#Leucovorin

[terrycedricc]

Leucovorin Generic Cost - GenuineDrugs123

Keep in mind that Leucovorin prices are subject to change, and it's crucial to consult a healthcare professional or check with offline or online store such as GenuineDrugs123.com for the most current information on generic Leucovorin costs in 2024. Factors like insurance coverage may also impact the out-of-pocket expenses. The guaranteed lowest price of Leucovorin 15 mg at $14.9 per vials online.

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[afeelgoodblog]

The Best News of Last Week - June 13, 2023

1. U.S. judge blocks Florida ban on care for trans minors in narrow ruling, says ‘gender identity is real’

A federal judge temporarily blocked portions of a new Florida law that bans transgender minors from receiving puberty blockers, ruling Tuesday that the state has no rational basis for denying patients treatment.

Transgender medical treatment for minors is increasingly under attack in many states and has been subject to restrictions or outright bans. But it has been available in the United States for more than a decade and is endorsed by major medical associations.

2. Eagle Who Thought Rock Was an Egg Finally Gets to Be a Dad

A week after their introduction the cage where the little eaglet was put, was removed so the two could interact more closely. When they were given food, a whole fish for Murphy and bite-sized pieces for his young charge, rather than each eating their separate dish, Murphy took his portion and ripped it up to feed to the baby.

3. Little penguins to reclaim Tasmanian car park as city-based population thrives

Not far from the centre of Tasmania's fourth largest city, a colony of the world's smallest penguins has been thriving, and their habitat is about to expand into an existing car park.

The bright lights and loud noises of Burnie have not been a deterrent for hundreds of penguins who set up home on the foreshore in the north-west Tasmanian city.

4. Latest population survey yields good news for endangered vaquita porpoise

The resilient little vaquita marina appears determined to survive the illegal fishing that has brought it dangerously close to extinction, according to the latest population survey. Despite an estimated annual decline of 45% in 2018, the endangered porpoise appears to be holding steady over the last five years, according to a report published Wednesday by the International Union for Conservation of Nature.

5. 'Extinct' butterfly species reappears in UK

The species, previously described as extinct in Britain for nearly 100 years, has suddenly appeared in countryside on the edge of London. Small numbers of black-veined whites have been spotted flying in fields and hedgerows in south-east London. First listed as a British species during the reign of King Charles II, they officially became extinct in Britain in 1925.

This month they have mysteriously appeared among their favourite habitat: hawthorn and blackthorn trees on the edge of London, where I and other naturalists watched them flitting between hedgerows.

6. Colombian is a hero in Peru: he rescued 25 puppies that were about to die in a fire

During a structural fire that occurred in a residential area of ​​Lima in Peru, a young Colombian became a hero. The Colombian, identified as Sebastián Arias, climbed onto the roof where the puppies were and threw them towards the community, that was waiting for them with sheets and mattresses. "I love them, dogs fascinate me," said the young man.

7. World-first trial for pediatric brain cancer

Researchers in Australia are conducting a world-first clinical trial for children diagnosed with ependymoma, a rare and devastating brain cancer. The trial aims to test a new drug called Deflexifol, which combines chemotherapy drugs 5-FU and leucovorin, offering potentially less toxic and more effective treatment compared to current options.

Ependymoma is the third most common brain tumor in children, and current treatments often lead to relapses, with a high fatality rate for those affected. The trial, led by researcher David Ziegler at the Kids Cancer Centre, has received support from the Kids with Cancer Foundation and the Cancer Institute NSW. The goal is to find a cure for every child diagnosed with ependymoma.

----

That's it for this week :)

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[kcfights]

Chemo 101

We came, we learned, we went home with a 3-ring binder.

I'll be the first to admit that I love all things organizational, but it is intimidating to have a 3-ring binder just waiting for you when you walk in the room.

Fortunately, our NP Ashley knew exactly how to break the information down into digestible chunks.

First:

My chemo regimen has the secret-mission worthy nickname of FOLFOX.

FOL = Leucovorin; Folinic Acid

F = 5-FU or fluorouracil

OX = Oxaliplatin

The folinic acid is to help with the absorption of the chemotherapy drugs, 5-FU (you know you laughed) and Oxaliplatin.

Second:

Each FOLFOX treatment is repeated every 14 days, making one cycle.

My cycle will look like this:

Day 1: Wednesday

Report to Dublin Cancer Center for check in, blood work, chemotherapy via infusion.

Go home with a pump containing 5-FU attached to my port, to be returned on Day 3/Friday

Day 2: Thursday

Pump continues to administer 5-FU

Fun fact: the body metabolizes 5-FU almost as soon as it is introduced. During the infusion, folinic acid is given to help slow the body's metabolism of 5-FU to help it be more effective.

At least I think that is what Ashley told us; I will edit if I have that wrong. There was a lot in that binder!

Day 3: Friday

Go to Dublin Cancer Center to have pump removed.

Day 4 - 14

No treatment

Days 3-6 tend to have the most severe side effects

There is a whole list of those, and we will discuss them later.

Third:

We toured the treatment area. Considering how much time I am slated to be in my assigned bay, it was uplifting to see how pleasant the space is. We were advised to expect visits to last 4-4.5 hours, which seems like a long time, until you see how it gets broken down.

Having the port means I don't have to do IV's, so that is a huge bonus in my book. The area is kept cool, but there is an unlimited supply of warmed blankets, which might be the best selling point I've heard of anything ever.

JR is welcome to be with me, but even if he can't stay the whole time, (or if I kick him out to catch up on my shows) his office isn't very far away. I was encouraged to bring any kind of electronic I liked, as well as books/etc.

Do you think I can sneak my cricut in?

Maybe I'll save that for the second or third round.....

Fourth:

We walked out of our orientation on Friday feeling so much better about everything. There is no doubt that this is overwhelming, but we have such wonderful people guiding and helping us through, that it makes it less scary than it was.

Also, a consistent schedule means I can make a spreadsheet, and anyone who has ever met me knows that is a good thing. (Mom, expect your copy soon!)

Fifth:

For the current list of dates/chemo cycles, you can check here.

Thanks for checking in!

[medicineforcare]

Xeloda

Xeloda (Capecitabine) is an oral chemotherapy medication commonly used to treat various types of cancer, including breast cancer, colorectal cancer, and gastric cancer. It belongs to a class of drugs called antimetabolites and works by interfering with the growth of cancer cells.

