GI E3 Flashcards
Fat soluble vitamins
vita A
vita D
vita E
vita K
water soluble vitamins
Vita b complex (B1,2,3,5,6,7,9,12) no B4, B8, B10, B11
vita C
vita B1
Thiamine
vita B6
Pyridoxine
vita B9
Folic acid
vita B12
cobalamin
Cobalamin is stored in
the liver
signs of vita A deficiency
Dermatitis
Night blindness
Bitot’s spots
poor wound healing
signs of vita D deficiency
Osteomalacia (bone softening)
Osteoporosis
Rickets
muscle weakness
poor growth
signs of vita E deficiency
Hemolysis
Peripheral neuropathy
skeletal muscle atrophy
signs of vita K deficiency
Bleeding
Elevated prothrombin time
signs of vita B1 deficiency (Early + Late)
Early: anorexia, fatigue, depression, impaired memory
Late: paresthesia, Wernicke’s encephalopathy
signs of vita B6 deficiency
Pellagra, limb numbness/paresthesia, convulsions, microcytic anemia
signs of vita B9 deficiency
macrocytic anemia, neural tube defects
signs of vita B12 deficiency
spinal cord degeneration, peripheral neuropathy, paresthesia, macrocytic anemia
signs of vita C deficiency
scurvy, petechiae, bleeding gums, poor wound healing
Methotrexate DDI with
B9 (folic acid)
When taking methotrexate…..
B9 (folic acid) needs to be supplemented BUT folic acid inhibits the methotrexate effect
DO NOT TAKE BOTH FOLIC ACID SUPPLEMENTATION AND METHOTREXATE AT THE SAME TIME
PPI DDI with…
Calcium absportion
When on PPI…..
Ca needs to be supplemented
Use calcium citrate for supplementation because this formulation doesn’t change the pH which doesn’t have an impact on Ca absp and PPI therapeutic performance
When on PPI…..
Ca needs to be supplemented
Use calcium citrate for supplementation because this formulation doesn’t change the pH which doesn’t have an impact on Ca absp and PPI therapeutic performance
Iron supplementation is mostly used in….
prego pts
when supplementing iron in prego pts
there may be constipation, therefore use DOCUSATE as a stool softner
B12 (Cobalamine) therapy can be given as…..
a monthly injection for those with poor adherence to oral therapy
