This ppt contains care and precautions of breast feeding mother.And of child who having the medications

1. MOTHER AND CHILD
MEDICATION
SANU R
CLINICAL EDUCATOR
HCAH

2. Medication Safety Tips for the Breastfeeding Mom

3.  Many medications are safe to take while
breastfeeding, you should always consult
your health-care professional before
taking any medication, drug or herbal
remedy.
 Something which is safe for use during
pregnancy may not necessarily be safe for
a nursing baby.

4. BREAST FEED WHILE ON MEDICATION
 Should only take medication if you really need it.
 In general, most medications that are applied to
the skin, inhaled (for example, asthma treatments),
or applied to the eyes or nose are safe for
breastfeeding women.
 Most vaccines are safe, as well as medications
that are commonly prescribed to infants.

5. CONT..
 Some medications which can be used while
breastfeeding may require close monitoring.
 For example, you and your baby’s blood
levels may need to be evaluated regularly.
 Closely monitor your infant for any
potential adverse effects.

6. Medications can pose a higher risk and are usually
not used in conjunction with breastfeeding:
 Anti-cancer drugs
 Immune suppressants
 Ergot alkaloids
 Radioactive medications
 Anticonvulsants

7. Nearly all medications transfer
into breast milk to some extent.
 Although a mother’s use of
topical preparations such as
creams, nasal sprays or inhalers
generally carries less risk to a
breastfed infant than medications
administered orally
It is important to remember that
medication or products applied
directly to the nipples before or
after breastfeeding may be
harmful for your baby.

8. The safety of certain
medications also depends
on the age of the infant.
Nearly all reported
adverse effects in nursing
infants have occurred in
infants less than six
months old.
New born and premature
infants are most at risk.

9. • When taking any medication, watch closely
for reactions in your baby, including
• Loss of appetite
• Diarrhoea
• Sleepiness
• Excessive crying,
• Vomiting
• Skin rashes.
• Call your baby's paediatrician immediately if any of
these symptoms appear.

10. MEDICATIONS WHICH AFFECT ABILITY TO
PRODUCE MILK
Breast feeding mothers should always watch for
changes in their milk production, even for subtle differences.
Some medications can decrease milk production:
Antihistamines
Sedating medications
Some decongestants
Some weight loss medications
Diuretics
Very high doses of vitamin B6
Hormonal contraceptives containing estrogen
Nicotine
Ergot alkaloids

11. AVOID….??????????
• Caffeine
• Alcohol
• Cigarette smoking
• Street drugs
• Over-the-counter products
• Natural or herbal remedies

12. Administration of Medication in
the Child Care Setting

13. When medicine is given in the child care setting
All staff members designated to
administer medication must receive
training by a health care professional
annually.
Staff designated to administer
medications are familiar with the
actions of medications, their
administration, dosages,
measurement, documentation and
specific policies and procedures of
the program

14. Medicines are given for
acute(sudden or short term)
conditions like antibiotic therapy
or
for chronic (ongoing) conditions
like asthma.
 Medications must be prescribed
by a physician
OTC medication given by
permission of the parent with
prior approval of the physician.

15. • Written Authorization
• Staff must have a written
authorization signed by the
parent/guardian for medication
prescribed by the child’s health care
provider.
• Must have a written authorization
signed by the parent/guardian for
OTC (over the counter) medication
and prior approval (standing order)
by a health care provider designating
the intended use of the medication

16. • Receiving Medications
• Both prescription and OTC medication
shall be accepted only in its original
container
• Prescription medications shall be
labelled with the full pharmacy label
and clearly readable.
• OTC medication shall be clearly
labelled with the child’s name.
• The container must be in a condition
that the name of the medication and the
directions can be read

17. • Protect the safety of the child.
• A designated, trained staff
person shall administer and
document giving the medication.
• Prescription medication shall
require a signed authorization by
the health care provider and the
parent and shall be kept on file
and updated regularly.
• OTC medications may be
dispensed in accordance with the
manufactures' instructions with
written permission by the parent.

18. How to give medicine in the child care setting:
Receiving Medications
Check the label of the original
container before accepting the
medication from the
parent/guardian.
Always use the right technique:
Note the expiration date. (Do not
accept and/or discard expired
medications) Make sure the
medication is in a child-proof
container.
Make sure the administration of
medication consent is completed
properly, is current and on file.

19. The “5 Rights”
1.Right child (Child’s first and last name).
2.Right medicine (generic or brand name)
3.Right dose (teaspoons: tsp, cubic
centimetres: cc)
4.Right route (mouth, nose, eye, ear drops)
5.Right time (before meals, after meals) and
frequency (per day) or intervals (every 4
hours)

20. Administer medication and document immediately
Observe child and monitor periodically for side
effects and allergic reactions.
Observe for the most dangerous type of allergic
reaction, Anaphylaxis.
An emergency care plan is posted in each
classroom and someone trained in first aid and CPR
should be on duty.