How Xeloda Works:

As a prodrug, xeloda has no effect when given orally. Once within the body, it is transformed into the more powerful chemotherapy medication 5-fluorouracil (5-FU). 5-FU stops the production of DNA in cancer cells, stopping them from proliferating and multiplying.

Approved Uses:

Colorectal Cancer: Used as a first-line treatment for metastatic colorectal cancer or adjuvant therapy following surgery.

Breast Cancer: Used in combination with other drugs (e.g., docetaxel) for treating locally advanced or metastatic breast cancer, particularly when resistant to other chemotherapy agents.

Gastric Cancer: Approved for treating advanced gastric cancer, often combined with other chemotherapy drugs.

Dosing Information:

Usually based on the area of the body (BSA), the dosage changes according to the type of cancer being treated. Taking the drug twice daily for 14 days and then taking a 7-day break is the typical dose regimen; however, your oncologist may modify this based on your specific condition and tolerance. 

Common Side Effects:

Hand-foot syndrome: Redness, swelling, and pain in the hands and feet

Diarrhea

Nausea and vomiting

Fatigue

Mouth sores

Loss of appetite

Serious Side Effects:

Severe diarrhea (may lead to dehydration)

Heart problems (chest pain, shortness of breath)

Neutropenia (low white blood cell count)

Liver toxicity (elevated liver enzymes)

Drug Interactions:

Warfarin: May increase the risk of bleeding.

Phenytoin: Xeloda may increase the concentration of phenytoin in the blood, which could lead to toxicity.

Leucovorin: Enhances the effect of Xeloda but may also increase toxicity.

Precautions:

Kidney Impairment: Dosage adjustments are necessary for patients with renal dysfunction.

Dihydropyrimidine Dehydrogenase (DPD) Deficiency: Individuals with this genetic condition may have a higher risk of severe side effects.

[crimsonpublishers-medical]

Mecobalamin as A Neuroprotective Effector Against Oxaliplatin-Based Chemotherapy in Colon and Rectal Cancer Patients- Crimson Publishers

Mecobalamin as A Neuroprotective Effector Against Oxaliplatin-Based Chemotherapy in Colon and Rectal Cancer Patients- Crimson Publishers

Palliative chemotherapy prolongs survival and improves quality of life. However, a variety of chemotherapeutics including oxaliplatin can cause severe side effects during treatments, leading to painful symptoms that might result in the interruption of cancer treatment. Although adding oxaliplatin to fluorouracil and leucovorin in adjuvant chemotherapy for colon and rectal cancer may improve disease-free survival, it also increases grade 3-4 sensory neuropathy. Our study aimed to determine whether oral Mecobalamin is neuroprotective against oxaliplatin-induced neuropathy. Forty-six stage III colon and rectal cancer patients receiving adjuvant biweekly oxaliplatin were randomized to oral Mecobalamin (1,500mg; case group) or placebo (control group). Clinical neurological and electrophysiological evaluations were performed at baseline and after 4, 8, and 12 treatment cycles. Treatment-related toxicity was evaluated based on National Cancer Institute (NCI) criteria. After four cycles of chemotherapy, 9 of 23 patients in the control group and 8 of 23 patients in case group experienced grade 1 sensory neuropathy. After eight cycles, 13 patients experienced sensory neuropathy (grade 2-4 toxicity) in the control group; however, no patients in the case group experienced sensory neuropathy (P<0.05). After 12 cycles, grade 2–4 sensory neuropathy was observed in 20 patients in the control group, but only in 4 patients in the case group (P<0.05). We did not observe any significant electrophysiological changes in the case group after 4, 8, or 12 cycles of chemotherapy. Thus, we demonstrated that oral Mecobalamin reduces the incidence of neuropathy in colon and rectal cancer patients receiving oxaliplatin-based adjuvant chemotherapy.

For more open access journals in crimson publishers Please click on link: https://crimsonpublishers.com

For more articles on Research in Medical & Engineering Sciences Please click on link: https://crimsonpublishers.com/rmes/

[meghanester]

Leucovorin Calcium Market Size and Share, Growth by a Robust CAGR during 2023 – 2035

Research Nester published a report titled “Leucovorin Calcium Market: Global Demand Analysis & Opportunity Outlook 2035” which delivers detailed overview of the global leucovorin calcium market in terms of market segmentation by graft type, end-user, and by region.

Further, for the in-depth analysis, the report encompasses the industry growth indicators, restraints, supply and demand risk, along with detailed discussion on current and future market trends that are associated with the growth of the market.

The global leucovorin calcium market is estimated to grow at a robust CAGR over the forecast period, i.e., 2023 – 2035. The market is segmented on the basis of end-user into hospital, retail pharmacies, specialty clinics, and others. out of which, the hospital segment is anticipated to hold the notable share over the forecast period. This can be attributed to the increasing cancer patient pool at hospitals, backed by the higher acceptance of hospitals and growing prevalence of cancer.

The global leucovorin calcium market is anticipated to grow on the back of increasing prevalence of cancer, especially pancreatic and colon-rectum cancer, along with the rising cancer awareness across the globe. Moreover, the high cancer mortality rate in the world, is further estimated to drive the market growth. According to the data by the World Health Organization (WHO), over 10 million people died due to cancer, while colon and rectum cancer alone caused 916,000 deaths in 2020.

Get a Sample PDF Brochure: https://www.researchnester.com/sample-request-4020

On the basis of geographical analysis, the global leucovorin calcium market is segmented into five major regions including North America, Europe, Asia Pacific, Latin America and Middle East & Africa region. The market in the North America region is projected to gain notable growth over the forecast period, owing to the high prevalence of cancer in the region, along with the high healthcare expenditure in the developed countries. As per the data by the U.S. Centers for Medicare & Medicaid Services, the national healthcare expenditure grew by 9.7% to USD 4.1 trillion in 2020.

The research is global in nature and covers detailed analysis on the market in North America (U.S., Canada), Europe (U.K., Germany, France, Italy, Spain, Hungary, Belgium, Netherlands & Luxembourg, NORDIC [Finland, Sweden, Norway, Denmark], Poland, Turkey, Russia, Rest of Europe), Latin America (Brazil, Mexico, Argentina, Rest of Latin America), Asia-Pacific (China, India, Japan, South Korea, Indonesia, Singapore, Malaysia, Australia, New Zealand, Rest of Asia-Pacific), Middle East and Africa (Israel, GCC [Saudi Arabia, UAE, Bahrain, Kuwait, Qatar, Oman], North Africa, South Africa, Rest of Middle East and Africa). In addition, analysis comprising market size, Y-O-Y growth & opportunity analysis, market players’ competitive study, investment opportunities, demand for future outlook etc. has also been covered and displayed in the research report.

