NCM 107A: Care of Mother, Child, and Adolescent (Well Clients) (RLE)
ACTIVITY: DRUG STUDY
X is 10 weeks pregnant, G1 Po, came in the clinic for prenatal check-up. The nurse asked regarding the medications she is
taking. She mentioned that she was taking folic acid 400 micrograms 1 tab daily, multivitamins 1 tab daily and vitamin C 500 mg twice
daily for the past 3 days without consulting her doctor.
FOLIC ACID (Prepartum Medication)
ROUTE,
GENERIC CONTRAINDICATI SPECIAL NURSING
DOSAGE, ACTION INDICATION SIDE EFFECTS
NAME ON PRECAUTION RESPONSIBILITIES
AVAILABILITY
Folic Acid Oral route of Folic acid helps Folic acid is Patients who 1. High dosage ● rash 1. Administer via
administration.
create the utilized to treat are can worsen ● itching oral route if
neural tube and prevent hypersensitive seizures in ● swelling possible. If patient
ADULTS/ELDER during the low folate to folic acid or patients with (especially of is with severe GI
LY: early stages of levels in the its formulation existing seizure the face, malabsorption or
1 mg/day PO. pregnancy blood (folate may be disorders. tongue, or disease,
For patients when the fetus deficiency) and contraindicated throat) medication is
with deficiency is developing. excessive from using it. In 2. Severe nervous ● dizziness administer IM, IV,
states or Although the homocysteine individuals with damage can ● trouble or
BRAND NAME disease, intakes exact process levels in the undiagnosed possibly be breathing subcutaneously.
have been > 5 by which folic blood anemia, folic induced if folic
Folvite mg/day PO, acid protects (hyperhomocy acid should be acid is ADVERSE EFFECTS 2. Utilize Schilling
and up to 15 the developing steinemia). taken with administered to test and serum
CLASSIFICATION ● allergic
mg/day PO in fetus from Pregnant or utmost care. patients with vitamin B12 levels
some cases. structural planning to undiagnosed sensitization to exclude
Vitamins, ● flushing
Water-Soluble abnormalities become anemia. pernicious
● irritability
ADOLESCENT: is unknown, it pregnant anemia.
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>14 years: 0.8 may include women should 3. Taking folic acid ● malaise may 3. If drug is
mg/day PO. controlling the take folic acid together with occur rarely previously
metabolism of to avoid Vitamin B6 may ● difficulty administered,
CHILDREN: homocysteine. significant enhance risk of sleeping monitor
9—13 years: birth heart attack in ● discoloration hypersensitivity
0.6 mg/day PO. abnormalities patients with of urine reactions of
4—8 years: 0.4 such as spina present or past patient.
mg/day PO. bifida, arising heart disease.
1—3 years: 0.3 in the 4. Ensure
mg/day PO. developing 4. Research availability of
fetus. suggest to avoid supportive
INFANTS: administering equipment and
Maximum folic acid to emergency drugs
dosage has not cancer patients or for any serious
been those with history allergic response.
determined. of cancer as high
doses of 5. Instruct patient
800-1000 mcg to report
can elevate the occurence of rash,
risk or recurrence pain or discomfort
of cancer. at site of injection,
and difficulty
5. Folic acid along breathing.
with Vitamin B6
and B12 should 6. Educate patient
not be about medications
administered to that should not be
patients taken with folic
recovering from acid. (e.g.
angioplasty and methotrexate,
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individuals with primidone)
narrowed arteries
to avoid 7. Instruct patient
worsening their to store
condition. medication at
room temperature
6. Should not be and away from
administered to light and moisture
patients with and not store it in
previous the bathroom.
intolerance to
folic acid. 8. Teach patient to
avoid flushing
medication in the
toilet or pouring
them into a drain.
MULTIVITAMINS (Prepartum Medication)
ROUTE,
GENERIC CONTRAINDICATI SPECIAL NURSING
DOSAGE, ACTION INDICATION SIDE EFFECTS
NAME ON PRECAUTION RESPONSIBILITIES
AVAILABILITY
Prenatal Oral capsule Multivitamins Primacare is a Vitamin C 1. Bodies do not ● nausea 1. Inform the
Multivitamins route of help in the multivitamin/ supplements produce Vitamin ● diarrhea patient
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administration. growth of the multimineral shouldn't be C. Consuming ● dark stool that
baby's teeth fatty acid taken by those lots of Vitamin C ● abdominal maintainin
Dosage: and bones. dietary with than a client is pain g proper
Prenatal Adequate supplement hemochromato required, it will ● vomiting nourishme
vitamin oral vitamin and intended to sis, a genetic only flow into the nt is
capsule: mineral intake improve the disorder in urine. necessary
● 1 are important nutritional which the body to avoid
capsule for the health status of accumulates 2. Refrain from additional
orally of women of women during too much iron. taking similar deficiencie
daily childbearing pregnancy and Because your vitamin s.
