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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