Request for customization @ https://www.researchnester.com/customized-reports-4020

Rising Awareness for Cancer Treatment to Boost the Market Growth

With the advancement in technology and growing research activities, there is a surge in the availability for proficient cancer treatment methods. Moreover, the awareness regarding the rare colon-rectum cancer is also rising amongst people. As a result, the demand for treatment is also bound to increase, which is estimated to boost the market growth.

However, high cost of cancer treatment is expected to operate as key restraint to the growth of global leucovorin calcium market over the forecast period.

This report also provides the existing competitive scenario of some of the key players of the global leucovorin calcium market which includes company profiling of PromoCell GmbH, Thermo Fisher Scientific Inc., Boehringer Ingelheim GmbH, Bayer AG, Abbott Laboratories, Merck & Co., Inc., Mylan N.V., Novartis International AG, and Pfizer Inc. The profiling enfolds key information of the companies which encompasses business overview, products and services, key financials and recent news and developments. On the whole, the report depicts detailed overview of the global leucovorin calcium market that will help industry consultants, equipment manufacturers, existing players searching for expansion opportunities, new players searching possibilities and other stakeholders to align their market centric strategies according to the ongoing and expected trends in the future.     

Obtain this Report @ https://www.researchnester.com/reports/leucovorin-calcium-market/4020

About Us

Research Nester is a leading service provider for strategic market research and consulting. We aim to provide unbiased, unparalleled market insights and industry analysis to help industries, conglomerates and executives to take wise decisions for their future marketing strategy, expansion and investment etc. We believe every business can expand to its new horizon, provided a right guidance at a right time is available through strategic minds. Our out of box thinking helps our clients to take wise decision in order to avoid future uncertainties.

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Email: info@researchnester.com

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[nursingscience]

Medical Knowledge Part 3

36. The nurse is caring for a client hospitalized with a facial stroke. Which diet selection would be suited to the client?

A. Roast beef sandwich, potato chips, pickle spear, iced tea

B. Split pea soup, mashed potatoes, pudding, milk✔️

C. Tomato soup, cheese toast, Jello, coffee

D. Hamburger, baked beans, fruit cup, iced tea

Explanation: The client with a facial stroke will have difficulty swallowing and chewing, and the foods in answer B provide the least amount of chewing. The foods in answers A, C, and D would require more chewing and, thus, are incorrect.

37. The physician has prescribed Novalog insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs?

A. “I will make sure I eat breakfast within 10 minutes of taking my insulin.”✔️

B. “I will need to carry candy or some form of sugar with me all the time.”

C. “I will eat a snack around three o’clock each afternoon.”

D. “I can save my dessert from supper for a bedtime snack.”

Explanation: Novalog insulin onsets very quickly, so food should be available within 10–15 minutes of taking the insulin. Answer B does not address a particular type of insulin, so it is incorrect. NPH insulin peaks in 8–12 hours, so a snack should be eaten at the expected peak time. It may not be 3 p.m. as stated in answer C. Answer D is incorrect because there is no need to save the dessert until bedtime.

38. The nurse is teaching basic infant care to a group of first-time parents. The nurse should explain that a sponge bath is recommended for the first two weeks of life because:

A. New parents need time to learn how to hold the baby.

B. The umbilical cord needs time to separate.✔️

C. Newborn skin is easily traumatized by washing.

D. The chance of chilling the baby outweighs the benefits of bathing.

Explanation: The umbilical cord needs time to dry and fall off before putting the infant in the tub. Although answers A, C, and D might be important, they are not the primary answer to the question.

39. A client with leukemia is receiving Trimetrexate. After reviewing the client’s chart, the physician orders Wellcovorin (leucovorin calcium). The rationale for administering leucovorin calcium to a client receiving Trimetrexate is to:

A. Treat iron-deficiency anemia caused by chemotherapeutic agents

B. Create a synergistic effect that shortens treatment time

C. Increase the number of circulating neutrophils

D. Reverse drug toxicity and prevent tissue damage✔️

Explanation: antagonists. Leucovorin is a folic acid derivative. Answers A, B, and C are incorrect because Leucovorin does not treat iron deficiency, increase neutrophils, or have a synergistic effect.

40. A four-month-old is brought to the well-baby clinic for immunization. In addition to the DPT and polio vaccines, the baby should receive:

A. Hib titer✔️

B. Mumps vaccine

C. Hepatitis B vaccine

D. MMR

Explanation: The Hemophilus influenza vaccine is given at four months with the polio vaccine. Answers B, C, and D are incorrect because these vaccines are given later in life.

41. The physician has prescribed Nexium (esomeprazole) for a client with erosive gastritis. The nurse should administer the medication:

A. ✔️30 minutes before a meal

B. With each meal

C. In a single dose at bedtime

D. 30 minutes after meals

Explanation: Proton pump inhibitors should be taken prior to the meal. Answers B, C, and D are incorrect times for giving proton pump inhibitors like Nexium.

42. A client on the psychiatric unit is in an uncontrolled rage and is threatening other clients and staff. What is the most appropriate action for the nurse to take?

A. Call security for assistance and prepare to sedate the client.✔️

B. Tell the client to calm down and ask him if he would like to play cards.

C. Tell the client that if he continues his behavior he will be punished.

D. Leave the client alone until he calms down.

Explanation: If the client is a threat to the staff and to other clients the nurse should call for help and prepare to administer a medication such as Haldol to sedate him. Answer B is incorrect because simply telling the client to calm down will not work. Answer C is incorrect because telling the client that if he continues he will be punished is a threat and may further anger him. Answer D is incorrect because if the

client is left alone, he might harm himself.

43. When the nurse checks the fundus of a client on the first postpartum day, she notes that the fundus is firm, is at the level of the umbilicus, and is displaced to the right. The next action the nurse should take is to:

A. Check the client for bladder distention.✔️

B. Assess the blood pressure for hypotension.

C. Determine whether an oxytocic drug was given.

D. Check for the expulsion of small clots.

Explanation: If the fundus of the client is displaced to the side, this might indicate a full bladder. The next action by the nurse should be to check for bladder distention and catheterize, if necessary. The answers in B, C, and D are actions that relate to postpartal hemorrhage

44. A client is admitted to the hospital with a temperature of 99.8°F, complaints of blood-tinged hemoptysis, fatigue, and night sweats. The client’s symptoms are consistent with a diagnosis of:

A. Pneumonia

B. Reaction to antiviral medication

C. Tuberculosis✔️

D. Superinfection due to low CD4 count

Explanation: A low-grade temperature, blood-tinged sputum, fatigue, and night sweats are symptoms consistent with tuberculosis. If the answer in A had said pneumocystis pneumonia, answer A would have been consistent with the symptoms given in the stem, but just saying pneumonia isn’t specific enough to diagnose the problem. Answers B and D are not directly related to the stem.

