Management of Phytomenadione Administration

Description

• Konakion MM paediatric ampoules contain phytomenadione 2 mg in 0.2 ml with additives glycocholic acid, sodium hydroxide, lecithin, hydrochloric acid and Water for Injection. The solution is a clear, slightly opalescent liquid.
• If solution appears turbid or the ingredients have separated, do not use.

Prescription

1. At birth, Vitamin K dose to be recorded on the Blue Neonatal Record.
2. Subsequent doses are charted, as mg/dose, on the Stat side of the drug chart.

Administration

IM Injection

1. Do NOT dilute further.²
2. Administer by deep injection into the middle third of anterolateral aspect of the thigh (vastus lateralis muscle).

Slow IV Injection

1. Do NOT dilute further.
2. Administer slowly.
3. Do NOT administer with other drugs, IV solutions, blood or blood products.

Observation and Documentation

1. Ensure informed consent has been obtained from parents.
2. Use extreme caution during IV administration. Monitor vital signs.
3. Ensure resuscitation equipment is available.

Storage

• Unopened: Store at room temperature <25°C.
  • Protect from light.
  • Do not freeze.
• Opened: Discard any remaining ampoule contents immediately after use.

Selected References