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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Pharmocology
Concepts Covered:
- Test Taking Strategies
- Prefixes
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- Bipolar Disorders
- Immunological Disorders
- Medication Administration
- Urinary System
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- Personality Disorders
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- Pregnancy Risks
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- Upper GI Disorders
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- Disorders of Pancreas
- Depressive Disorders
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- Disorders of the Posterior Pituitary Gland
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- Concepts of Pharmacology
- Dosage Calculations
- Learning Pharmacology
- Adult
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- Integumentary Disorders
- Disorders of the Adrenal Gland
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Study Plan Lessons
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
Renin Angiotensin Aldosterone System
ACE (angiotensin-converting enzyme) Inhibitors
Angiotensin Receptor Blockers
Atypical Antipsychotics
Autonomic Nervous System (ANS)
Benzodiazepines
Cardiac Glycosides
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Calcium Channel Blockers
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Epoetin Alfa
Histamine 1 Receptor Blockers
Histamine 2 Receptor Blockers
Hydralazine
HMG-CoA Reductase Inhibitors (Statins)
Insulin
Magnesium Sulfate
MAOIs
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Nitro Compounds
Nitro Compounds
Parasympatholytics (Anticholinergics) Nursing Considerations
Anti-Infective – Penicillins and Cephalosporins
Proton Pump Inhibitors
SSRIs
TCAs
Vasopressin
Disease Specific Medications
NG Tube Medication Administration
Pharmacodynamics
Pharmacokinetics
Basics of Calculations
Dimensional Analysis Nursing (Dosage Calculations/Med Math)
Oral Medications
Injectable Medications
IV Infusions (Solutions)
Complex Calculations (Dosage Calculations/Med Math)
The SOCK Method – S
The SOCK Method – C
The SOCK Method – K
The SOCK Method – O
The SOCK Method – Overview
Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)
ACLS (Advanced cardiac life support) Drugs
Parasympathomimetics (Cholinergics) Nursing Considerations
Anti-Infective – Aminoglycosides
Anti-Infective – Carbapenems
Anti-Infective – Macrolides
Anti-Infective – Fluoroquinolones
Anti-Infective – Sulfonamides
Anti-Infective – Tetracyclines
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Anti-Infective – Antivirals
Acyclovir (Zovirax) Nursing Considerations
Adenosine (Adenocard) Nursing Considerations
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Alprazolam (Xanax) Nursing Considerations
Amiodarone (Pacerone) Nursing Considerations
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Meds for Postpartum Hemorrhage (PPH)
Opioid Analgesics in Pregnancy
Sedatives-Hypnotics
Betamethasone and Dexamethasone in Pregnancy
Anti-Infective – Antitubercular
Antidepressants
Thrombin Inhibitors
Hepatitis B Vaccine for Newborns
Phytonadione (Vitamin K) for Newborn
Eye Prophylaxis for Newborn
Lung Surfactant for Newborns
Prostaglandins in Pregnancy
Rh Immune Globulin in Pregnancy
Barbiturates
Anti-Infective – Lincosamide
Thrombolytics
Antidiabetic Agents
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ACLS (Advanced cardiac life support) Drugs
Anti-Infective – Aminoglycosides
Anti-Infective – Carbapenems
Anti-Infective – Macrolides
Anti-Infective – Fluoroquinolones
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Anti-Infective – Tetracyclines
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Thrombolytics
Anticonvulsants
Antidiabetic Agents
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Anti-Infective – Antitubercular
Anti-Infective – Glycopeptide
Bronchodilators
Opioids
Barbiturates
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Patient Controlled Analgesia (PCA)
Insulin Drips
Interactive Practice Drip Calculations
Interactive Pharmacology Practice
Plant Alkaloids Topoisomerase and Mitotic Inhibitors
Pediatric Dosage Calculations
Alkylating Agents
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Antineoplastics
Anti Tumor Antibiotics
Captopril (Capoten) Nursing Considerations
Azithromycin (Zithromax) Nursing Considerations
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Insulin – Mixtures (70/30)
Insulin – Long Acting (Lantus) Nursing Considerations
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