Question | Answer |
GI disturbances are the most significant side effect of this drug | ferrous sulfate |
What teaching is appropriate for food with ferrous sulfate | With food initially, then between meals long term. |
How should the nurse respond to a pt who worries about dark green/ black stool color with iron | Normal effect |
Instructions to prevent staining with liquid iron | Dilute with water or juice, drink with straw, rinse mouth when done. |
Most common SE of IV dextran is | Anaphylaxis |
What should be kept on hand with IV dextran | Epi-pen and resucitation equipment |
IM iron should be given with what special sort of shot? | Z-track |
What is typically given prior to full dextran tx to ensure safety? | A small test dose |
Which lab needs to be normal before D/C iron supplementation | Hemoglobin |
The presence of Vit B12 helps to catalyze the conversion of what to it's active form? | Folic Acid |
In what forms can B12 be administered | PO, IN, IM, SubQ |
All patients with B12 deficienies benefit from Oral B12? T v F? | False |
Pts using IN routes should avoid what and how long before drug admin? | Hot foods, one hour |
A pt with severe neurological deficiency from B12 deficiency should be given what form of the drug? | parenteral |
Prenicious anemia tx continues for how long? | A lifetime |
Who should be on Folic Acid Tx? | Women considering pregnancy, pregnant women, alcoholics, chemo pts, child w/ poor nutrition, and pts with SI disease |
The antidote for folic acid | Vit B12 supplements |
Promote platelet proliferation | Interleukin-11 |
Promote RBC proliferation | Erythropoietin |
Promote WBC proliferation | GCSF |
All hematopoietic growth factors come in an oral formulation | False |
Who should receive Erythropoietin | Pts status post chemo, HIV pos pts with anemia from AZT, pt with anemia from chronic renal failure, severe anemia in a pt scheduled for elective surgery |
This is the most significant side effect of Erythropoietin | HTN |
How frequently should peopel on Erythropoietin have CBCs done | Twice weekly |
Hemoglobin levels above 12 in pts on Erythropoietin can increase the risk fo what? | Cardiovascular events and death |
This is used in cancer pts with neutropenia to decrease infection risk | Filgrastim (GCSF) |
Bone pain is a common side effect of which hematopoietic drug that is also used to counter neutropenia in cancer pts. | Filgrastim (GCSF) |
This drug works in 5-9 days and is more effective in pts with less myelosuppression | Oprelvekin (Interleukin-11) |
Major adverse effects such as Fluid retention, Cardiac dysrythmias, severe allergic rxns, and conjunctive infection are caused by which drug? | Oprelvekin (Interleukin-11) |
Oprelvekin (Interleukin-11) is administered by which route? | SubQ |
All hematopoietic drugs are made by recombinant DNA technology and are therefore VERY expensive. | True |