Vitamin K Injection Newborn Location

Health care providers should clarify with parents that newborns are at increased risk of vkdb if such a regimen is chosen. Vitamin k prophylaxis in the newborn. Vitamin k deficiency can account for vitamin k deficiency bleeding vkdb which occurs in 3 forms early classic and late.

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Intramuscular im injections in neonates may be required to administer medications or vaccines.

Vitamin k injection newborn location. The anterolateral thigh is the preferred site for im injection in infants under 12 months of age. The main advantage of a vitamin k injection given through the intramuscular route in the thigh is that your baby will only need one dose puckett and offringa 2000. In contrast only 72 of infants born in local freestanding birth centers received vitamin k warren miller et al. At least one manufacturer of vitamin k still recommends slow injection to minimize adverse reactions international medical systems limited 2009.

They randomly sampled records from babies born at three nashville hospitals and found that 96 6 of infants received vitamin k injections. Except baby s kidneys aren t fully functional either. It makes sense then to bypass the gut and inject vitamin k right into the muscle right. Some babies have a slight soreness for a day or so at the injection site.

A written record of the date dose and method of administration of vitamin k should be kept in the child health record book. Darlow b harding j. Brit j haematol 1999. Nursing and medical staff must be familiar.

Combining interventions to control pain there is good evidence from randomized controlled trials that breastfeeding and sucking on sucrose solution during injections are effective methods to reduce injection pain in newborns taddio et al 2010. Vitamin k should be admi. It s also more effective for preventing hdn. Third a newborn might have low levels of vitamin k because its intestines are not yet colonized with bacteria needed to synthesize it and the vitamin k cycle isn t fully functional in newborns.

The canadian paediatric society and the college of family physicians of canada recommend routine im administration of a single dose of vitamin k at 0 5 mg to 1 0 mg to all newborns. It is possible to give babies vitamin k by mouth orally. Medications are injected into the bulkiest part of the vastus lateralis thigh muscle which is the junction of the upper and middle thirds of this muscle. Prevention of vitamin k deficiency bleeding in newborns.

The most reliable way to give babies vitamin k is by one injection into the muscle in the leg intramuscular injection. Vitamin k injections remain the best preventive measure for reducing the risk of haemorrhagic disease of the newborn. Nz med j 1995. Vitamin k injections have been routinely given in australia for over 20 years with no ill effects at the time of the injection or later.

Administering po vitamin k 2 0 mg at birth repeated at 2 to 4 and 6 to 8 weeks of age should be confined to newborns whose parents decline im vitamin k. Vitamin k dependent factors are lower in neonates than in adults and these anomalies are more prevalent in preterm neonates and in breast fed infants. One injection just after birth will protect your baby for many months.