What Pharmacy Technicians Should Know About Vitamin Therapy. Presented by Thomas Flench, R.Ph., MBA
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1 What Pharmacy Technicians Should Know About Vitamin Therapy Presented by Thomas Flench, R.Ph., MBA
2 What Pharmacy Technicians Should Know About Vitamin Therapy Speaker: Tom Flench recently retired as the program director for the Pharmacy Technician Program at Horry Georgetown Technician College in Myrtle Beach, South Carolina. Professor Flench graduated from the Ohio Northern University College of Pharmacy and received his Masters in Business Administration from Lake Erie College. His career includes nearly twenty years in hospital pharmacy and sixteen years in community pharmacy, before being named to the faculty at the college. Tom is a member of the American Society of Health-System Pharmacists and the South Carolina Pharmaceutical Association. Speaker Disclosure: Tom Flench has no actual or potential conflicts of interest in relation to this program This program has been brought to you by PharmCon PharmCon, Inc. is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. Legal Disclaimer: The material presented here does not necessarily reflect the views of Pharmaceutical Education Consultants (PharmCon) or the companies that support educational programming. A qualified healthcare professional should always be consulted before using any therapeutic product discussed. Participants should verify all information and data before treating patients or employing any therapies described in this educational activity.
3 What Pharmacy Technicians Should Know About Vitamin Therapy Accreditation: Technicians: L01-T Target Audience: Technicians CE Credits: 1.25 Continuing Education Hour or CEU for technicians Expiration Date: 12/03/2012 Program Overview: The topic of vitamins of various types has caught the public's attention for the last several decades.this knowledge based webinar will review the basic information about vitamins for the pharmacy technician. Science has only recently begun studies examining the potential positive effects of vitamin supplementation. Science has only recently begun studies examining the potential positive effects of vitamin supplementation. This webinar will review the basic information about vitamins for the pharmacy technician Objectives: Identify the various types of currently available vitamins Explain natural sources of vitamins and their uses Describe the symptoms of known vitamin deficiencies Describe vitamin options specific to adults Explain several uses of vitamins in geriatric patients List specialty uses associated with vitamins This program has been brought to you by PharmCon
4 Learning Objectives Identify the various types of currently available vitamins Explain natural sources of vitamins and their uses Describe the symptoms of known vitamin deficiencies Describe vitamin options specific to children Describe vitamin options specific to adults Explain several uses of vitamins in geriatric patients List specialty uses associated with vitamins
5 Vitamin Definition Are organic substances necessary for metabolic functioning Found in well rounded diets Inadequate diet may lead to deficiencies Fat Soluble vs. Water Soluble Vitamins Sources Uses
6 Fat Soluble Vitamins [1] Vitamin A normal growth, bone formation, retinal function, reproductive function keratomalacia vitamin A deficiency causes softening of the cornea source milk, butter, cheese, liver, fish oils
7 Fat Soluble Vitamins [1] Vitamin D calcium and phosphate balance rickets vitamin D deficiency causes bending of the bones sources butter, cheese, milk, egg yolk, fish
8 Fat Soluble Vitamins [1] Vitamin E antioxidant for unsaturated fatty acids vitamin E deficiency is very rare sources soybean oil, wheat germ, rice germ, cottonseed, nuts, corn, butter, eggs, liver, leafy green vegetables
9 Fat Soluble Vitamins [1] Vitamin K (phytonadione). plays a role in blood clotting vitamin K deficiency is rare in healthy adults sources soybeans, green leafy vegetables (spinach, cabbage, cauliflower, collards, broccoli, and brussel sprouts); and fruits (avocado and kiwi)
10 Water Soluble Vitamins C Vitamin C (ascorbic acid) has anti inflammatory activity, promotes wound healing scurvy vitamin C deficiency causes anemia, and leg muscle problems sources green plants, tomatoes, citrus fruits (oranges, lemon, grapefruit), potatoes
11 Water Soluble Vitamins B All B vitamins are water soluble, meaning they are dispersed throughout the body (made up of 70% water) [1] Most of the B vitamins must be replenished daily, the excesses are excreted in the urine. [1]
12 Water soluble Vitamins Vitamin B 1 thiamine Vitamin B 2 riboflavin Vitamin B 3 niacin Vitamin B 5 pantothenic acid Vitamin B 6 pyridoxine Vitamin B 7 biotin Vitamin B 9 folic acid Vitamin B 12 cyanocobalamin
13 Sources of Water soluble Vitamins For all B s are. Meats pork, liver, beef, heart, kidney Cereals rice,wheat Vegetables peas, green beans, potatoes Beans
14 Water soluble Vitamins Deficiencies [1] B 1 weakness and pain in the limbs B 2 Cracks in the lips, sensitivity to sunlight B 3 pellagra (skin rashes, mouth sores, diarrhea, mental deterioration) B 5 acne, and paresthesia (sensation of tingling, pricking, or numbness of the skin) B 6 anemia, depression, dermatitis B 7 impaired growth disorders in infants B 9 anemia, brain aging effects, birth defects during pregnancy B 12 cognitive deficits (memory loss), anemia, mania (mood elevation)