45. The client is seen in the clinic for treatment of migraine headaches. The drug Imitrex (sumatriptan succinate) is prescribed for the client. Which of the following in the client’s history should be reported to the doctor?

A. Diabetes

B. Prinzmetal’s angina✔️

C. Cancer

D. Cluster headaches

Explanation: If the client has a history of Prinzmetal’s angina, he should not be prescribed triptan preparations because they cause vasoconstriction and coronary spasms. There is no contraindication for taking triptan drugs in clients with diabetes, cancer, or cluster headaches, making answers A, C, and D incorrect.

46. The client with suspected meningitis is admitted to the unit. The doctor is performing an assessment to determine meningeal irritation and spinal nerve root inflammation. A positive Kernig’s sign is charted if the nurse notes:

A. Pain on flexion of the hip and knee✔️

B. Nuchal rigidity on flexion of the neck

C. Pain when the head is turned to the left side

D. Dizziness when changing positions

Explanation: Kernig’s sign is positive if pain occurs on flexion of the hip and knee. The Brudzinski reflex is positive if pain occurs on flexion of the head and neck onto the chest so answer B is incorrect. Answers C and D might be present but are not related to Kernig’s sign.

47. The client with Alzheimer’s disease is being assisted with activities of daily living when the nurse notes that the client uses her toothbrush to brush her hair. The nurse is aware that the client is exhibiting:

A. Agnosia

B. Apraxia✔️

C. Anomia

D. Aphasia

Explanation: Apraxia is the inability to use objects appropriately. Agnosia is loss of sensory comprehension, anomia is the inability to find words, and aphasia is the inability to speak or understand, so answers A, C, and D are incorrect.

48. The client with dementia is experiencing confusion late in the afternoon and before bedtime. The nurse is aware that the client is experiencing what is known as:

A. Chronic fatigue syndrome

B. Normal aging

C. Sundowning✔️

D. Delusions

Explanation: Increased confusion at night is known as “sundowning” syndrome. This increased confusion occurs when the sun begins to set and continues during the night. Answer A is incorrect because fatigue is not necessarily present. Increased confusion at night is not part of normal aging; therefore, answer B is incorrect. A delusion is a firm, fixed belief; therefore, answer D is incorrect.

49. The client with confusion says to the nurse, “I haven’t had anything to eat all day long. When are they going to bring breakfast?” The nurse saw the client in the day room eating breakfast with other clients 30 minutes before this conversation. Which response would be best for the nurse to make?

A. “You know you had breakfast 30 minutes ago.”

B. “I am so sorry that they didn’t get you breakfast. I’ll report it to the charge nurse.”

C. “I’ll get you some juice and toast. Would you like something else?”✔️

D. “You will have to wait a while; lunch will be here in a little while.”

Explanation: The client who is confused might forget that he ate earlier. Don’t argue with the client. Simply get him something to eat that will satisfy him until lunch. Answers A and D are incorrect because the nurse is dismissing the client. Answer B is validating the delusion.

50. The doctor has prescribed Exelon (rivastigmine) for the client with Alzheimer’s disease. Which side effect is most often associated with this drug?

A. Urinary incontinence

B. Headaches

C. Confusion

D. Nausea✔️

Explanation: Nausea and gastrointestinal upset are very common in clients taking acetylcholinesterase inhibitors such as Exelon. Other side effects include liver toxicity, dizziness, unsteadiness, and clumsiness. The client might already be experiencing urinary incontinence or headaches, but they are not necessarily associated; and the client with Alzheimer’s disease is already confused. Therefore, answers A, B, and C

are incorrect.

51. A client is admitted to the labor and delivery unit in active labor. During examination, the nurse notes a papular lesion on the perineum. Which initial action is most appropriate?

A. Document the finding.

B. Report the finding to the doctor.✔️

C. Prepare the client for a C-section.

D. Continue primary care as prescribed.

Explanation: Any lesion should be reported to the doctor. This can indicate a herpes lesion. Clients with open lesions related to herpes are delivered by Cesarean section because there is a possibility of transmission of the infection to the fetus with direct contact to lesions. It is not enough to document the finding, so answer A is incorrect. The physician must make the decision to perform a C-section, making answer C incorrect. It is not enough to continue primary care, so answer D is incorrect.

52. A client with a diagnosis of HPV is at risk for which of the following?

A. Hodgkin’s lymphoma

B. Cervical cancer ✔️

C. Multiple myeloma

D. Ovarian cancer

Explanation: The client with HPV is at higher risk for cervical and vaginal cancer related to this STI. She is not at higher risk for the other cancers mentioned in answers A, C, and D, so those are incorrect.

53. During the initial interview, the client reports that she has a lesion on the perineum. Further investigation reveals a small blister on the vulva that is painful to touch. The nurse is aware that the most likely source of the lesion is:

A. Syphilis

B. Herpes✔️

C. Gonorrhea

D. Condylomata

Explanation: A lesion that is painful is most likely a herpetic lesion. A chancre lesion associated with syphilis is not painful, so answer A is incorrect. Condylomata lesions are painless warts, so answer D is incorrect. In answer C, gonorrhea does not present as a lesion, but is exhibited by a yellow discharge.

54. A client visiting a family planning clinic is suspected of having an STI. The best diagnostic test for treponema pallidum is:

A. Venereal Disease Research Lab (VDRL)

B. Rapid plasma reagin (RPR)

C. Fluorescent treponemal antibody (FTA)✔️

D. Thayer-Martin culture (TMC)

Explanation: Fluorescent treponemal antibody (FTA) is the test for treponema pallidum. VDRL and RPR are screening tests done for syphilis, so answers A and B are incorrect. The Thayer-Martin culture is done for gonorrhea, so answer D is incorrect.

55. A 15-year-old primigravida is admitted with a tentative diagnosis of HELLP syndrome. Which laboratory finding is associated with HELLP syndrome?

