NURS 1566 Clinical Form 3: Clinical Medications Worksheets

Generic Name Trade Name Classification Dose Route Time/frequency

Vitamin D Calderol Fat-soluble 400 IU PO Q daily
vitamin
Peak Onset Duration Normal dosage range
Unknown Unknown Unknown 400-1000 IU daily

Why is your patient getting this medication For IV meds, compatibility with IV drips and/or
Treatment/management of metabolic bone disease solutions
(osteoporosis) N/A

Mechanism of action and indications Nursing Implications (what to focus on)

(Why med ordered)
Promotes absorption of calcium and phosphorus,
regulates calcium homeostasis in conjunction with
parathyroid hormone and calcitonin.
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 Lab value alterations caused by medicine
herbal medicines (ask patient specifically) Monitor BUN, serum creatinine, alkaline phosphatase,
Corticosteroids decrease the effectiveness of parathyroid hormone levels, urinary calcium/creatinine
Vitamin D analogues 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.
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give this Check after giving
s/s of vitamin deficiency prior and med? Normalization of serum
periodically during therapy. Assess for s/s of hypocalcemia (paresthesia, calcium and parathyroid
bone pain and weakness. muscle twitching, laryngospasm, hormone levels
colic, cardiac arrhythmias, and
Chostek’s or Trousseau’s sign