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      Sunday, 14 February 2016

      Vitamin K : Commonly used drugs in Emergency & ICU





      Vitamin K 

      Trade names: Aqua-Mephyton, Vitamin K
      Class: Vitamin K is a fat-soluble vitamin
      Pregnancy: (Category C)
      Action: necessary for the production of blood clotting factors
      Uses:
      Vitamin K is a fat soluble vitamin which plays an important role in blood clotting. This medication is used to prevent and treat hypoprothrombinemia (low blood clot factor levels) caused by vitamin K deficiency.
      Dose:
      warfarin overdose " if INR > 8 " and major bleeding 10 mg by                       slow intravenous injection
      Maintenance in TPN 10 mg slow intravenous injection twice weekly   In liver failure 10 mg /daily for 3 days.
      Contraindications:
      Hemolytic Anemia from Pyruvate Kinase and G6PD Deficiencies Side effects: an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives); dizziness; fast or irregular heartbeats; or increased sweating.
      Nursing considerations:
      §  Monitor for allergy or side effects
      §  High intake of vitamin K is not recommended for individuals taking anticoagulant medications such as Warfarin (coumadin).
      Instruct the pt about  the normal nutritional resources: cow milk, broccoli, Brussels sprouts, cabbage, cauliflower, kale, spinach and soybeans. 
      Item Reviewed: Vitamin K : Commonly used drugs in Emergency & ICU Rating: 5 Reviewed By: Dr.MosabNajjar