A. Elevated blood glucose

B. Elevated platelet count

C. Elevated creatinine clearance

D. Elevated hepatic enzymes✔️

Explanation: The criteria for HELLP is hemolysis, elevated liver enzymes, and low platelet count. In answer A, an elevated blood glucose level is not associated with HELLP. Platelets are decreased, not elevated, in HELLP syndrome, as stated in answer B. The creatinine levels are elevated in renal disease and are not associated with HELLP syndrome, so answer C is incorrect.

56. The nurse is assessing the deep tendon reflexes of a client with preeclampsia. Which method is used to elicit the biceps reflex?

A. The nurse places her thumb on the muscle inset in the antecubital space and taps the thumb briskly with the reflex hammer.✔️

B. The nurse loosely suspends the client’s arm in an open hand while tapping the back of the client’s elbow.

C. The nurse instructs the client to dangle her legs as the nurse strikes the area below the patella with the blunt side of the reflex hammer.

D. The nurse instructs the client to place her arms loosely at her side as the nurse strikes the muscle insert just above the wrist.

Explanation: Answer B elicits the triceps reflex, so it is incorrect. Answer C elicits the patella reflex, making it incorrect. Answer D elicits the radial nerve, so it is incorrect.

57. A primigravida with diabetes is admitted to the labor and delivery unit at 34 weeks gestation. Which doctor’s order should the nurse question?

A. Magnesium sulfate 4gm (25%) IV

B. Brethine 10mcg IV✔️

C. Stadol 1mg IV push every 4 hours as needed prn for pain

D. Ancef 2gm IVPB every 6 hours

Explanation: Brethine is used cautiously because it raises the blood glucose levels. Answers A, C, and D are all medications that are commonly used in the diabetic client, so they are incorrect.

58. A diabetic multigravida is scheduled for an amniocentesis at 32 weeks gestation to determine the L/S ratio and phosphatidyl glycerol level. The L/S ratio is 1:1 and the presence of phosphatidylglycerol is noted. The nurse’s assessment of this data is:

A. The infant is at low risk for congenital anomalies.

B. The infant is at high risk for intrauterine growth retardation.

C. The infant is at high risk for respiratory distress syndrome.✔️

D. The infant is at high risk for birth trauma.

Explanation: When the L/S ratio reaches 2:1, the lungs are considered to be mature. The infant will most likely be small for gestational age and will not be at risk for birth trauma, so answer D is incorrect. The L/S ratio does not indicate congenital anomalies, as stated in answer A, and the infant is not at risk for intrauterine growth retardation, making answer B incorrect.

59. Which observation in the newborn of a diabetic mother would require immediate nursing intervention?

A. Crying

B. Wakefulness

C. Jitteriness✔️

D. Yawning

Explanation: Jitteriness is a sign of seizure in the neonate. Crying, wakefulness, and yawning are expected in the newborn, so answers A, B, and D are incorrect.

60. The nurse caring for a client receiving intravenous magnesium sulfate must closely observe for side effects associated with drug therapy. An expected side effect of magnesium sulfate is:

A. Decreased urinary output

B. Hypersomnolence✔️

C. Absence of knee jerk reflex

D. Decreased respiratory rate

Explanation: The client is expected to become sleepy, have hot flashes, and be lethargic. A decreasing urinary output, absence of the knee-jerk reflex, and decreased respirations indicate toxicity, so answers A, C, and D are incorrect.

[arrangoiz]

Induction Chemotherapy in Head and Neck Cancer Part 1

With the advent of taxanes in the 1990’s: A series of phase I / II trials used paclitaxel or docetaxel for induction chemotherapy (IC) for head and neck cancer came out While taxane and platinum doublets: Have not shown outstanding results (Singh et al., 2022): Adding docetaxel to cisplatin and 5-FU or cisplatin, 5-FU, and leucovorin: Produced response rates exceeding 80% (Monnerat et al.,…

[mambasoftwares]

What are the treatment options for pancreas cancer head?

The treatment options for pancreatic cancer in the head of the pancreas depend on various factors, including the stage of the cancer, overall health of the patient, and individual circumstances. The primary treatment modalities for pancreatic cancer head include:

1.Surgery: Surgical removal of the tumor is considered the most effective treatment for pancreatic cancer, particularly if the cancer is localized and has not spread to other organs. The surgical procedures used for pancreatic cancer in the head include the Whipple procedure (pancreaticoduodenectomy) and distal pancreatectomy. The Whipple procedure involves removing the head of the pancreas, a portion of the small intestine, the gallbladder, and the bile duct.

2.Radiation Therapy: Radiation therapy uses high-energy X-rays or other forms of radiation to kill cancer cells or inhibit their growth. It is often used in combination with surgery or chemotherapy. External beam radiation therapy is the most common type used for pancreatic cancer. It may be administered before surgery (neoadjuvant), after surgery (adjuvant), or as palliative treatment to relieve symptoms.

3.Chemotherapy: Chemotherapy involves the use of drugs to kill cancer cells or slow down their growth. It can be administered orally or intravenously and may be used before or after surgery, or in cases where surgery is not possible. The combination of gemcitabine and nab-paclitaxel (Abraxane) or FOLFIRINOX (a combination of leucovorin, fluorouracil, irinotecan, and oxaliplatin) is commonly used for advanced pancreatic cancer.

4.Targeted Therapy: Targeted therapies are drugs that specifically target certain molecules or pathways involved in cancer cell growth and survival. They work differently from chemotherapy drugs and may be used in combination with chemotherapy. Examples of targeted therapies used for pancreatic cancer include erlotinib (Tarceva) and trastuzumab (Herceptin).

5.Immunotherapy: Immunotherapy helps to stimulate the immune system to recognize and attack cancer cells. It is a rapidly evolving field, and while it has shown promise in treating other types of cancer, its use in pancreatic cancer is still being investigated through clinical trials.

It is important to note that the treatment approach may vary based on individual cases, and the above options are general treatment modalities. The choice of treatment should be discussed with a multidisciplinary team of healthcare professionals, including oncologists, surgeons, and radiation oncologists, who can provide personalized recommendations based on the specific situation.

[terrycedricc]

Leucovorin Enhances the Anti-cancer Effect of Bortezomib in Colorectal Cancer Cells

Colorectal cancer (CRC) is the third most common malignant tumor and the fourth most common cause of cancer deaths worldwide1. CRC is treated through surgery combined with radiation and/or chemotherapy, depending on the tumor site and disease stage2, 3. The standard cytotoxic chemotherapy regimens for CRC patients are FOLFOX containing leucovorin calcium (also known as folinic acid, FOL), 5-fluorouracil (5-FU), and oxaliplatin and FOLFIRI containing FOL, 5-FU, and irinotecan hydrochloride, FOLFIRI)4,5,6. Despite an initial clinical response rate of 40–50% is achieved, a large portion of CRC tumors eventually develop resistance to 5-FU7, 8. Therefore, there is an unmet clinical need for novel therapeutic agents or new combination treatments to achieve CRC remission.

