Choice of intravenous or oral vitamin K. In people that are not bleeding, the use of oral vitamin K is preferred to the intravenous route, as equal correction is achieved at 24 hours [Keeling et al, 2011]. Breast milk substitute-fed babies only receive one oral dose after birth.
Subsequent doses depend on the prothrombin time reported as an international normalized ratio (INR). 0.5 to 1 mg, IM, once, within one hour of birth Use: Prophylaxis and therapy of hemorrhagic disease of the newborn when caused by deficiency or interference with vitamin K activity.
Oral vitamin K is not consistently absorbed through the stomach and intestines, and it does not provide adequate amounts for the breastfed infant. Further research in several countries since 1992 has not confirmed the link between the vitamin K injection and childhood cancer.If you have any questions please ask your midwife or ask to speak to a member of the neonatology team.
The formulation of oral vitamin K to be used is Konakion MM Paediatric 2mg (0.2ml) and should be given at birth and at 7 days of age. Given by mouth, three doses are necessary: the first dose soon after birth a second dose when your baby is around seven days old (given by your midwife), and a third dose when your baby is about six weeks old (given by your health visitor or GP).
Select one or more newsletters to continue. Your midwife will show you how this is administered.A second dose of oral vitamin K will need to be given by yourselves at one week old.The oral syringe and Vitamin K ampoule will be supplied to you by the midwife.
If you are breastfeeding, it is recommended that you give a further dose at four weeks of age. Anticoagulant rodenticide toxicities are the most common cause of severe vitamin K deficiency in dogs and cats. However, it is not possible to predict which babies are at risk of bleeding. Applies to the following strengths: 1 mg/0.5 mL; 10 mg/mL; 5 mg; 100 mcgInitial dose: 2.5 to 10 mg, orally, subcutaneously, or IVInitial dose: 2.5 to 25 mg or more, orally or subcutaneously (SC)Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records.
NOTE: High vitamin K doses (ie, 10 mg or more) may cause warfarin resistance for a week or more; consider using heparin, LMWH, or direct thrombin inhibitors to provide adequate thrombosis prophylaxis in clinical conditions requiring chronic anticoagulation therapy (eg, atrial fibrillation) Dosing Considerations. We do know that this potentially dangerous condition can be reduced by giving the baby vitamin K after birth.
It is often initiated pending test results, but maintenance of vitamin K is not indicated for patients having diagnoses of thrombocytopenia, hereditary factor deficiencies, or DIC. Should you decide that you do not wish your baby to have any form of vitamin K supplement, it is important to discuss this with your GP or community midwife who can advise you of the actions to take if symptoms of VKDB appear.The current preparation used for both Intramuscular injection and oral administration of vitamin K is prepared from an animal derived (bovine) source.
Oral vitamin K has to be given in a three-dose course over the first four – six weeks and there is a risk that babies will miss out on the second or third doses and therefore not complete the course. We often hear about the importance of Vitamin C, E, and D, but rarely K; you might even be reading about it for the first time. 0.5 to 1 mg, IM, once, within one hour of birth If you have reasons why you would not wish your baby to receive an animal derived product we are currently unable to offer a substitute preparation as there is no licensed product available.Vitamin K can be given to babies as a liquid by mouth. Although Vitamin K is a little less well-known in the world of essential vitamins and mineral, it’s becoming more popular for its potential benefits in bone health.. A vitamin K shot given at birth is the best way to prevent low amounts of vitamin K and VKDB in infants. Without vitamin K, blood cannot clot normally and the baby can develop a tendency to bleed easily. As an injection, a single dose of vitamin K is enough.
Vitamin K therapy improves hemostasis in Vitamin K deficient patients. Usual Pediatric Dose for Hypoprothrombinemia - Prophylaxis.