A client is receiving cyanocobalamin (Cyanabin) every other week. What topic should the nurse include in the client teaching regarding this medication?
1. Alcohol increases the absorption.
2. Treatment might be necessary throughout the lifespan.
3. Hypertension may develop from this medication.
4. Foods high in potassium should be avoided.
2
Rationale 1: Alcohol decreases the absorption.
Rationale 2: Symptoms may take longer to subside if the disease has been prolonged. Some neurological damage could be permanent, and treatment might need to continue for the remainder of the client's life.
Rationale 3:The medication does not cause hypertension.
Rationale 4:Hypokalemia is possible, and serum potassium levels should be monitored periodically.
Global Rationale: Cyanocobalamin is a purified form of vitamin B12. The most common cause of B12 deficiency is a lack of intrinsic factor in the intestine.Symptoms may take longer to subside if disease has been prolonged. Some neurological damage could be permanent, and treatment might need to continue for the remainder of the client's life. Alcohol may decrease the absorption.
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