Thereforeall of the above diluents should be preservative free see warnings. This bleeding is called haemorrhagic disease of the newborn hdn.
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Administering vitamin k shots to newborns has been a standard medical procedure in most western countries since 1944.
What is vitamin k injection for newborns. Vitamin k shots are given to infants to prevent hemorrhagic disease of the newborn hdn. The blood clotting factors of newborn babies are roughly 3060 that of adult values. In 1992 one study suggested that vitamin k given by injection was associated with a higher risk of childhood cancer than giving vitamin k by mouth or no vitamin k at all.
Vitamin k1 injection may be diluted with 09 sodium chloride injection 5 dextrose injection or 5 dextrose and sodium chloride injection. The rationale for newborn vitamin k injection at birth is that newborns are born with a deficiency of vitamin k. Vitamin k1 injection phytonadione injectable emulsion usp is indicated in the following coagulation disorders which are due to faulty formation of factors ii vii ix and x when caused by vitamin k deficiency or interference with vitamin k activity.
Vitamin k deficiency can cause hdn so you might also hear people call hdn vitamin k deficiency bleeding vkdb. Can vitamin k harm my baby. Informed consent for vitamin k for more than 20 years all newborn babies have been given vitamin k at birth by injection.
With low levels of vitamin k some babies can have very severe bleeding sometimes into the brain causing significant brain damage. Vitamin k1 injection is indicated in. This perceived deficiency is based upon a comparison of newborn levels to normal adult values.
Published on march 18 2014 last updated on april 9 2019 by rebecca dekker phd rn and anna bertone mph. Prevention of early vitamin k deficiency bleeding vkdb of the newborn with onset at birth to 2 weeks of age formerly known as classic hemorrhagic disease of the newborn by oral or parenteral administration of vitamin k is accepted practice. However according to vitamin k expert dr.
In the uk youll be offered vitamin k as an injection for your baby. Other diluents should not be used. Vitamin k deficiency bleeding in newborns.
The vitamin k shot in newborns. If you prefer they can have it orally instead although they will need further doses puckett and offringa 2000. Vitamin k is given as an injection to newborns to prevent vitamin k deficiency bleeding.
Cees vermeer phd vitamin k offered orally is a better option for your infant than injection. In contrast late vkdb with onset from 2 to 12 weeks of age is most effectively prevented by. Low levels of vitamin k can lead to decreased clotting ability of the blood that can leave the newborn more susceptible to hemorrhage.
This may be due to the reduced synthesis of precursor proteins and the sterility of their guts. This study caused concern and for some time hospitals have given vitamin k by mouth to newborn babies. Benzyl alcohol as a preservative has been associated with toxicity in newborns.
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