Question

1. What reason(s) would a patient receive this medication?

2. What assessment (VS, labs, physical exam) would need to be completed prior to administration of this medication?

3. When would you not give this medication to a patient?

4. List 3 common adverse drug reactions. What would you do if these occurred?

5. What assessment findings would indicate the medication was working?

6. How and when would you reassess the efficacy of the medications?

Multi-vitamin 1 tab oral daily

Answer 1

1. The multivitamin used to treat or prevent vitamin deficiency due to poor diet, certain illnesses, or during pregnancy. Vitamins are important building blocks of the body and help keep you in good health.

2. Before administering multivitamin , the patient must be assessed for any nutritional disorders with an evaluation of baseline hemoglobin, iron,hematocrit, WBC and RBC count with protein and albumin levels.Physical examination includes:
   • Anthropometric measurements– Height,weight,tricepsskinfoldthickness,mid-armmuscle circumference

3. Condition not to give multivitamin

• iron metabolism disorder causing increased iron storage
• an overload of iron in the blood
• a type of blood disorder where the red blood cells burst called hemolytic anemia
• an ulcer from too much stomach acid
• a type of stomach irritation called gastritis
• ulcerative colitis
• an inflammatory condition of the intestines
• diverticular disease
• excess iron due to repeated blood transfusion

4.multivitamins are not expected to cause serious side effects. Common side effects may include: upset stomach; constipation and nausea.These effects are usually temporary and may disappear as your body adjusts to this medication.

5.Assessing effectiveness:

• Start a supplement journal. When you first start taking vitamins, write down your symptoms. Keep track of how you feel, your activity level, and which supplements you take on a daily basis. Review your journal entries after a few weeks to determine the effectiveness of your vitamins.
• Visit doctor and do the blood tests
• Take a look in the mirror. If you’ve been attempting to combat brittle hair, dry skin, or weak nails, you can easily do a visual examination for yourself. If you notice positive changes, you’re probably on the right track. Even if your desired effects are not visual in nature, you can gauge your results from visual cues.

6.After a few weeks of employing your supplement regimen, schedule an appointment with your physician. Request to have your blood tested for vitamin deficiencies. Then, schedule a follow-up visit for a couple of months down the road to test the levels again and ensure the deficiency is gone.