respiratory Disorder
- Anxiety Disorders
- Substance Abuse Disorders
- Emergency Care of the Cardiac Patient
- Cardiac Disorders
- Vascular Disorders
- Acute & Chronic Renal Disorders
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- Disorders of the Thyroid & Parathyroid Glands
- Postpartum Complications
- Prenatal Concepts
- Newborn Care
- Intraoperative Nursing
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- Disorders of the Adrenal Gland
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Study Plan Lessons
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
Pharmacodynamics
Pharmacokinetics
The SOCK Method – Overview
The SOCK Method – S
The SOCK Method – O
The SOCK Method – C
The SOCK Method – K
Basics of Calculations
Dimensional Analysis Nursing (Dosage Calculations/Med Math)
Oral Medications
Injectable Medications
IV Infusions (Solutions)
Complex Calculations (Dosage Calculations/Med Math)
Disease Specific Medications
Antianxiety Meds
Benzodiazepines
Alprazolam (Xanax) Nursing Considerations
Lorazepam (Ativan) Nursing Considerations
Midazolam (Versed) Nursing Considerations
Diazepam (Valium) Nursing Considerations
Buspirone (Buspar) Nursing Considerations
Amiodarone (Pacerone) Nursing Considerations
Adenosine (Adenocard) Nursing Considerations
Procainamide (Pronestyl) Nursing Considerations
Clopidogrel (Plavix) Nursing Considerations
Warfarin (Coumadin) Nursing Considerations
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Heparin (Hep-Lock) Nursing Considerations
Alteplase (tPA, Activase) Nursing Considerations
Streptokinase (Streptase) Nursing Considerations
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Divalproex (Depakote) Nursing Considerations
Gabapentin (Neurontin) Nursing Considerations
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Renin Angiotensin Aldosterone System
Atenolol (Tenormin) Nursing Considerations
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Cardiac Glycosides
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Chlorpromazine (Thorazine) Nursing Considerations
Antipsychotics
Haloperidol (Haldol) Nursing Considerations
Quetiapine (Seroquel) Nursing Considerations
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Furosemide (Lasix) Nursing Considerations
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Omeprazole (Prilosec) Nursing Considerations
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Epoetin (Epogen) Nursing Considerations
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Iodine Nursing Considerations
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Propylthiouracil (PTU) Nursing Considerations
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Alendronate (Fosamax) Nursing Considerations
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Lithium (Lithonate) Nursing Considerations
Acetaminophen (Tylenol) Nursing Considerations
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NSAIDs
ASA (Aspirin) Nursing Considerations
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Meds for Postpartum Hemorrhage (PPH)
Methylergonovine (Methergine) Nursing Considerations
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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
Opioid Analgesics in Pregnancy
Butorphanol (Stadol) Nursing Considerations
Codeine (Paveral) Nursing Considerations
Fentanyl (Duragesic) Nursing Considerations
Hydrocodone-Acetaminophen (Vicodin, Lortab) Nursing Considerations
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Vasopressin
Epinephrine (EpiPen) Nursing Considerations
Norepinephrine (Levophed) Nursing Considerations
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