Administering intravenous (IV) gentamicin to a newborn is a medical procedure that should be performed by a qualified healthcare professional, such as a nurse, under the direction and supervision of a licensed healthcare provider. Here are some general responsibilities that nurses should adhere to when giving IV gentamicin to a newborn:
Assessment:
Conduct a thorough assessment of the newborn, including vital signs, weight, and overall health, to ensure that gentamicin is an appropriate treatment.
- Patient Identification:
Confirm the identity of the newborn to ensure that the medication is administered to the correct patient.
- Dosage Calculation:
Calculate the correct dosage of gentamicin based on the newborn’s weight and the prescribed dosage regimen. Dosage adjustments may be necessary for premature or low-birth-weight infants.
- Preparation:
Prepare the gentamicin solution according to the manufacturer’s instructions and the healthcare provider’s prescription.
- Aseptic Technique:
Follow strict aseptic technique to prevent contamination during the preparation and administration of the medication. This helps reduce the risk of infection.
- IV Access:
Ensure proper IV access is established, either through a peripheral intravenous line or a central venous catheter, as directed by the healthcare provider.
- Infusion Rate:
Administer the gentamicin at the prescribed infusion rate. Monitor the infusion site for signs of infiltration or complications.
- Monitoring:
- Continuously monitor the newborn’s vital signs, including heart rate, respiratory rate, blood pressure, and temperature, throughout the infusion.
- Monitor urine output, creatinine and urea.
- Monitor TDM level
- Documentation:
Document all relevant information, including the time of administration, dosage, vital signs, and any adverse reactions or changes in the newborn’s condition.
- Communication:
Communicate effectively with other healthcare team members, including the prescribing physician, to report any concerns, changes in the newborn’s condition, or adverse reactions.
- Patient and Family Education:
Provide information to the parents or caregivers about the purpose of gentamicin, potential side effects, and signs of adverse reactions. Answer any questions they may have.
- Follow-Up:
Schedule and perform any necessary follow-up assessments to evaluate the newborn’s response to the medication and adjust the treatment plan as needed. Etc hearing assesment