15 Water Soluble Vitamins Vitamin B 1 (thiamine) used in carbohydrate metabolism Vitamin B 2 (riboflavin) maintains metabolic energy pathways Vitamin B 3 (nicotinic acid, niacin) involved in fat synthesis and protein metabolism Vitamin B 5 (pantothenic acid) used in carbohydrate metabolism Vitamin B 6 (pyridoxine) maintains metabolic energy pathways Vitamin B 7 (biotin) involved in fat synthesis and protein metabolism
16 Water Soluble Vitamins Vitamin B 5 (pantothenic acid) used in carbohydrate metabolism Vitamin B 6 (pyridoxine) maintains metabolic energy pathways Vitamin B 7 (biotin) involved in fat synthesis and protein metabolism
17 Water Soluble Vitamins Vitamin B 9 (folic acid) production of healthy red blood cells and decreases the risk of birth defects Vitamin B 12 (cyanocobalamin) production of red blood cells
18 Enteral Nutrition [2] Patients are fed through a tube leading to the GI system Preferred method over IV therapy Very important to label enteral nutrition properly to avoid mix ups with parenteral nutrition
19 Total Parenteral Nutrition [2] Patient is fed through a vein Can be lifesaving, but can be devastating if appropriate precautions are not taken All additives must be carefully calculated, then recalculated for accuracy
20 Malnutrition [2] Undernourished individual Poor dietary intake of essential nutrients Heals poorly Gets more infections Need a certain % of body fat Energy needs Causes organ failure Cardio, Renal, GI
21 Recommended Multivitamin Additions for TPN [2] ascorbic acid (vitamin C) biotin cyanocobalamin (vitamin B 12 ) ergocalciferol (vitamin D 2 ) folic acid (vitamin B 9 ) niacin (vitamin B 3 ) pyridoxine (vitamin B 6 ) retinol (vitamin A) riboflavin (vitamin B 2 ) thiamine (vitamin B 1 ) tocopherol (vitamin E)
22 Vitamins for children [3] Children should get their vitamins from a balanced, healthy diet that includes: 1. milk and dairy products (cheese and yogurt) 2. fresh fruits and leafy, green vegetables 3. protein: chicken, fish, meat, and eggs 4. whole grains: oatmeal and brown rice
23 Top 6 vitamins and minerals for children [3] Vitamin A..for normal growth and development; tissue and bone repair; and healthy skin, eyes, and immune responses. Healthy sources = milk, cheese, eggs, and yellow/orange vegetables (carrots, yams, and squash). Vitamin B..B2, B3, B6, and B12 for better children s metabolism, energy production, and healthy circulatory and nervous systems. Healthy sources = meat, chicken, fish, nuts, eggs, milk, cheese, beans, and soybeans.
24 Top 6 vitamins and minerals for children [3] Vitamin C.. healthy muscles, connective tissue, and skin. Healthy sources = citrus fruit, strawberries, tomatoes, and green vegetables. Vitamin D.. bone and tooth formation and helps the body absorb calcium. Healthy sources = milk, cheese, yogurt.
25 Top 6 vitamins and minerals for children [3] Calcium..strong bones as a child grows. Healthy sources = milk, cheese, yogurt, tofu, and calcium fortified orange juice. Iron..builds muscle and is essential to healthy red blood cells. Iron deficiency is a risk in adolescence, especially for girls once they begin to menstruate. Healthy sources = beef and other red meats, turkey, pork, spinach, beans, and prunes.
26 Vitamins for children [3] 1. Unless a doctor advises differently, wait until around age Use chewable vitamins. 3. Check with a pharmacist for drug interactions with any current meds the child is taking. 4. Give after meals. 5. Keep vitamins out of reach of children.
27 Vitamins for children 1. Yummi Bears Vitamin C 2. Rhino Beanie Vites 3. L'il Critters Gummy Vites 4. Centrum Kids Complete Multivitamin / Multimineral 5. Flintstones Children's Multivitamin/Multimineral 6. Various generic equivalents by pharmacy*
28 Vitamins for adults prenatal vitamins mandatory during pregnancy Rx or OTC.difference is in folic acid content
29 Vitamins for adults once a day vitamins adults start when you are a young adult sports environment health issues
30 Vitamins for adults vitamins and minerals adults around the age of 35 and above when diet starts to become issue vitamins and minerals adult seniors eye sight memory etc.
31 Vitamins for adults vitamin c seasonal (multiple sources) cough & cold season tablets (swallow or chewable) juice sources daily needs
32 Vitamins used for..what?!?!?! Hair loss Energy Skin Weight control Acne Depression Memory Sleep
33 Hair vitamins Niacin (vitamin B 3) promotes blood circulation to your scalp. Panthenol (vitamin B 5) may stop hair loss. Biotin can also prevent hair from graying prematurely. Vitamins B 6 and B 12 have been shown to play a role in healthy hair growth. vitamins minerals.suite101
34 Vitamin B : The Energy Vitamin Thiamine (B1) Riboflavin (B2) Niacin (B3) Pyridoxine (B6) Folic acid (B9) Cyanocobalamin (B12) Pantothenic acid (D Calcium) The Vitamins & Nutrition Center
35 Vitamins For healthy skin Vitamin A Vitamin B Vitamin C Vitamin E Vitamins for Weight Control Riboflavin (B2) Niacin (B3) Pyridoxine (B6)
36 Vitamins for Acne Vitamin B complex Vitamin C Vitamin E Zinc, chromium, and Vitamin C
37 Vitamins for Depression Vitamin B complex Vitamins to Improve Memory Vitamin B complex Vitamin C Vitamin E
38 Conclusion prenatal vitamins mandatory during pregnancy once a day vitamins children & adults vitamins and minerals adults vitamins and minerals adult seniors vitamin c seasonal (multiple sources)
39 QUESTIONS
40 References 1. Wikipedia, the free encyclopedia 2. Pharmacology for Technicians, EMC Paradigm 3. WebMD 4. Suite 101.com 5. The Vitamins & Nutrition Center
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