Micronutrients Flashcards
Standard dose and route of Ascorbic Acid
500mg with a max dosed of 50g/Week (50,000 milligrams) given IVP over 1-3 minutes.
Nursing consideration for giving ascorbic acid
Doses over 2g may not be given IVP and must be diluted
High Doses (HDIVC) requires titration (see protocol)
Must be administered 15 minutes apart from Glutathione due to opposing pH’s
How does Ascorbic acid (Vit C) work
Reduces oxidative damage caused by stress
Has great antihistamine (in the case of seasonal allergies) and antioxidant properties and plays an important role in immune function
What are the antioxidant actions of Ascorbic acid?
Vitamin C lessens triggers of inflammation by getting rid of free radicals that damage cells, regulates CRP, and detoxifies homocysteine which are both known to cause inflammation
What are 6 ways Vit C administration May help?
May help boost immune system
May help prevent or treat symptoms of the common cold and other infections such as stomach ulcers (H pylori), other viral illnesses, acne and other skin conditions
May help improve physical endurance and slow the aging process
Can help increase the absorption of iron in foods (helpful in anemia)
have been used to counter negative effects of chemotherapy
May help manage symptoms of autoimmune disorders (Lupus, rheumatoid arthritis, fibromyalgia) by stimulating glucocorticoid activity
Considerations and contraindications for ascorbic acid (Vitamins C)
Considerations: Adderall since it may decrease efficacy of medication
Contraindications: First trimester of pregnancy
What B vitamins are in B complex
B1, B2, B3, B5, B6
What is the standard dose and route of B complex.
1ml with a max dose of 2ml per week give IV or IM. IV dilution in at least 100mL of NS or LR given by gravity.
What are the nursing considerations for giving B complex.
If given rapidly, it can cause severe abdominal cramping, nausea, light-headedness, & diaphoresis. Usually mixed in an IVF bag.
Inform clients that they may have a vitamin taste in their mouth - this is from B Complex and the presence of a rich supply of blood vessels under the tongue
Max Dose does NOT apply to B5 & B6 Max Doses
Why is B complex given
Essential nutrients help convert food to fuel and allow us to stay energized during the day
Helpful in those with malabsorption issues (Crohn’s, celiac disease) since B vitamins are mostly sourced through the diet
Helpful in hangover recovery - B vitamins help break down the by-product of alcohol
How does Vit B1 aid in daily life?
Vitamin B1 is the anti stress vitamin.
Helps the body to make new cells and helps protect the immune system.
B1 also helps by breaking down simple carbohydrates.
What is Vitamin B2?
The growth vitamin, B2 helps in RBC production and allows oxygen to be transported in and be used by the body. Vit B2 also works as an antioxidant fighting free radicals responsible for inflammation.
What is vitamin B3?
B3 - Niacin - “Anti-cholesterol vitamin”
Helps regulate blood sugar by processing body fat
Helps boost HDL (good cholesterol) - the higher the HDL, the lower the risk of heart disease.
On occasion vitamin B3 can cause warmth or a flushing sensation (which is normal, especially if this is given IVP); give B-complex much slower in the event that this has to be given IVP
What is Vitamin B5
B5 - Pantothenic Acid - “Energy vitamin”
Helps with energy production by breaking down carbs and fat
Helps with generation of sex hormones
Helps promote healthy skin and reduce signs of aging (by helping retain moisture)
What is B6?
B6 - Pyridoxine - “Brain vitamin”
Helps regulate mood and may aid in sleep disorders
Helps regulate homocysteine levels in the blood - an amino acid directly linked to heart disease
Essential for producing amino acids and in normal brain development and function
Studies suggest that it helps alleviate inflammation in autoimmune disorders such as Rheumatoid Arthritis.
What are the contraindications to receiving B complex ?
Impaired renal function
First trimester of pregnancy
What is the standard and max dose of Dexpanthenol (Vitamin B5), the route, and administration.
Standard Dose: 125mg
Max Dose: 125mg/week
Route: Intravenous; IV only
Administration:IVP over 5-10 minutes OR diluted in NS or LR IVF bag, drip by gravity
What must the nurse consider when giving dexpanthenol (Vit B5)
Do not rapid push. Can cause severe abdominal cramping, nausea, light-headedness, & diaphoresis.
How does fit B5 aid in Hyperwellness ?
B5 (Pantothenic Acid) is used in our bodies to synthesize cholesterol and keep up the metabolic process.
Acts as an essential nutrient required by the body to keep the enzymatic processes going. Essential for generating energy
Assists in Hormone Stimulation
Can assist in Stress Relief
Assists in Skin Care and Hair health. Supplementation may reduce acne and scarring, skin irritation and inflammation
Plays an important role in cell turnover and cell regeneration
What are the contraindications for Dexpanethenol.
Contraindications:
Impaired renal function
Pregnancy/Breastfeeding
What is the standard dose and route of Pyridoxine
Standard Dose: 50mg
Max Dose: 100mg/week
Route: Intravenous; IV only
Administration: IVP over 1-3 minutes
What are the benefits of vitamin B6?
Maintains Healthy Metabolism, nerve function, liver function, skin health, eye health and can assist in boosting levels of energy
Supports Brain Function
Can improve your mood
B6 helps the body to maintain a healthy nervous system,
B6 helps to make hemoglobin that carries oxygen in red blood cells,
Supplementation may increase intensity of dreams
What is the standard and max dose of Methylcobalamin (B12) and the route, and administration.
Standard dose 1000mcg(1ml) per week
Max dose 2000mcg (2ml) per week
Route: Intravenous or IM
Administration: IVP over 1-3 minutes
Benefits of Methylcobalamin (B12) administration
Helps the body use fat and carbohydrates for energy and make new protein; also important for normal blood, cells, and nerves.
What are B12 roles in the nervous system ?
Assisting in normal nerve growth and development
Improving communication between nerve cells
Promoting stable adrenal function
Providing emotional and mental energy
Helping with the ability to concentrate
Bolstering memory function
Offering calming effects to balance moods
What can low levels of B12 look like?
Fatigue
Shortness of breath
Diarrhea
Nervousness
Numbness/Tingling sensation in the fingers and toes
(Severe deficiency of B12 causes nerve damage)
What is the standard and max dose of Calcitriol, and thew route and administration.
Standard Dose: 1mcg (1 single-dose ampule = 1 mcg)
Max Dose: 1 mcg/week
Route: Intravenous; IV only
Administration: Dilute in 100ml NS, y-site into primary line to infuse over 15 minutes. ( NO other ingredients should be administered concurrently)
Nursing consideration when giving calcitriol.
No other ingredients should be administered concurrently
MUST WAIT 2 WEEKS POST IM VITAMIN D3 (CHOLECALCIFEROL) TO RECEIVE IV CALCITRIOL
MUST WAIT 1 WEEK POST IV CALCITRIOL TO RECEIVE IM CHOLECALCIFEROL
What is calcitriol ?
Man made active form of vitamin D3. It works by helping the body to use more of the calcium found in foods or supplements and regulating the body’s production of parathyroid hormone.
What are calcitriol contraindications?
Pregnancy
Kidney Disease/Renal Insufficiency
Hypercalcemia
