DRUG NAME MODE OF ACTION INDICATIONS DRUG RESPONSIBILITIES

EFFECTS
Generic Name: Inhibits protein synthesis by  for preventing ophthalmia Side Effects:  Apply a ribbon of the ointment
erythromycin penetrating into bacterial cell neonatorum (Newborn  Irritation to in the lower conjunctiva of each
(ointment) membranes and binding to bacterial conjunctivitis) caused by site eye, from the inner canthus to
ribosomes. Drug is usually Neisseria gonorrheae or  Itching the outer canthus.
Brand Name: bacteriostatic but may be bactericidal Chlamydia trachomatis  Inflammation  Caution should be taken to avoid
in high concentrations or against touching eye tissue when
highly susceptible organisms. Adverse Effects: applying the topical treatment
Therapeutic class:  Allergic  Provide a water-based solution
Antibiotics reaction of povidone iodine. Do not use
alcohol-based povidone iodine
Pharmacological solution as this harms the
class: neonate
Macrolides  Gently massage eyelids for 1
minute to spread the ointment
Dose:  Explain the purpose of the drug
Ribbon of ointment to the mother before drug
about 1 cm long administration to the baby and
reassure that this is a routine
Frequency: procedure.
Single dose only  Ideally, use a new tube of
(within 90 minutes ointment for each neonate
and 6 hours from  Record the injection in the
birth): patient record

Route:
Ophthalmic; both
eyes (lower
conjunctiva)

ASSESSMENT EXPLANATION OF PLANNING IMPLEMENTATION RATIONALE EVALUATION

THE PROBLEM
Subjective Data: A pattern of feeding Short Term Goal: Diagnostic: Short Term Goal: Met
“Malakas naman pagdede milk from the breasts Within 8 hours of  Assess for good breast  To determine Within 8 hours of
niya”, as verbalized by the to an infant or child, nursing interventions, the attachment and good if the patient nursing interventions,
mother. which may be mother will be able to: suckling by checking: is feeding the mother was able to:
Mouth wide open easy and well,
strengthened. - verbalize feeding - verbalize
Lower lip turned and
Objective Data cues. outwards breastfeeding
feeding cues.
 Skin is pinkish in color - demonstrate Chin touching the is successful. - demonstrate
 Responsive to tactile proper breast proper
stimulation positioning of Slow and deep positioning of
 With good latching onto patient and suckling with pauses patient and
the mother’s breast effective effective
 With good suck techniques  Assess for feeding techniques
 V/S as follows: during cues such as tonguing, during
T: 36.5 ֯C licking, or rooting.  Allows
 CR:126 bpm breastfeeding. patient to breastfeeding as
RR: 48 cpm have a good evidenced by
SpO2: 97% Long Term Goal: milk supply, supporting of
After 1 day of nursing build trust and the baby’s neck
sense of
NURSING DIAGNOSIS interventions, the patient and allowing
 Determine support security, and
will be able to: systems available. meet their
the baby to latch
Readiness for Enhanced - maintain good feeding needs on the breast
Breastfeeding breast attachment per demand. herself.
and suckling
onto the  In addition to Long Term Goal: Met
mother’s breasts. caring After 1 day of nursing
- have frequent healthcare interventions, the
feeds that are providers, patient was able to:
uninterrupted infant’s father - maintain good
and unrestricted. and breast
grandmother
attachment and
Therapeutic: are important
 Establish rapport. factors in suckling as
whether evidenced by
breastfeeding lower lip turned
is successful. outwards, chin
touching the
 To build the breast, mouth is
nurse-patient wide open, and
relationship sucking deep
 Assist in proper and allow and slow with
positioning of the compliance
pauses.
patient. with nursing
and medical - have frequent
interventions. feeds that are
uninterrupted
  To allow and
effective unrestricted.
breastfeeding
to occur and
Educative: provide both
 Demonstrate how to mother and
support and position patient
the infant using sling stability and
or pillows. comfort
during
breastfeeding.

 To allow both
mother and
baby to be
comfortable
during
breastfeeding
 Demonstrate and allow
asymmetric latch flexibility
aiming patient’s lower when
lip as far from the changing
base of the nipple as positions
possible, then during
bringing the chin and breastfeeding.
jaw in contact with
the breast while  Allows
mouth is open wide. patient to use
both tongue
and jaw more
 Encourage to continue effectively to
skin-to-skin contact. obtain milk
 from the
breast.

 Explain the
importance of
exclusive
breastfeeding. and
avoidance of
introducing infant  Maximizes
formula. chance for the
patient to be
 Advise to exclusively physically
breastfeed every 2 ready to be
hours or per demand breastfed.
and burping
thereafter.  Allows the
mother to
protect the
patient
against short
and long term
 Instruct feeding cues illnesses and
to the mother such as diseases.
lip smacking, crying,
and tonguing.  Allow mother
to meet the
patient’s daily
 Encourage to keep the intake and
patient in an provide the
unrestricted nutrients
breastfeeding duration needed.
and frequency. Burping gets
 rid of air and
prevent
discomfort.

 Allows
mother to
provide
feeding if
necessary and
better respond
to needs.

 Provides
patient with
the necessary
nutrients,
build
immunity,
and meet
feeding needs.