Score: _________ Grade: ___________

DRUG SUMMARY

Name of Drug Date Classification Dose Mechanism Specific Side Effects Nursing Implications
Generic Ordered Frequency of Action Indication
(Brand) Route

Vitamin B Vitamins A coenzyme that Pernicious CV: peripheral BEFORE:

complex and stimulate anemia vascular ~ Determine reticulocyte
Minerals metabolic function thrombosis, count, hct, Vit. B12, iron,
and is needed for CONTRA: heart failure. folate levels before
cell replication, ~ hypersen- GI: transient beginning therapy.
hematopoiesis, sitive to diarrhea. ~ Obtain a sensitivity test
and nucleoprotein vitamin B12 Respi: history before
and myelin or cobalt. pulmonary administration
synthesis. ~ early edema. ~ Avoid I.V. administration
bec. faster systemic
Leber’s Skin: itching,
elimination will reduce
disease transitory
effectiveness of vitamin.
exanthema,
DURING:
urticaria. ~ Don’t give large doses of
Other: vitamin B12 routinely; drug
anaphylaxis, is lost through excretion.
anaphylactoid ~ Don’t mix parenteral
reactions with preparation in same
parenteral syringe with other drugs.
administration, AFTER:
pain or ~ Protect Vit. B12 from
burning at light. Don’t refrigerate or
injection site. freeze.
~ Monitor patient for
hypokalemia for first 48
hours, as anemia correct
itself. Give potassium
supplements, as needed.

Reference: DAVIS DRUG GUIDE FOR NURSES 8th EDITION___