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MC Cholecalciferol

This medication card provides information on vitamin D3 (cholecalciferol) tablets. Vitamin D3 is classified as a vitamin and works to promote calcium absorption in the intestines after activation in the liver and kidneys. The indicated dose for this patient of 4000 units daily is not considered safe. Nursing considerations for vitamin D3 administration include monitoring for signs of toxicity like hypercalcemia and ensuring appropriate dietary intake of calcium and vitamin D.

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Cliff by the sea
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1K views2 pages

MC Cholecalciferol

This medication card provides information on vitamin D3 (cholecalciferol) tablets. Vitamin D3 is classified as a vitamin and works to promote calcium absorption in the intestines after activation in the liver and kidneys. The indicated dose for this patient of 4000 units daily is not considered safe. Nursing considerations for vitamin D3 administration include monitoring for signs of toxicity like hypercalcemia and ensuring appropriate dietary intake of calcium and vitamin D.

Uploaded by

Cliff by the sea
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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Medication Card

Generic name of medication Brand/trade name of medication

cholecalciferol, TAB vitamin D3 (inactive)

Drug classification (i.e. beta blocker, etc) 1. Patient dose


4000 unit, PO
vitamins
2. Safe dose ranges

PO: (Adults) 400–1000 IU daily.

PO: Infants Exclusively or partially-


breastfed- 400 IU daily.

3. Is the dose safe


No

Therapeutic effect (i.e. decreased heart rate, Indication in this patient


etc) and when it should develop
Vitamin D deficiency
 Requires activation in the liver and
kidneys to create the active form of
vitamin D3 (calcitriol).
 Promotes the intestinal absorption of
dietary calcium.

Therapeutic Effect(s):

Treatment and prevention of deficiency states,


particularly bone manifestations.

Pre and post administration assessment Unique nursing considerations

Assess vitamin deficiency before and during


Contraindicated in:
therapy. Assess patient for bone pain and
weakness before and during therapy. Observe  Hypersensitivity
patient carefully for evidence of hypocalcemia  Hypercalcemia
(paresthesia, muscle twitching, laryngospasm,  Vitamin D toxicity
colic, cardiac arrhythmias, and Chvostek's or  Concurrent use of magnesium-
Trousseau's sign). Protect symptomatic patient containing antacids or other vitamin D
by raising and padding side rails; keep bed in supplements
low position. Monitor serum calcium,  Malabsorption problems.
phosphorus, and alkaline phosphatase Use Cautiously in:
periodically.
OB: Safety not established.

Adverse effects/minimizing discomfort and Key patient teaching points


harm
 Advise patient to take medication as
Seen primarily as manifestations of toxicity directed. Take missed doses as soon
(hypercalcemia) as remembered that day, unless
almost time for next dose; do not
CNS: headache, irritability, somnolence, double up on doses. Advise parents to
weakness use calibrated measuring device or
dropper with oral solution.
EENT: conjunctivitis, photophobia  Review diet modifications with
patient. See food sources for specific
CV: arrhythmias, hypertension nutrients for foods high in calcium
and vitamin D.
GI: anorexia, constipation, dry mouth, ↑ liver  Encourage patient to comply with
enzymes, metallic taste, nausea, dietary recommendations of health
PANCREATITIS, polydipsia, vomiting, care professional. Explain that the
weight loss best source of vitamins is a well-
balanced diet with foods from the 4
GU: albuminuria, azotemia, polyuria basic food groups and the importance
of sunlight exposure.
Derm: pruritus  Patients self-medicating with vitamin
supplements should be cautioned not
F and E: hypercalcemia to exceed RDA. The effectiveness of
megadoses for treatment of various
MS: bone pain, muscle pain medical conditions is unproved and
may cause side effects.
* CAPITALS indicate life-threatening.  Advise patient to avoid concurrent
use of antacids containing
magnesium.
 Review symptoms of overdose and
instruct patient to report these
promptly to health care professional.
 Emphasize the importance of follow-
up exams to evaluate progress.

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