21. Anaphylaxis
This is a severe allergic
reaction which is life-
threatening.
Anaphylaxis occurs after the
administration of a drug, eating
a particular food, or sting of an
insect to which the person is
allergic.
If you observe or think a child
is having an anaphylactic
reaction:
Instruct someone to call ems
STAY WITH THE CHILD

22. Anaphylaxis cont’d
Signs and symptoms of anaphylaxis may include:
Hives/itching
Dizziness/weakness
Nausea/ vomiting
Abdominal cramps
Swelling of the face, hands, feet, and mucous membranes
Wheezing
Shortness of breath
Difficulty breathing
Sense of impending doom/fear
Loss of consciousness

23. Allergic Reactions
• These reactions are related
to the action of the
medicines
• When an allergic reaction to
a drug occurs, the body’s
immune system reacts to a
drug by producing
histamines.
• Histamines produce
symptoms of an allergic
reaction and the severity of
the symptoms can change
quickly

24. Allergic Reactions cont’d
Signs of allergic reactions
• Mouth- itching, swelling of the lips, tongue or mouth
• Throat: itching/sense of tightness in the throat, hoarseness
and hacking cough
• Skin: hives, itchy rash, redness and swelling of the face and
extremities ◦ Abdomen: nausea, abdominal cramps,
vomiting, diarrhoea
• Lungs: shortness of breath, repetitive coughing, wheezing
• Heart: Thready pulse, fainting, loss of consciousness
All above symptoms can potentially progress to a life
threatening situation

25. Common Dosing Instruments
The following are tips for using
common dosing instruments:
Syringes: Syringes are convenient for
infants who can’t drink from a cup.
Draw up the correct dose at eye level
and squirt the medicine in the back of
the child’s mouth where it is less likely
to spill out.
Syringes can be measured out and
caped for later use.
However these caps can be a choking
hazard if not removed before
administering the medication

26. Common Dosing Instruments cont’d
The cap should be discarded or
placed where the child can not get
it.
There are two kinds of syringes:
Oral syringes for administering
medications by mouth
Hypodermic syringes (for
injections), which can be used for
oral medication when the needle
are removed.
Parents should remove the needle
from the hypodermic syringe.
 Always remove the cap before
administering by mouth

27. Common Dosing Instruments cont’d
Droppers: Safe and easy to
use for infants and children.
Always measure at eye level
and administer quickly because
dropper tend to drip,
Cylindrical dosing spoons:
The spoon looks like a test
tube with a spoon at the end.
Small children can hold the
handle and the spoon fits easily
into their mouth.

28. Common Dosing Instruments cont’d.
Dosage cups: These are used
for children who can drink from
a cup without spilling. Be sure
to check the measurements on
the side of the cups for the
correct number. Measure liquid
doses at eye level.
Medication pacifiers: These are
used for infants. The medication
is measured and poured into the
medication holder and the
infants sucks the medication
through the pacifier.

29. Common Dosing Measurements
Whether they measure teaspoons, ounces or millilitres,
dosing devices must be used.
Regular tableware must never be used because it is not an
accurate measure.
One type of teaspoon may be twice the size of another.
If a product comes with a particular device, it should be
used.
Do not use a device from another product.
Read the measuring instruments carefully, the numbers on
the side are small and sometimes difficult to read.

30. Procedures for giving topical medications:
Skin Creams/Ointments
Wash hands, identify child, read
medication consent.
Check expiration date.
Remember “5 Rights”.
Explain the procedure to the parent,
provide privacy.
Put on disposable gloves
Remove any dressings if necessary.
Place in a plastic bag.

31. Procedures for giving topical medications cntd….
Remove previously applied medication
with a gauze pad using a circular motion
from the centre to the outside of the
affected area.
Discard each pad.
Change contaminated gloves.
Apply medication using a clean glove or
applicator.
Apply dressing as instructed.
Remove gloves, discard equipment in
plastic bag and wash hands.
Document on medication log that
medicine was given

32. Procedures for giving Metered Dose Inhalers:
Wash hands, identify child, read
medication consent.
Check expiration date. Remember “5
Rights”.
Explain the procedure to the parent,
provide privacy.
Shake inhaler for about two (2) seconds,
Hold mouthpiece 1-2 inches from lips
(or as instructed), open mouth wide(if
using a spacer, place mouthpiece in
mouth).

33. Procedures for giving Metered Dose Inhalers
contd…
Breathe out normally, open
mouth and begin to inhale
slowly, as the canister is
squeezed.
Have child hold his breath for
about 10 seconds to allow
medicine to settle into air
passages.
Wait 1 or 2 minutes before the
second puff.
Document and observe child
for effects of the medication