By Global Health Media Project. Download link: http://globalhealthmedia.org/videos/
Sick young babies are best cared for in a hospital. When referral is not possible though, oral amoxicillin plus IM gentamicin are an effective alternative. This video shows how to prepare amoxicillin correctly and some helpful tips for giving it to the young baby.
The intended audience is frontline health workers in the developing world.
Copyright © 2016, Global Health Media Project
Preparing and Giving Oral Amoxicillin
Sick young babies are best cared for in a hospital.
When referral is not possible though, oral amoxicillin plus IM gentamicin are an effective alternative.
Amoxicillin must be prepared and given correctly.
Caregivers need to understand how to give the small doses accurately.
Getting oral medicine into a baby can be challenging.
The medicine can taste bitter, and some amount may be lost if the medicine dribbles out of the baby’s mouth or is spit up.
This video will show how to prepare Amoxicillin and some helpful tips for giving it to the young baby.
Doses for babies are usually calculated based on the baby’s weight.
Start by getting an accurate weight.
The baby weighs 3.4 kilos.
Amoxicillin comes in powder for syrup, dispersible tablets and standard tablets.
The powder preparation is easiest to prepare.
Using clean water that has been boiled and cooled, add the volume of water indicated on the bottle to make a standard dose.
Then shake the bottle to mix the medicine well.
The dosage chart for amoxicillin shows that our 3.4 kilo baby needs 5 milliliters or – one teaspoon of syrup - twice a day for 7 days.
If you can give the mother a syringe, show her how to draw up the dose.
Have her put the syringe inside the baby’s cheek.
If he spits or vomits the dose within 10 minutes, have her repeat the dose.
She can also use a teaspoon.
They are generally 5 milliliters.
Check the volume by filling the spoon with 5 milliliters from a syringe.
If the baby doesn’t take the medicine easily, gently pinching the baby’s cheeks will open his mouth to take the medicine.
Give it little by little.
A paladai (pal-a-die), a small feeding cup traditionally used in South Asia, can be a very effective way to give medicine to babies.
Dispersible tablets are easy to dissolve.
The dose for our 3.4 kilo baby is one-half of a 250 mg tablet.
Show the mother how to dissolve it in 1 or 2 teaspoons of breast milk -- or clean water.
Stir the liquid until the tablet is completely dissolved, then feed it to the baby.
Standard tablets need to be crushed into powder before dissolving.
Again, our baby’s dose is one-half of a 250mg tablet.
You can make it easy for the mother by dividing all 7 tablets needed for her baby’s full treatment.
Show the mother how to crush a piece into powder and mix it with a little breastmilk, or water that has been boiled and cooled.
She then gives it to the baby by cup or spoon.
If her baby spits out the medicine frequently, the mother can also try making a paste.
She can add a few drops of clean water to a powdered dose.
This will make a thick paste she can put it inside her baby’s cheek a little at a time.
Always label the medicine with: the name of the baby, the name of the medicine, how much medicine to give the baby, how often to give it, and for how many days.
Explain the label to the mother.
Have her give the first dose there at the clinic.
Encourage the mother to breastfeed the baby afterward so that the baby will swallow all the medicine.
The mother should keep all medicine in a cool place, out of the sun, and out of reach of children.
Let her know that all the tablets or syrup must be used to complete the treatment even if her baby gets better.
Check that the mother understands before she leaves the clinic.
Make the preparation and dosing easy for the mother.
Guide her by giving the first dose of amoxicillin at the clinic.
Share helpful tips – the medicine will only be effective if the baby swallows all the doses.