Drug Study: Cyanocobalamin

GENERIC NAME:
Cyanocobalamin
Vitamin B12

BRAND NAME:
Cyanocobalamin

CLASSIFICATION:
Nutritional drugs –Vitamins and Minerals

DOSAGE:
Adults and children 11yrs old and older: 2.4mcg
7-10y: 1.8 mcg
4-6yo: 1.2mcg
1-3yo: 0.9 mcg
6mos- 1yr: 0.5 mcg

MECHANISM OF ACTION:
Coenzyme that stimulated metabolic function needed for cell replication, hematopoiesis, nucleoprotein and myelin synthesis

INDICATION:
-RDA for cyanocobalamin
-Vitamin B12 defiency from inadequate diet, subtotal gastrectomy, other conditions, disorder or disease except malabsorption r/t pernicious anemia or GI disease.

CONTRAINDICATIONS:
Patients who are hypersensitive to Vitamin B12 or cobalt and in those with early Leber’s disease

SIDE EFFECTS/ ADVERSE EFFECTS:
None reported

NURSING IMPLICATIONS/RESPONSIBILITIES:
- Stress importance the Vitamin supplement
- Teach  healthy dietary habits
- Instruct client not to take folic acid to replace vitamin B12, as it may accelerate hematologic manifestations
- Sensitivity tests/ intradermal  test should be done for those with possible sensitivity
- Do not mix with other parenteral preparations in same syringe drugs


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