Note: Any up-dates are to be completed in different color ink.

k. The student is expected to document all meds the client is currently receiving.
MEDICATION NAME DOSE, ROUTE, TIMES EFFECTS PREGANCY
GENERIC/TRADE INDICATION/ ACTION DOSGE FOOD/DRUG SIDE EFFECTS FETUS AND/OR NURSING
CLASSIFICATION RANGE INTERACTIONS NEONATE CONSIDERATIONS
(PHARM) AND (include therapeutic dose
PREGNANCY calculation)
CATEGORY
PRENATAL Organic substances (PO) Vitamin A sources Fat-soluble vitamins Vitamins A,D,C, and B6 Folic acid and iron are
VITAMINS A, B, C, necessary for life and RDA include deep green, toxicity includes nausea, have a negative effect on the only nutritional
D, E, and K growth, vitamins A, D, E, Vitamin A is 770 mcg per yellow and orange gastrointestinal upset, the fetus. Excessive supplements generally
PO/IM - B 12 and K (fat-soluble) are day for pregnant women vegetables and some dryness and cracking of the intake of one vitamin recommended during
stored in the liver age 19 and older. fruits, animal sources skin, and loss of hair. may interfere with the pregnancy. An
Fat-Soluble available should the Inadequate dietary include liver, egg A & D can lead to toxicity. body’s use of vitamin increase need for other
supplements A, D, E, dietary intake become supplementation is 5000 yolk, cream, butter, Overdose of Vitamin D B12 (mega doses are vitamins and mineral
K inadequate (not excreted international units (e.g. fortified margarine, during pregnancy can cause best avoided) . can usually be met
in the urine). strictly vegetarian, and milk. hypercalcemia or high . Inadequate maternal with an adequate diet.
Vitamin E Vitamin A for growth of deficiency of vitamin A is Vitamin D sources blood calcium levels intake of vitamin A To avoid possible
(Tocopherol) epithelial cells for lining endemic in recent include fortified because of calcium from associated with preterm deficiencies, many
entire gastrointestinal emigrants). milk, liver, egg yolk, the skeletal tissue. Toxicity birth, intrauterine growth healthcare professionals
Vitamin K tract and compose the Vitamin D 5mcg/day cream, butter, ultra- symptoms include restriction, decreased still recommend a daily
(Memadione) skin. Vitamin A (retinol) Vitamin E violet light rays of excessive thirst, loss of birth weight. vitamin supplement.
prevents night blindness. 15mg per day sunlight. appetite, vomiting weight
Water-soluble Vitamin D plays a role in Vitamin K Vitamin E loss, irritability and high Vitamin D is needed for Monitor dietary intake
supplements C, B. absorption and utilization 90mcg per day sources include blood calcium levels. developing fetus and in and food sources. Check
of calcium and Vitamin C is increase in whole grains, greens, Vitamin E is beneficial in pregnant women the for vitamin deficiencies.
Vitamin B1 (Thiamine) phosphorus in skeletal pregnancy from 75 to 85 vegetable fats/oils, treating certain types of need for calcium Dietary education on
B2 (Ribofavin) development mg per day Vitamin B1 and egg. muscular pain and absorption. maintaining a good
B 12 (coalamin). Vitamin E involves pre-pregnant level 1.1 Vitamin K intermittent claudiction, healthy diet from the
Folic acid, pantothenic enzymatic, metabolic mg/day to 1.4 mg/day Sources include surface healing of wounds, Vitamin E massaged as four food groups.
acid, reactions, antioxidant, Vitamin B6 , 0.3 mg/day to liver, green leafy burns, protecting lung oil prevents permanent
Niacin and affects health of all 1.9 mg/day pregnant vegetable tissue from damaging stretch marks. Excessive OTC vitamins and
Vitamin B6 cells in body protecting women 19 & older Vitamin C effects of smog. intake) may cause minerals, food
(pyridoxine) cell membrane. Synthesis Niacin 4mg/day to Sources include Vitamin K abnormal coagulation in supplements may
Vitamin C or nucleic acids required 18mg/day citrus fruit, tomatoes, Need for Vitamin K dose newborns. potentially be harmful if
(Ascorbic acid) forming red blood Folic acid 400mcg/day cantaloupe, not increase during Deficiency symptoms of used in excess.
pantothenic acid 5mg/day strawberries, pregnancy, adequate in Vitamin E relate to long-
cells. Vitamin K is an B 12 , 2.6 mcg/day to an potatoes, broccoli, well-balanced prenatal diet. term inability to absorb Notify physician before
Preg. Cat. A, B, C essential factor for increase of 0.2mcg/day and other leafy green Water-soluble vitamins are fats (mal-absorption taking OTC
synthesis of thrombin, during pregnancy vegetables, but air, excreted in urine small exits in cases of cystic medications, herbs or
normal blood clotting heat and water amounts are stored there is fibrosis, liver cirrhosis, other vitamin
Vitamin C is to aid the during storage and little protection from obstructive jaundice). supplements.
Olds page 428-430 formation and cooking destroy dietary inadequacies. Vitamin K synthesis by
development of ascorbic acid. Adequate amounts must be destroying intestinal E-
connective tissue and Vitamin B2 ingested daily. Water- coli in the intestine.
vascular system. Ascorbic

PHARM
acid essential to the Sources include soluble vitamins
formation of collagen, milk, liver, eggs, concentrations in maternal Water-soluble vitamins
which binds cells enriched breads, serum falls, where as high concentrations in
together. cereals concentration are found in maternal serum falls,
Vitamin B6 the fetus. where as high
Vitamin B1 (Thiamine) Sources include Vitamin B1 (Thiamine), B2 concentration are found
B2 (Ribofavin) wheat germ, yeast. (Ribofavin) , B 12 (Niacin), in the fetus.
B 12 (Niacin). Fish, liver, pork, Folic acid, antothenic acid Folic acid for normal
Folic acid, pantothenic lentils, potatoes Vitamin B6 are needed as growth, reproduction,
acid, Vitamin B 12 Sources caloric intake increases to and lactation and
Vitamin B6 vital include fresh leafy meet metabolic & growth prevents macrocytic,
coenzyme factors in vegetables, liver, needs of pregnant women. megaloblastic anemia of
many reactions-cell peanuts, whole-grain B2 manifest cheilosis pregnancy, neural tube
respiration, glucose breads (folic acid (fissures and cracks lips & defects (NTDs) (spinal
oxidation, and energy can inactive by corners of mouth) bifida, anencephaly).
metabolism. oxidation), store
covered to protect
Vitamin K is an essential from light, cook with
factor for synthesis of small amount of
thrombin, normal blood water, do not over
clotting cook.
Vitamin C is to aid the
formation and
development of
connective tissue and
vascular system. Ascorbic
acid essential to the
formation of collagen,
which binds cells
together.

Vitamin B1 (Thiamine)
B2 (Ribofavin)
B 12 (Niacin).
Folic acid, pantothenic
acid,
Vitamin B6 vital
coenzyme factors in
many reactions-cell
respiration, glucose
oxidation, and energy
metabolism.

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UZ2/Zip 9/RSNG 2263 Packet