[triistinscott]

How Leucovorin Injection works, side effects, interactions and precautions.

Leucovorin injection is used to prevent harmful effects of methotrexate (Rheumatrex, Trexall; cancer chemotherapy medication) when methotrexate is used to to treat certain types of cancer. Leucovorin injection is used to treat people who have accidentally received an overdose of methotrexate or similar medications. Leucovorin injection is also used to treat anemia (low level of red blood cells) caused by low levels of folic acid in the body. Leucovorin injection is also used with 5-fluorouracil (a chemotherapy medication) to treat colorectal cancer (cancer that begins in the large intestine). Leucovorin injection is in a class of medications called folic acid analogs. It treats people who are receiving methotrexate by protecting healthy cells from the effects of methotrexate. It treats anemia by supplying folic acid that is needed for red blood cell formation. It treats colorectal cancer by increasing the effects of 5-fluorouracil.

[soliloquyepistolary]

In the dream, I was at TAFE and it was break time so we went to the tuckshop that wasn’t the tuckshop in real life. I was waiting in line debating on whether I should buy my usual two potato cakes or get a coffee. There were also other options that were tickling my fancy. Someone gave me a coffee card that was a laminated half circle and it had one hole punch in it. One of those cards where you buy a certain amount and get the xth one free. When it was my turn at the counter, I presented it. 

I was at work but it wasn’t work. An young male Asian customer came and asked to pick up Leucovorin which is a fridge item. I am rummaging through the fridge but I can’t find it, it is a deep fridge and I am right up in there. Somehow this fridge is completely see-through and the customer can see me struggling the whole time. I try to get more information, apparently it was a script written by his doctor girlfriend for him and the name on the box would be ‘[doctor’s name]’s boyfriend’. I went to search in the other fridge which was hidden from view and found that the item had been there all along. It had a repeat form wrapped around it with elastic band. While I was looking through the other fridge, I had completely forgotten about the existence of this one, it didn’t even occur to me at all but when I was in front of it, I realised I had always known about it.

Chloe was giving me feedback on my planning & preparation assignment, she wasn’t happy with the work I’d done. She was stern. She was critiquing my to-scale map of plant positionings, saying how it wasn’t to scale and that I needed to actually measure it all out properly. I felt ashamed about the half-assed job I had done.

It was like TAFE and work was taking place in the same building or room...

KS texted me many paragraphs and she was mad, defending herself from what I’d said, giving examples about how she was not in the wrong. I felt guilty and burdened.

I fell together with AJ again. We found each other, walked up to each other and interacted like how we usually do. I was so glad he was there and I think he was too, about me. My heart felt so open and free.

[medicineforcare]

Xeloda

Xeloda (Capecitabine) is an oral chemotherapy medication commonly used to treat various types of cancer, including breast cancer, colorectal cancer, and gastric cancer. It belongs to a class of drugs called antimetabolites and works by interfering with the growth of cancer cells.

How Xeloda Works:

As a prodrug, xeloda has no effect when given orally. Once within the body, it is transformed into the more powerful chemotherapy medication 5-fluorouracil (5-FU). 5-FU stops the production of DNA in cancer cells, stopping them from proliferating and multiplying.

Approved Uses:

Colorectal Cancer: Used as a first-line treatment for metastatic colorectal cancer or adjuvant therapy following surgery.

Breast Cancer: Used in combination with other drugs (e.g., docetaxel) for treating locally advanced or metastatic breast cancer, particularly when resistant to other chemotherapy agents.

Gastric Cancer: Approved for treating advanced gastric cancer, often combined with other chemotherapy drugs.

Dosing Information:

Usually based on the area of the body (BSA), the dosage changes according to the type of cancer being treated. Taking the drug twice daily for 14 days and then taking a 7-day break is the typical dose regimen; however, your oncologist may modify this based on your specific condition and tolerance. 

Common Side Effects:

Hand-foot syndrome: Redness, swelling, and pain in the hands and feet

Diarrhea

Nausea and vomiting

Fatigue

Mouth sores

Loss of appetite

Serious Side Effects:

Severe diarrhea (may lead to dehydration)

Heart problems (chest pain, shortness of breath)

Neutropenia (low white blood cell count)

Liver toxicity (elevated liver enzymes)

Drug Interactions:

Warfarin: May increase the risk of bleeding.

Phenytoin: Xeloda may increase the concentration of phenytoin in the blood, which could lead to toxicity.

Leucovorin: Enhances the effect of Xeloda but may also increase toxicity.

Precautions:

Kidney Impairment: Dosage adjustments are necessary for patients with renal dysfunction.

Dihydropyrimidine Dehydrogenase (DPD) Deficiency: Individuals with this genetic condition may have a higher risk of severe side effects.

[sagliklicomtr]

