ATI Med Template Vitamin D PDF

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Description

ACTIVE LEARNING TEMPLATE:

Medication

Morales STUDENT NAME Heather _____________________________________ D MEDICATION Vitamin __________________________________________________________________________ REVIEW MODULE CHAPTER ___________ Vitamins CATEGORY CLASS Fat-Soluble ______________________________________________________________________ PURPOSE OF MEDICATION

Expected Pharmacological Action -Cholecalciferol requires activation in the liver and kidneys to create the active form of Vitamin D

Therapeutic Use -Treatment and Prevention of deficiency states, particularly bone manifestations -Improve calcium and phosphorous homeostatis in pts. with kidney disease

Complications -Dizzziness -Malaise -Dyspnea -Constipation -Dry Mouth -Allergic Reaction -Chills -Fever -Angioedema -Arhythmias -Palpitations -Headache

Medication Administration -PO and IV -Daily

Contraindications/Precautions -Contraindicated in pts with Hypersensitivity, Hypercalcemia, Vitamin D Toxicity, Lacting Patients -Use cautiously in pts rcieving digoxin, safety not establshed in OB patients

Interactions -Cholestyramine, Colestipol, or Mineral Oil decreases absoorption of Vitamin D Analogues, use with thiazide diuretics may result in Hypercalcemia, Corticosteroids decrease effectiveness of Vitamin D Analougs, use with Digoxin may increase Arrhythmias, Other Vitamin D Aids

Evaluation of Medication Effectiveness -Prevention of Hypocalcemia -Adequate Calcium and Vitamin D levels -Prevention of deficiency states, and bone manifestations

ACTIVE LEARNING TEMPLATES

Nursing Interventions -Check for Vit D defiviency prior & periodically during therapy -Assess for bone pain and weakness prior & priodically -Observe pt carefully for signs of hypercalcemia protecting symptomatic pts by padding bed rails and keeping bed in lowest position -Monitor lab results for Calcium and vitamin D levels

Client Education -Take medication as directed -Do not double up on missed doses -Encourage pt to comply with dietary recommendations -Avoid use of antacids containing magnesium...