ATI Active Learning Template (Medication) - Phytonadione (Vitamin K) Injection Expected Pharmacological Action : Action : Required for hepatic synthesis of blood coagulation factors II (prothrombin), VII, IX, & X. Therapeutic Effects : Prevention of bleeding due to hypoprothrombinemia. Therapeutic Use : ● Prevention and treatment of hypoprothrombinemia, which may be associated with: Excessive doses of oral anticoagulants, Salicylates, Certain anti -infective agents, Nutritional deficie ncies, Prolonged total parenteral nutrition. ● Prevention of hemorrhagic disease of the newborn. Complications : GI: gastric upset, unusual taste. Derm : flushing, rash, urticaria. Hemat : hemolytic anemia. Local : erythema, pain at the injection site, swe lling. Misc : allergic reactions, hyperbilirubinemia (large doses in very premature infants), kernicterus. Medication Administration : ● IM route should generally be avoided because of the risk of hematoma formation; however, it is the preferred method fo r administration for prophylaxis of hemorrhagic disease of the newborn. Contraindications/Precautions : Contraindicated in : Hypersensitivity; Hypersensitivity or intolerance to benzyl alcohol (injection only). Use Cautiously in : Impaired liver function. Exercise Extreme Caution in : Severe life -threatening reactions have occurred following IV administration, use other routes unless risk is justified. Nursing Interventions : ● Monitor for frank and occult bleeding (guaiac stools, Hematest urine, and emesis). Monitor pulse and BP frequently; notify health care professional immediately if symptoms of internal bleeding or hypovolemic shock develop. Inform all personnel of patient ’s bleeding tendency to prevent further trauma. Apply pressure to all venipuncture sites for at least 5 min; avoid unnecessary IM injections.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller grade_bender. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $6.39. You're not tied to anything after your purchase.
