Name of Drug Classification and Indication and Side Effects or Adverse Reactions Nursing Responsibilities

(Dosage, Route, Frequency, Mechanism of Action Contraindication

Timing)

Generic Name: Classification: Indication:  Body as a Whole: 14 rights of medication

Phytonadione Belongs to the class of Drug of choice as antidote 1. Right Drug/Medication
Hypersensitivity or 2. Right Client/Patient
vitamin K. Used in the for overdosage of coumarin anaphylaxis-like reaction: 3. Right Route
treatment of hemorrhage. and indandione oral facial flushing, cramp-like 4. Right Dose
Brand Name:
anticoagulants. Also pains, convulsive movements, 5. Right Frequency/Time
Hema K
reverses chills, fever, diaphoresis, 6. Right Assessment
hypoprothrombinemia 7. Right Approach
weakness, dizziness, shock, 8. Right Education
secondary to cardiac arrest. 9. Right Evaluation
Dosage: administration of oral  CNS: Headache (after oral 10. Right Documentation
5mg IVTT antibiotics, quinidine, 11. Right to Refuse
dose), brain damage, death
quinine, salicylates, 12. Right Principle of Care
 GI: Gastric upset. 13. Right Prescription
Mechanism of Action: sulfonamides, excessive  Hematologic: Paradoxic 14. Right Nurse Clinician
Route: Fat-soluble naphthoquinone vitamin A, and secondary hypoprothrombinemia
IV derivative chemically identical to inadequate absorption (patients with severe liver Assessment & Drug Effects
to and with similar activity as and synthesis of vitamin K  Monitor patient constantly. Severe reactions,
naturally occurring vitamin K. disease), severe hemolytic
(as in obstructive jaundice, anemia. Metabolic:
including fatalities, have occurred during and
Vitamin K is essential for immediately after IV injection (see ADVERSE
Frequency: hepatic biosynthesis of blood biliary fistula, ulcerative
Q12H x6doses
Hyperbilirubinemia, EFFECTS).
clotting Factors II, VII, IX, and colitis, intestinal resection, kernicterus.  Lab tests: Baseline and frequent PT/INR.
X prolonged
 Respiratory: Bronchospasm,  Frequency, dose, and therapy duration are guided
hyperalimentation). Also by PT/INR clinical response.
dyspnea, sensation of chest
Timing: prophylaxis of and therapy  Monitor therpeutic effectiveness which is
constriction, respiratory arrest.
for neonatal hemorrhagic indicated by shortened PT, INR, bleeding, and
Skin: Pain at injection site, clotting times, as well as decreased hemorrhagic
disease.
hematoma, and nodule tendencies.
formation, erythematous skin  Be aware that patients on large doses may
eruptions (with repeated develop temporary resistance to coumarin-type
injections). anticoagulants. If oral anticoagulant is
Contraindication:
reinstituted, larger than former doses may be
Hypersensitivity.  Special Senses: Peculiar taste needed. Some patients may require change to
sensation. heparin.
Patient & Family Education
 Maintain consistency in diet and avoid significant
increases in daily intake of vitamin K–rich foods
when drug regimen is stabilized. Know sources
rich in vitamin K: Asparagus, broccoli, cabbage,
lettuce, turnip greens, pork or beef liver, green
tea, spinach, watercress, and tomatoes.