Name of Student Nurse: Salcedo, Alyssa Marie R.

Date: November 1, 2021

Level/Block/Group: C2-2BSN-08 Hospital/Area: NUR 195: Care of Mother, Child, Clinical Instructor: Carol Joy Paragas
and Adolescent (Well Clients) -RLE

MECHANISM OF ADVERSE NURSING

NAME OF DRUG CONTRAINDICATIONS SIDE EFFECTS
ACTION EFFECTS RESPONSIBILITIES

GENERIC NAME Ascorbic acid, a Ascorbic acid/ Vitamin C Ascorbic acid may Nervous system:  Follow the
water-soluble is contraindicated in cause following Dizziness, headache doctor’s order.
vitamin that acts as blood disorders like side effects: Gastrointestinal  Observe the 5Rs
Ascorbic acid a cofactor and as thalassemia, G6PD tract: Diarrhea, (Right drug, Right
(Vitamin C) an antioxidant. It is deficiency, sickle cell  diarrhea
nausea, vomiting, dose, Right route,
essential for disease, and  nausea
BRAND NAME
heartburn Right time, Right
connective tissue hemochromatosis. Avoid  heartburn patient) in giving
 fatigue Hematologic: Acute
Asconvita, synthesis, and iron taking supplements the medication to
hemolytic anemia
Ascorcee, Ascor- absorption and immediately before or  flushing avoid errors.
Kid, Ascortain, storage. following angioplasty.  headache Urogenital: Acute or  Check the drug
Bonalet-Cee, Additionally, it is an Diabetic patients should  difficulty chronic oxalate label three times
CareZee, Cecon electron donor used take vitamin C falling nephropathy due to
before
for collagen supplements with care asleep or prolonged use and
Junior Syrup, administration.
large doses
Ceelin, Ceenergy, hydroxylation, as it raises blood sugar staying  Assess the
Cee-protect, carnitine levels. asleep Others: Fatigue, patient’s
Cetrasol, Cetrinets biosynthesis, and mild soreness, pain condition.
Also, it should be used at the injection site.
Fruteez, Cetrinets hormone or amino  Do handwashing
cautiously in oxalate
Hello Kitty, acid synthesis. to prevent the
nephropathy or
Chilcee, Chilvit- transfer of
Moreover, it nephrolithiasis as
Cee, Cixtor, microorganisms.
stimulates acidification by ascorbic
Clusivol Power C,  Instruct the
neutrophil migration acid increases the
Corbicid, Daycee, patient that
to the site of chances of precipitation
Day-C-Vit, GNC Ascorbic acid can
infection, enhances of cysteine, urate, and
Ascorbic acid, be taken orally
phagocytosis and oxalate stones.
GummiKING, with or without
oxidant generation,
Incee-Vit, Korn C,
Myrevit-C, Neo-C, and microbial food.
Orange-C, Selvon killing. At the same  Instruct the
Cee SR/Selvon-C, time, it protects patient in taking
Tatio-Cee, host tissue from the extended-
Tropicee, Vamcee, excessive damage release capsules
Vi-Cee, Vita- by enhancing to swallow them
Procee, Zerrucee neutrophil whole. Do not
apoptosis and crush or chew
clearance by extended-release
CLASSIFICATION
macrophages and capsules or
decreasing tablets because it
Water- soluble neutrophil necrosis can release all
vitamin and NETosis. Thus, the drug at once,
it is apparent that increasing the risk
INDICATION vitamin C/Ascorbic of side effects.
acid is necessary  For the wafers or
Ascorbic acid is for the immune chewable tablets,
indicated for the system to mount instruct the
prevention and and sustain an patient to chew
treatment of adequate response them thoroughly
scurvy, a state of against pathogens, and then swallow.
dietary deficiency whilst avoiding  For the lozenges,
of vitamin C excessive damage instruct the
(ascorbic acid). Its to the host. patient to place
parenteral
the lozenge in
administration is
their mouth and
desirable for
allow it to slowly
patients with an
dissolve.
acute deficiency or
 For powder,
for those whose
instruct the
absorption of orally
patient to mix it
ingested ascorbic
thoroughly in the
acid (vitamin c) is
proper amount of
uncertain.
liquid or soft food
and stir well. Take
all the mixture
Other indications:
right away and
Daily need advise the patient
increases in not to prepare a
patients with supply for future
conditions like use.
gingivitis, asthma,  For liquid form,
glaucoma, instruct the
collagen disorders, patient to use
heatstroke, special measuring
arthritis, infections device/spoon and
(pneumonia, advise the patient
sinusitis, rheumatic not to use a
fever), and chronic household spoon
illnesses. because it can
Hemovascular lead to wrong
disorders, burns, dosage of this
and delayed vitamin.
wound healing are  In preparation for
causes for an the IV, dilute with
increase in the large volume of
daily intake. compatible fluid to
minimize adverse
DOSAGE &
reactions and
FREQUENCY
avoid rapid
Children infusion in
administering the
0-6 months: 40 mg IV.
a day, po (by mouth)
 Monitor renal
7-12 months: 50 mg function for
a day, po (by mouth) patient with a
1-3 years: 15 mg a
predisposition to
day, po (by mouth) oxalate
nephropathy, and
4-8 years: 25 mg a hemoglobin, and
day, po (by mouth) blood counts for
9-13 years: 45 mg a G6PD deficient
day, po (by mouth) patient.
 In case of a
Females missed dose,
14-18 years: 65 mg instruct the
a day, po (by mouth) patient to take it
19 years and as soon as they
above: 75 mg a day, remember. If it is
po (by mouth) near the time of
the next dose,
Pregnant women skip the missed
(18 years and
dose. Take your
below): 80 mg a
day, po (by mouth)
next dose at the
regular time. Do
Pregnant women not double the
(19 years and dose to catch up.
above): 85 mg a
 Provide comfort
day, po (by mouth)
measures to help
Breastfeeding (18 the patient
years and below): tolerate the drug’s
115 mg a day, po (by side effects.
mouth)  Educate the
Breastfeeding (19 patient on a drug
and above): 120 mg therapy, including
a day, po (by mouth) the drug name, its
indications,
Males
correct dosage,
14-18 years: 75 mg and adverse
a day, po (by mouth) effects to watch
out for to enhance
19 years and
above: 90 mg a day,
the patient’s
po (by mouth) understanding of
drug therapy and
For Scurvy: thereby promote
adherence to
Oral
drug regimen.
administration
 Do the charting or
Adult: As treatment, documentation for
not less than 250 mg the patient’s
daily in divided safety and to
doses. Maximum:
prevent the
1000 mg daily. As
duplication in
prophylaxis: 25-75
mg daily. Doses are giving the
individualized medicines.
according to patient’s
needs.

Child: Treatment
dose is determined
by a doctor for
everyone based on
the severity of
deficiency. The
following dose has
been determined for
scurvy: 100 to 300
mg a day for at least
2 weeks.

Parenteral
administration:
Adult: 300-1000 mg
daily, given via IM, IV
or SC injection.
Doses are
individualized
according to patient's
needs. Dosage
recommendation
may vary among
countries or
individual products.

Child: Initially, 100-

300 mg daily in
divided doses for 1
week then 100 mg
daily until
stabilization of tissue
saturation. Dosage
recommendation
may vary among
countries or
individual products.