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Posted by : Unknown Thursday, May 15, 2014


Action:
Vitamin B complex essential for nucleoprotein synthesis and maintenance of normal erythropoiesis. Acts against folic acid deficiency that impairs thymidylate synthesis and results in production of defective DNA that leads to megaloblast formation and arrest of bone marrow maturation.
Classification:
Vitamin B9
Indication:
Folate deficiency, macrocytic anemia, and megaloblastic anemias associated with malabsorption syndromes, alcoholism, primary liver disease, inadequate dietary intake, pregnancy, infancy, and childhood.
TABLE
Drug Name
Dosage & Route
Action
Indication
Adverse Effects
Contraindication
Nursing Responsibility


FOLIC ACID (VITAMIN B9, PTEROYLGLUTAMIC ACID)
(fol'ic)


Classifications
Vitamin B9













Therapeutic
Adult:
PO/IM/SC/IV 1 mg/d
Child: PO/IM/SC/IV 1 mg/d

Maintenance
Adult:
PO/IM/SC/IV 0.4 mg/d
Child: PO/IM/SC/IV <4 y, 0.3 mg/d; >4 y, 0.4 mg/d
Infant: PO/IM/SC/IV 0.1 mg/d


Vitamin B complex essential for nucleoprotein synthesis and maintenance of normal erythropoiesis. Acts against folic acid deficiency that impairs thymidylate synthesis and results in production of defective DNA that leads to megaloblast formation and arrest of bone marrow maturation.


Folate deficiency, macrocytic anemia, and megaloblastic anemias associated with malabsorption syndromes, alcoholism, primary liver disease, inadequate dietary intake, pregnancy, infancy, and childhood.


Reportedly nontoxic. Slight flushing and feeling of warmth following IV administration.

Folic acidalone for pernicious anemia or other vitamin B12 deficiency states; normocytic, refractory, aplastic, or undiagnosed anemia.

Assessment & Drug Effects
  • Obtain a careful history of dietary intake and drug and alcohol usage prior to start of therapy. Drugs reported to cause folate deficiency include oral contraceptives, alcohol, barbiturates, methotrexate, phenytoin, primidone, and trimethoprim. Folate deficiency may also result from renal dialysis.
  • Keep physician informed of patient's response to therapy.
  • Monitor patients on phenytoin for subtherapeutic plasma levels.


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