Prenatal age, both for the postnatal body eliminates supplements
vitamin oral themselves period in both any excess together to avoid 2. Follow
tablet: and their lactating and vitamin C, it is vitamin overdose treatment
● 1 tablet infants. nonlactating generally as it may result in plan.
orally Deficiencies in mothers. thought to be serious
daily. some vitamins harmless. life-threatening 3. Tell the
and minerals However, at side effects. patient
early in large doses not to
pregnancy can (more than 3. Usage of salt consume
result in 2,000 mg per as a substitute in flavored
permanent day), it can the diet should multivita
damage to the result in gas, also be avoided if mins like
fetus. bloating, or the multivitamin sweets.
stomach supplements
BRAND discomfort. contain high 4. Patient is
NAME amount of advised to
potassium. keep
PrimaCare ADVERSE EFFECTS vitamins
4. Excessive ● Discolorati out of the
CLASSIFICATION intake of ascorbic reach of
on of urine
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Minerals, acid can cause ● tooth children.
Vitamins, Iron conditional staining Kids may
Products. scurvy in infants ● increased overdose.
following birth. urination
● stomach
bleeding
● uneven
heart rate
● confusion
● muscle
weakness
or limp
feeling
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VITAMIN C (Prepartum Medication)
ROUTE,
GENERIC CONTRAINDICATI SPECIAL NURSING
DOSAGE, ACTION INDICATION SIDE EFFECTS
NAME ON PRECAUTION RESPONSIBILITIES
AVAILABILITY
Vitamin C Oral route of By serving as a used as an ● Taking large It is likely safe to GI: Nausea, 1. Secure
administration cofactor in the antioxidant amounts of take vitamin C by vomiting, doctor’s
posttranslation and to treat vitamin C mouth during heartburn, order.
al synthesis of vitamin C while pregnancy in diarrhea 2. Do hand
RDA
4-hydroxyproli insufficiency, pregnant is amounts no washing.
Males: 90 ne in scurvy, slow not advised. greater than Hematologic: 3. Assess
mg/day -Xaa-Pro-Gly bone and The 2000 mg daily for Acute hemolytic patient’s
sequences in wound maximum those 19 and anemia condition.
Females: 75 collagens and healing, acidity daily older and 1800 4. Give
mg/day other proteins, of the urine, amount mg daily for medicatio
BRAND CNS: Headache
ascorbic acid is and other considered those 14-18 n on right
NAME (high doses)
Pregnant: 85 necessary for conditions. safe for years old. Taking timing.
mg/day; not to collagen Additionally, it women 18 too much vitamin 5. Inform
formation and has been and C during Urogenital: patient
exceed 2000
Urethritis, dysuria,
mg/day (80 mg tissue repair in proposed as a younger is pregnancy can be about the
humans. The powerful 1800 mg harmful to the crystalluria possible
if <18 years;
not to exceed body reversibly antiviral agent. and 2000 newborn. When side
1800 mg/day) converts mg for taken in large Others: Mild effects of
ascorbic acid to women 19 quantities, sireness, the drugs.
dehydroascorbi and older. vitamin C can be dizziness, 6. Instruct
Email: cn@usa.edu.ph | Tel. No.: 0999-997-1485 | Fax No.: (033) 337-4403
Nursing: 120 c acid. It is ● Individuals dangerous. faintness with patient to
mg/day; not to thought that who have rapid IV be
exceed 2000 these two shown administration cautious
mg/day (115 vitamin forms hypersensiti of the
mg if <18 years are crucial for vity to any contraindi
old; not to oxidation-redu component cations of
Ascorbic Acid exceed 1800 ction reactions. of this ADVERSE EFFECTS the drugs.
mg/day) The vitamin preparation 7. Return the
CLASSIFICATION contributes to are ● headaches medicatio
the contraindica ● flushing n ticket on
Vitamins, ● nausea or
metabolism of ted. the right
Water-soluble vomiting
tyrosine, the ● Vitamin C box for
transformation supplement ● dizziness the next
of folic acid ation is not (IV use). timing.
into folinic recommend 8. Do the
acid, the ed if you charting
metabolism of have or the
carbohydrates, thalassemia document
the synthesis , G6PD ation.
of lipids and deficiency,
proteins, the sickle cell
metabolism of disease, or
iron, the hemochrom
resistance to atosis.
infections, and
the respiration
of cells.
Email: cn@usa.edu.ph | Tel. No.: 0999-997-1485 | Fax No.: (033) 337-4403
