You are on page 1of 2

GENERIC NAME: Multi Vitamin TRADE NAME: Centrum, One-A-Day, Equate Complete CLASSIFICATION: Essential, organic, non-caloric, required

for normal metabolism ACTION: Essential for promoting growth, health, vitality, life, general well being, prevention and cure of many health problems and diseases; necessary for metabolic processes responsible for transforming foods into energy or tissue; formation and maintenance of red blood cells, chemicals supporting the nervous system, hormones and genetic material INDICATIONS: Fat-soluble A, D, E, K; water-soluble C, B-complex; do not provide energy (non-caloric) but some convert calories in fats, carbohydrates, and proteins into usable body energy; cannot be assimilated without ingesting food; should be taken with a meal; regulate metabolism, help convert fat and carbohydrates into energy; assist in forming bone and tissue ROUTES OF ADMINISTRATION: Tablet Routes: Oral SEVERE DIFICIENCY DISEASES: Scurvy, Rickets, Pellagra, pernicious anemia, xerophthalmia, beriberi, osteomalacia, infantile hemolytic anemia, hemorrhagic diseases of newborn; moderate vitamin deficiencies may also produce symptoms of impaired health INTERACTIONS: No major interactions involved; water-soluble vitamins mix well in blood, are excreted by kidneys, only small amounts accumulate in tissues; regular intake essential; fatsoluble vitamins stored in body after binding to specific plasma globulins in fat parts of body; may accumulate in body and cause adverse reactions CONTRAINDICATIONS: No adverse effects; no contraindications; vitamin D deficiency is often underdiagnosed and undertreated in older population; clients with impaired liver function should not take large amounts of fat-soluble vitamins unless specifically prescribed due to toxicity potential from cumulative effects; pregnant and breast-feeding women require more of some vitamins than most adults; vitamin deficiency usually involves multiple rather than single deficiencies and is rare in US; can usually be attributed to poor lifestyle choices or poor dietary habits with inadequate intake of many vitamins. NURSING CONSIDERATIONS: Document indications for therapy; assess metabolic panel and vitamin levels; monitor levels to ensure requirements met and levels are as desired; wellbalanced diet with foods from basic groups is best source; take with food for best absorption; avoid self-medication greater than RDA amounts GENERIC NAME: METOPROLOL TARTRATE TRADE NAME: Lopressor CLASSIFICATION: Beta-adrenergic Blocking Agent ACTION: Combines reversibly mainly with beta1-adrenergic receptors to block the response to sympathetic nerve impulses, circulating catecholamines, or adrenergic drugs; Blockage of beta1receptors decreases heart rate, myocardial contractility, and cardiac output and slows AV conduction, all of which decreases blood pressure INDICATIONS: Hypertension; Acute MI in hemodynamically stable patients; Angina pectoris ROUTES OF ADMINISTRATION: Injection, Tablets USUAL DOSAGE: Hypertension: 100 mg/day in single or divided doses; may be increased weekly to 100-450 mg/day; Angina pectoris; 100 mg/day in 2 divided doses, can be increased weekly until response obtained or heart rate slows; effective dose is 100-400 mg/day; Aggressive behavior: 200-300 mg/day; Ventricular arrhythmias: 200 mg/day: IV: Early MI treatment: Three IV bolus injections of 5 mg each at approx. 2 min intervals; then give 50 mg q 6 hr PO starting 15 min after last IV dose; continue for 48 hrs then 100 mg twice a day, continue for 1-3 months