Vit.b Complex Drug Summ

Score: _________ Grade: ___________

DRUG SUMMARY Name of Drug Generic (Brand) Vitamin B complex

Date Ordered

Classification

Vitamins and Minerals

Dose Frequency Route

Mechanism of Action A coenzyme that stimulate metabolic function and is needed for cell replication, hematopoiesis, and nucleoprotein and myelin synthesis.

Reference:

Specific Indication Pernicious anemia CONTRA: ~ hypersensitive to vitamin B12 or cobalt. ~ early Leber’s disease

Side Effects

Nursing Implications

CV: peripheral vascular thrombosis, heart failure. GI: transient diarrhea. Respi: pulmonary edema. Skin: itching, transitory exanthema, urticaria. Other: anaphylaxis, anaphylactoid reactions with parenteral administration, pain or burning at injection site.

BEFORE: ~ Determine reticulocyte count, hct, Vit. B12, iron, folate levels before beginning therapy. ~ Obtain a sensitivity test history before administration ~ Avoid I.V. administration bec. faster systemic elimination will reduce effectiveness of vitamin. DURING: ~ Don’t give large doses of vitamin B12 routinely; drug is lost through excretion. ~ Don’t mix parenteral preparation in same syringe with other drugs. AFTER: ~ Protect Vit. B12 from light. Don’t refrigerate or freeze. ~ Monitor patient for hypokalemia for first 48 hours, as anemia correct itself. Give potassium supplements, as needed.

DAVIS DRUG GUIDE FOR NURSES 8th EDITION___