NURS 1566 Clinical Form 3: Clinical Medications Worksheets

(You will need to make additional copies of these forms)

Generic Name Trade Name Classification Dose Route Time/frequency

Folic acid Folate Water soluable 4g Po QD
vitamins
Peak Onset Duration Normal dosage range
1 hour Unknown 0.4-1 mg per day
30-60 min
Why is your patient getting this medication For IV meds, compatibility with IV drips and/or solutions
Anemia N/A

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

(Why med ordered)
required for protein syntheses and red blood cell
function, stimulates the production of RBC’s.
Indicated for the prevention and treatment of
megaloblastic and macrocytic anemias.
Contraindications/warnings/interactions
Uncorrected aplastic, or normocytic anemias.
Common side effects
Rashes, irritability, difficulty sleeping, malaise, confusion,
fever

Interactions with other patient drugs, OTC or herbal
medicines (ask patient specifically)
No significant findings
Nursing Process- Assessment
(Pre-administration assessment)
Assess pt for signs of megoblastic anemia
(fatigue, weakness, dyspnea) before and
periodically throughout therapy.
Lab value alterations caused by medicine
Monitor plasma folic acid levels, hemoglobin, hematocrit
and feticuloccyte count vefore and periodically during
therapy.
Be sure to teach the patient the following about this
medication
Encourage pt to comply with diet and exercise. Foods high in
folic acid include vegetables, fruits, and organ meats; heat
destroys folic acid in foods. Patients self-medicatinwith
vitamin supplements should be cautioned not to exceed
RDA. Folic acid may make urine more intensely yellow.
Notify health care provider if rash occurs.
Assessment Evaluation
Why would you hold or not give this Check after giving
med? Resolution of symptoms of
if a rash occurs megaloblastic anemia