Questions and Answers
What is the brand name for AquaMEPHYTON?
What is the main indication for the use of Ilotycin ophthalmic?
Prevent eye infections in newborns
What is the expected therapeutic effect of the Hepatitis B vaccine?
Protamine sulfate is safe for breastfeeding.
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What are the side effects associated with Protamine Sulfate?
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Which cultural group will not accept blood products?
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The pharmacological mechanism of action for Ilotycin involves binding to the _____ ribosomal subunit.
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What is the specific classification of AquaMEPHYTON?
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Ilotycin is a macrolide antibiotic.
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What should be done before applying Ilotycin ophthalmic?
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The therapeutic effect of Pitocin is to initiate or improve _____ contractions at term.
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Study Notes
AquaMEPHYTON (Vitamin K Phytonadione)
- Generic name: AquaMEPHYTON; brand name: Vitamin K Phytonadione.
- Classification: Fat-soluble vitamin, specifically an antidote for anticoagulants.
- Mechanism: Essential for biosynthesis of clotting factors II, VII, IX, and X in the liver.
- Indications: Reverses overdose of coumarin and Indanedione anticoagulants; treats hypoprothrombinemia.
- Side effects include facial flushing, muscle cramps, convulsive movements, chills, and potentially serious events like cardiac arrest.
- Raises vitamin K levels to assist in blood clotting.
- Contraindications include hypersensitivity to Phytonadione and severe liver disease.
- Nursing monitoring of patient response, particularly PT/INR levels, is essential.
- Interactions with Warfarin and cholestyramine affect efficacy; large doses can cause temporary resistance to anticoagulants.
- Not safe for breastfeeding.
Ilotycin ophthalmic (Erythromycin Ophthalmic Ointment)
- Generic name: Erythromycin Ophthalmic; brand name: Ilotycin.
- Classification: Antibiotic, specifically a macrolide.
- Mechanism: Interferes with bacterial protein synthesis by binding to the 50S ribosomal subunit.
- Main use: Prevents eye infections in newborns.
- Common side effects include erythema, burning, and dryness.
- Intended therapeutic effect: Prophylaxis against neonatal eye infections.
- Contraindicated in patients with hypersensitivity or congenital QT prolongation.
- Nursing interventions include handwashing and educating parents not to share medicine.
- Contact lens use may interfere with the drug's effectiveness.
- Safe for breastfeeding.
Hepatitis B Vaccine
- Generic name: Hepatitis B Immune Globulin; brand name: Twinrix.
- Classification: Newborn medication and vaccine for Hepatitis A & B.
- Mechanism: Contains inactive virus, prompting immune response for protection.
- Indications: Administered to confer immunity against Hepatitis A & B.
- Potential side effects include mild flu-like symptoms (fever, runny nose).
- Contraindications involve hypersensitivity to any vaccine components.
- Nursing care includes screening for allergies and reporting side effects.
- Should not be administered to immunocompromised individuals.
- Some cultures may reject vaccinations.
- Not safe for breastfeeding.
Protamine Sulfate
- Generic name: Protamine Sulfate; used as an antidote for heparin.
- Classification: Heparin antagonist.
- Mechanism: Forms a stable complex with heparin, neutralizing its anticoagulant effect.
- Indicated for reversing heparin overdose.
- Side effects may include severe hypotension, bradycardia, and anaphylaxis.
- Therapeutic goal: Enhance blood coagulation.
- Contraindicated if hemorrhage is not heparin-induced.
- Monitoring blood pressure and pulse is crucial during administration.
- No known drug interactions.
- Not safe for breastfeeding.
Blood and Blood Products
- Cultural considerations must be taken into account; Jehovah's Witnesses may refuse blood transfusions.
Pitocin (Oxytocin Injection)
- Generic name: Oxytocin Injection; brand name: Pitocin.
- Classification: Oxytocic agent used to induce or enhance uterine contractions.
- Mechanism: Acts directly on myosin to promote contractions.
- Indications: Initiates or improves labor contractions at term.
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Description
Dive into the essential drug cards for NUR 220 with a focus on AquaMEPHYTON, also known as Vitamin K Phytonadione. This quiz covers its classification, mechanism of action, and indications. Enhance your pharmacological knowledge related to vitamin K.
