NURS 1566 Clinical Form 3: Clinical Medications Worksheets Generic Name Vitamin D Peak Unknown Trade Name Calderol

Onset Unknown Classification Dose Route Fat-soluble 400 IU PO vitamin Duration Normal dosage range Unknown 400-1000 IU daily Time/frequency Q daily

Why is your patient getting this medication Treatment/management of metabolic bone disease (osteoporosis) Mechanism of action and indications (Why med ordered) Promotes absorption of calcium and phosphorus, regulates calcium homeostasis in conjunction with parathyroid hormone and calcitonin.

For IV meds, compatibility with IV drips and/or solutions N/A Nursing Implications (what to focus on) Contraindications/warnings/interactions Hypersensitivity, hypercalcemia/hyperphosphatemia, Vitamin D toxicity Common side effects Seen primarly as manifestations of toxicity (hypercalcemia), headache, somnolence, weakness, dizziness, malaise

Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically) Corticosteroids decrease the effectiveness of Vitamin D analogues

Nursing Process- Assessment (Pre-administration assessment) s/s of vitamin deficiency prior and periodically during therapy. Assess for bone pain and weakness.

Lab value alterations caused by medicine Monitor BUN, serum creatinine, alkaline phosphatase, parathyroid hormone levels, urinary calcium/creatinine ratio, 24 hour urine calcium periodically. A decrease in alkaline phosphatase levels may signal onset of hypercalcemia. May cause false increase of cholesterol levels. Be sure to teach the patient the following about this medication Take only as directed, review diet modifications with pt. Encourage intake of foods that are calcium and vitamin D rich. Do not exceed the RDA. Review s/s of overdose. Emphasize the importance of follow-up exams to monitor progress. Assessment Evaluation Why would you hold or not give this Check after giving med? Normalization of serum s/s of hypocalcemia (paresthesia, calcium and parathyroid muscle twitching, laryngospasm, hormone levels colic, cardiac arrhythmias, and Chostek’s or Trousseau’s sign

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