Medicatio Classificat Action Indication and Side Effects Nursing Considerations

n ion Contraindicati
on
Vitamin B Vitamins A coenzyme Indication: CV:  Determine
Complex and that Pernicious Peripheral reticulocyte count, hct,
Minerals stimulates anemia vascular Vit. B12, iron, folate
Dosage metabolic thrombosis, heart levels before beginning
BID function Contraindicatio failure therapy.
and is n:  Obtain a sensitivity
needed for Hypersensitive GI: test history before
cell to vitamin B12 transient diarrhea administration
replication, or cobalt. ~  Avoid I.V.
hematopoie Early Leber’s Respiratory: administration because
sis, and Disease Pulmonary edema faster systemic
nucleoprote elimination will reduce
in and Skin: effectiveness of vitamin.
myelin itching, transitory  Don’t give large
synthesis. exanthema, doses of vitamin B12
urticaria routinely; drug is lost
through excretion.
Other:  Don’t mix parenteral
anaphylaxis, preparation in same
anaphylactoid syringe with other
reactions with drugs.
parenteral  Protect Vit. B12 from
administration, light. Don’t refrigerate
pain or burning at or freeze.
injection site  Monitor patient for
hypokalemia for first 48
hours, as anemia
correct itself. Give
potassium supplements,
as needed.