Hypertension During Pregnancy Drugs Used amp Drugs Avoided











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By Global Health Media Project. Download link: http://globalhealthmedia.org/videos/ • Young infants, less than 2 months old, who have any sign of critical illness should be referred to a hospital urgently. Infection progresses rapidly in young babies. Be sure to give the first doses of ampicillin and gentamicin before the family leaves. This video shows how to prepare and draw up ampicillin and gentamicin for injection. • The intended audience is frontline health workers in the developing world. • Copyright © 2016, Global Health Media Project • Script follows: • Preparing Ampicillin and Gentamicin for Injection • Young infants, less than 2 months old, who have any sign of critical illness should be referred to a hospital urgently. • Infection progresses rapidly in young babies. • Be sure to give the first doses of ampicillin and gentamicin before the family leaves. • This can save the baby’s life. • This video will show how to prepare and draw up ampicillin and gentamicin for injection. • Doses for babies are based on the baby’s weight. • Start by getting an accurate weight. • The baby weighs 3.2 kilos. • Wash your hands. • Then, gather your supplies: gentamicin, ampicillin and sterile water for injection, a sterile syringe and needle for mixing the ampicillin, cotton balls, and 2 smaller sterile needles and syringes to give the injections. • Check that the medicines have not expired. • Gentamicin is available in several strengths. • Be sure to double check the concentration before you draw up the dose. • There is no need to dilute any of the products. • The 80 milligrams per 2 milliliter concentration is preferred. • The smaller volume is less painful for the baby. • The dosage chart shows that our 3.2 kilo baby needs 0.4 milliliters of this concentration. • A 1-milliliter syringe will help your accuracy with the small dose. • Now draw up the medicine. • First draw air into the syringe equal to the dose you need. • Then, inject the air into the vial. • Turn it upside down keeping the tip of the needle in the fluid. • If you’ve drawn bubbles into the syringe push the plunger back and forth to return them to the vial. • Drawing up your dose is easy because the air you added to the vial counteracts the vacuum. • Now tap the syringe to let any remaining bubbles rise to the top and gently push the plunger to clear them. • Check that you have the right dose of 0.4 milliliters. • Cap the needle with the one-handed method to avoid a finger prick. • If you’re using an ampule instead of a vial, wrap the neck in gauze to protect your hand and snap off the top. • Put the needle carefully into the opening to draw up the medicine. • Now prepare ampicillin: follow the directions on the bottle to prepare the medicine. • Draw up 1.8 milliliters of sterile water and add it to the 500 milligram bottle of ampicillin. • Shake the bottle to mix the powder and water until it’s completely dissolved. • The baby will need 0.6 milliliters of ampicillin. • Draw 0.6 milliliters of air into the syringe. • Then, inject it into the vial. • Turn it upside down. • Keeping the needle in the fluid, draw up your dose. • Notice the bubbles being returned back to the vial before removing the syringe. • Now tap the syringe to clear the remaining bubbles and gently push the plunger to remove the air. • There’s your dose of 0.6 milliliters. • Remember: • An accurate weight will ensure an accurate dose for the sick baby. • Use a dosage chart to save time and reduce math errors. • Follow the 5 rights of medicine usage: give the right medicine at the right dose by the right route at the right time, to the right baby.

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