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NURS 1566 Clinical Form 3: Clinical Medications Worksheets

Generic Name Trade Name Classification Dose Route Time/frequency


Vitamin E Alpha tocopherol Fat soluble vitamin 800 IU PO Q day

Peak Onset Duration Normal dosage range


Unknown Unknown unknown Determined by nutritional intake of degree of deficiency

Why is your patient getting this medication For IV meds, compatibility with IV drips and/or
Dietary supplementation, also indicated for solutions
prevention of coronary artery disease N/A

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


(Why med ordered) Contraindications/warnings/interactions
Prevents the oxidation of other substances. Protects None for this pt
RBC membranes against hemolysis. Prevention and
tx of deficiency in high-risk pts. Common side effects
Only seen in large doses over long periods of time;
headache, weakness, blurred vision, Necrotizing
enterocolitis,
Interactions with other patient drugs, OTC or Lab value alterations caused by medicine
herbal medicines (ask patient specifically) Large doses may increase cholesterol, triglyceride, and
None for this pt CPK levels
Be sure to teach the patient the following about this
medication
Take as directed, if dose is missed, skip it because fat
soluble vitamins are stored in the body for long periods of
time. Encourage pt to get adequate Vit E from a well
balanced diet (vegetable oils, wheat germ, whole-grain
cereals, egg yolk, and liver
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give this Check after giving
Assess pt for s/s of Vitamin E deficiency med? Prevention of or decrease in
(muscle weakness, ceroid deposits, Symptoms of overdose (blurred the symptoms of vitamin E
anemia, creatinuria. Nutritional status vision, flu-like symptoms, headache, deficiency
through 24 hr diet recall and determine breast enlargement)
the frequency of consumption of vitamin
E rich foods.

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