Bu makalemizde sizlere folik asit nedir, folik asit faydaları, eksikliği ve nelerde bulunur gibi soruların cevabını yanıtlayacağız. Folik asit, B9 vitamininin bir formudur. Bu vitaminin, hücrelerin bölünmesi ve gelişmesi için gereklidir. Ayrıca, hamilelik sırasında bebeklerin sinir sistemi ve beyin gelişiminde önemli rol oynar. Folik asit, yiyeceklerde doğal olarak bulunur ve ayrıca vitamin olarak satılır. Özellikle, yeşil yapraklı sebzeler, taze meyve, tahıl ürünleri, baklagiller ve tuzak balıklar folik asit içerir. Ayrıca, FDA tarafından hamile kadınlar için tavsiye edilen 400 mikrogram folik asit takviyesi vardır. Eksikliği, anemi, yorgunluk, halsizlik ve bazı nörolojik sorunlar gibi belirtilerle kendini gösterebilir. Folik Asit Nedir Folik asit, B vitaminleri grubundan biridir ve genellikle B9 olarak adlandırılır. Bu vitamin, hücrelerin bölünmesi ve gelişmesi için gereklidir. Ayrıca, hamilelik sırasında bebeklerin sinir sistemi ve beyin gelişiminde önemli rol oynar. Folik asit faydaları oldukça geniştir. Bebeklerin sağlıklı bir sinir sistemi geliştirmeleri için folik asit eksikliği önemli bir sorun olarak kabul edilir. Folik asit, yiyeceklerde doğal olarak bulunur ve ayrıca vitamin olarak satılır. Özellikle, yeşil yapraklı sebzeler, taze meyve, tahıl ürünleri, baklagiller ve tuzak balıklar folik asit içerir. Örneğin, ıspanak, lahana, brokoli, avokado, portakal, muz ve tuzak ton balığı gibi yiyecekler iyi miktarda folik asit içerir. Ayrıca, FDA tarafından hamile kadınlar için tavsiye edilen 400 mikrogram folik asit takviyesi vardır. Folik asit eksikliği, anemi, yorgunluk, halsizlik ve bazı nörolojik sorunlar gibi belirtilerle kendini gösterebilir. Ancak, eksikliğin belirtileri çok yavaş ortaya çıkar ve çoğu zaman fark edilmez. Bu nedenle, hamile kadınlar özellikle folik asit takviyesi almalıdır. Hamilelik öncesinde alınan folik asit, bebeklerde oluşabilecek sinir sistemi anormalliklerini önleyebilir. Folik asit, vücudun normal hücre bölünmesi için gereklidir ve ayrıca, DNA ve RNA sentezi için de önemlidir. Bu nedenle, folik asit eksikliği hücrelerin normal bölünmesini etkileyebilir ve bu da kanser gibi ciddi sağlık sorunlarına yol açabilir. Folik asit eksikliği ayrıca, beyin ve sinir sistemi için de önemlidir. Bu nedenle, yeterli miktarda folik asit almak sağlıklı bir bebek ve sağlıklı bir hayat için önemlidir. Diğer başlıklarımızda sizler için Folik Asit Faydaları hakkında detaylı bilgiler sunacağız. Folik Asit İlacı Folik asit ilaçları, B9 vitamininin sentetik formudur. Bu ilaçlar, yiyeceklerle alınamayan ya da yetersiz miktarda alınan folik asit ihtiyacını karşılamak için kullanılabilir. Aşağıda, folik asit ilaçlarının bazıları hakkında bilgi verilmektedir: Folic Acid: Sentetik olarak elde edilen folik asit ilaçların en yaygınıdır. Hamile kadınlar için tavsiye edilen doz 400 mikrogramdır. Metafolin: Bu, folik asitin doğal formudur ve vücut tarafından daha iyi emilir. [caption id="attachment_880" align="aligncenter" width="715"] Folik Asit İlacı[/caption] Leucovorin: Bu, folik asitin sentetik bir formudur ve genellikle kanser tedavisinde kullanılır. Folacin: Bu, folik asitin sentetik bir formudur ve genellikle anemi tedavisinde kullanılır. Folvite: Bu, folik asitin sentetik bir formudur ve genellikle anemi tedavisinde kullanılır. Folik asit ilaçları, genellikle günlük olarak alınması gereken dozlarda sunulur ve genellikle haftada birkaç kez alınması gerekir. Ayrıca, folik asit ilaçlarının alımı hamileliğin ilk trimesterinde özellikle önemlidir. Bu nedenle, hamile kadınlar folik asit ilaçlarını almaya başlamadan önce doktorlarıyla konuşmalıdır. Folik Asit Eksikliği Belirtileri Folik asit eksikliği, vücudun yeterli miktarda folik asit alamaması sonucu oluşan bir durumdur. Aşağıda, folik asit eksikliğinin nedenleri, belirtileri ve sonuçları hakkında bilgi verilmektedir: Nedenler: Diyet: Folik asit, yiyeceklerle alınır ve eksikliği oluşması için yeterli miktarda alınmaması gerekir.

Özellikle, taze sebzeler ve meyveler, tahıllar, baklagiller ve süt ürünleri gibi yiyecekler folik asit içerir. İltihaplı bağırsak hastalıkları: İltihaplı bağırsak hastalıkları, malabsorbsiyon sonucu olarak folik asit emilimini azaltabilir. Alkolizm: Alkol, folik asit emilimini azaltabilir ve folik asit eksikliğine yol açabilir. İlaçlar: Bazı ilaçlar, folik asit emilimini azaltabilir veya vücut tarafından atılmasına yol açabilir. Örneğin, metotreksat, sülfasalazin, trimetoprim gibi ilaçlar folik asit eksikliğine yol açabilir. Belirtiler: Anemi: Folik asit eksikliği, anemiye yol açabilir. Anemi belirtileri arasında solukluk, yorgunluk, halsizlik, halsizlik, uyuşukluk gibi belirtiler bulunur. Bağırsak problemleri: Diyare, kabızlık, mide ağrısı, gaz gibi bağırsak problemleri folik asit eksikliği belirtileri arasında yer alabilir. [caption id="attachment_881" align="aligncenter" width="687"] Folik Asit Eksikliği[/caption] Deri problemleri: Ciltte kuruma, dökülme, lekeler gibi problemler folik asit eksikliği belirtileri arasında yer alabilir. Sinir sistemi problemleri: Sinir sistemi problemleri, folik asit eksikliği belirtileri arasında yer alabilir. Örneğin, uyku problemleri, depresyon, çabuk sinirlenme gibi belirtiler bulunur. Sonuçlar: Hamilelikte riski: Folik asit eksikliği, hamilelikte anomali riski oluşmasına yol açabilir. Özellikle, beyin ve omurilik anomali riski artar. Beyin ve sinir sistemi hasarları: Folik asit eksikliği, beyin ve sinir sistemi hasarlarına yol açabilir. Özellikle, çocukluk döneminde meydana gelen folik asit eksikliği, öğrenme ve dikkat problemlerine yol açabilir. Kanser: Folik asit eksikliği, bazı kanser türlerine yol açabilir. Örneğin, kolon kanseri, mide kanseri, leukemi gibi kanser türleri ile ilişkili olabilir. Kardiyovasküler sağlık: Folik asit eksikliği, kardiyovasküler sağlık sorunlarına yol açabilir. Özellikle, düşük folik asit düzeyleri, homosistein düzeylerini yükseltebilir ve bu da kalp hastalıkları riskini artırabilir. Folik asit eksikliğinin önlenmesi ve tedavisi için öncelikle, folik asit içeren yiyecekleri tüketmek önemlidir. Hamile kadınlar için özellikle folik asit takviyesi önerilir. Ayrıca, folik asit eksikliği olan kişiler için doktor tarafından reçete edilen folik asit ilaçları kullanılabilir. Gelin şimdi hep beraber Folik Asit Faydaları adlı başlığımızda göz atalım. Platformumuzda sizler için daha önce hazırladığımız B7 Vitamini Faydaları Nelerdir? yazımıza da göz atmak isteyebilirsiniz. Folik Asit Faydaları Folik asit faydaları hakkında detaylı bilgileri sizlere bu başlığımızda sunacağız. Folik Asit Faydaları maddeler halinde aşağıdaki sizler için sıraladık: Hamilelik sırasında bebeklerin sağlıklı gelişimi: Folik asit, hamilelik sırasında bebeklerin sağlıklı gelişimi için önemlidir. Özellikle, folik asit, bebeklerin spinal kordunun ve beyinlerinin doğru şekilde gelişmesini sağlar. Hamile kadınlar için folik asit takviyesi önerilir. Kanser önlemesi: Folik asit, bazı kanser türlerinin oluşmasını önleyebilir. Örneğin, kolon kanseri, mide kanseri ve leukemi gibi kanser türleri ile ilişkili olabilir. Ayrıca, folik asit, vücudun hücrelerinin DNA'sını onarır ve böylece kanser hücrelerinin oluşmasını önler. Kardiyovasküler sağlık: Folik asit, kardiyovasküler sağlık için faydalıdır. Özellikle, folik asit, düşük homosistein düzeylerini sağlar ve bu da kalp hastalıkları riskini azaltır. Sinir sistemi sağlığı: Folik asit, sinir sistemi sağlığı için önemlidir. Folik asit eksikliği, öğrenme ve dikkat problemlerine yol açabilir. Ayrıca, folik asit, depresyon, anksiyete ve Alzheimer gibi sinir sistemi hastalıklarının riskini azaltır. [caption id="attachment_879" align="aligncenter" width="721"] Folik Asit Faydaları[/caption] Bağışıklık sistemi sağlığı: Folik asit, bağışıklık sistemi sağlığı için önemlidir. Folik asit, vücudun savunma mekanizmalarını güçlendirir ve böylece enfeksiyonlarla ve hastalıklarla mücadele etmeye yardımcı olur.

