A premature infant in the NICU has a sudden increase in head circumference. Which drug does the nurse anticipate administering?
A.
Betamethasone (Celestone)
B.
Caffeine citrate (Cafcit)
C.
Morphine sulfate (Astromorph)
D.
Phenobarbital (Luminal Sodium)
ANS: D
Premature infants are at risk of developing intraventricular hemorrhage and periventricular leukomalacia hemorrhage. A sign of this bleeding within the skull is increasing head circumference, which is measured frequently. The medication of choice is phenobarbital. Betamethasone is given to encourage fetal lung development. Morphine is a pain medication. Caffeine citrate is used for apnea of prematurity.
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