Cilt sağlığı: Folik asit, cilt sağlığı için faydalıdır. Folik asit, cildin yenilenmesini ve onarılmasını sağlar ve böylece cildin daha sağlıklı ve parlak görünmesini sağlar. Enerji düzeyi: Folik asit, enerji düzeyini arttırır. Folik asit, vücudun enerji üretimini arttırır ve böylece kişinin daha az yorgun ve yorgun hissetmesini sağlayabilir. Anemiye karşı koruma: Folik asit, anemiye karşı koruma sağlar. Anemi, kandaki demir seviyesinin düşük olmasına bağlı olarak oluşan bir durumdur ve folik asit, kandaki demir seviyesini arttırarak anemiye neden olan etkenleri azaltır. Kemik sağlığı: Folik asit, kemik sağlığı için faydalıdır. Folik asit, kemik yoğunluğunu arttırarak kemiklerin güçlenmesini sağlar ve böylece kemiklerin daha dayanıklı hale gelmesini sağlar. Anti-enflamatuar etkisi: Folik asit, anti-enflamatuar etkiye sahiptir. Folik asit, vücudun enflamasyonunu azaltır ve böylece vücutta oluşabilecek ağrıları ve şişlikleri azaltır. Bu faydaların yanı sıra, folik asit, vücutta diğer birçok faydaya da sahiptir. Daha detaylı Folik Asit Faydaları hakkında bilgi almak için kapsamlı araştırma yapılması gerekir. Sizlere bu başlıkta Folik Asit Faydaları hakkında genel bilgileri sunduk. Ancak, unutulmamalıdır ki folik asit alımının yeterli olması için doğal yollarla alınması veya uygun dozda takviyeler yapılması önemlidir. Ayrıca, folik asit eksikliği olan kişilerde doktorlar tarafından reçete edilen ilaçlar kullanılması gerekir. Folik Asit Nelerde Var Folik asit, vitamin B9 olarak adlandırılan bir B vitaminidir ve vücudun sağlıklı bir şekilde çalışması için gereklidir. Folik asit, çeşitli yiyeceklerde bulunur ve vücudun ihtiyacı olan miktarı almak için bu yiyecekleri tüketmek önemlidir. Yeşil yapraklı sebzeler: Yeşil yapraklı sebzeler, folik asit içeriği yüksek olan yiyecekler arasındadır. Örneğin, brokoli, lahana, spinat gibi sebzeler folik asit içerir. Meyve: Bazı meyvelerde de folik asit bulunur. Örneğin, avokado, portakal, muz gibi meyveler folik asit içerir. Baklagiller: Baklagiller, folik asit içeriği yüksek olan yiyecekler arasındadır. Örneğin, nohut, fasulye, mercimek gibi baklagiller folik asit içerir. [caption id="attachment_882" align="aligncenter" width="721"] Folik Asit Nelerde Var[/caption] Et ve organik yiyecekler: Et ve organik yiyeceklerde de folik asit bulunur. Örneğin, tavuk, sığır eti, ciğer gibi et yiyecekleri ve yumurta gibi organik yiyecekler folik asit içerir. Tahıllar: Tahıllar da folik asit içeriği yüksek olan yiyecekler arasındadır. Örneğin, tam buğday unu, quinoa gibi tahıllar folik asit içerir. Süt ve süt ürünleri: Süt ve süt ürünleri de folik asit içeriği yüksek olan yiyecekler arasındadır. Örneğin, süt, yoğurt, peynir gibi süt ürünleri folik asit içerir. 7.Takviye edilmiş yiyecekler: Birçok takviye edilmiş yiyecekler de folik asit içerir. Örneğin, takviye edilmiş ekmekler, takviye edilmiş mısır gevreği, takviye edilmiş kahvaltı gevreği gibi yiyecekler folik asit içerir. Bu yiyecekler arasında folik asit içeriği yüksek olanlar arasında sadece sebzeler, meyveler, baklagiller, et ve organik yiyecekler, tahıllar, süt ve süt ürünleri ve takviye edilmiş yiyecekler yer almaktadır. Ancak, unutulmamalıdır ki, folik asit ihtiyacını karşılamak için sadece yiyeceklerle beslenmek yeterli olmayabilir. Özellikle hamilelik döneminde veya folik asit eksikliği olan kişiler için doktorlar tarafından reçete edilen folik asit ilaçları kullanmak gerekebilir. Bu ilaçlar genellikle tablet veya kapsül şeklinde sunulur ve günlük ihtiyacın karşılanması için kullanılabilir.