A fibrinolyitic enzyme inhibitor that slows the dissolution of preexisting blood clots keeping them around longer - ITP

Suppress the immune system to stop auto immune function; generally short-term d/t long term effects - ITP

Last resort if treatment options aren't working. Will prevent hemolysis and bleeding/ will raise platelets to ~30,000 - ITP, SCA

Used for autoimmune conditions but is costly

Thrombopoietin Receptor Agonists

Romiplostim and Eltromopag; will stimulate the production of platelets by the kidney in ITP

Important blood products in the clotting cascade for the treatments of Hemophilia A & B - VII before VIII; A before B

If clients gain a resistance to either Factor VIII or IX, Factor VII acts as a bypass straight to the main clotting factor.

Desmopressin - synthetic ADH stimulates RAAS for fluid management and activation of factor VIII - DIC

A blood product that primarily contains clotting factors (fibrinogen, Von Willebrand Factor, Factor VIII) - DIC

Epoetin Alfa - synthetic formulation to stimulate the production of RBCs by stimulating the bone marrow - aplastic anemia.

Bone Marrow Transplant

If bone marrow is not producing enough cells (WBC, RBCs, Platelets), then a transplant might be indicated - Aplastic Anemia.

Given for folic acid deficiencies and sickle cell anemia patients since folic acid is an essential nutrient for RBC synthesis.

Used to provide 'bowel rest' along with NPO status, as a distended bowel will lead to secretion of pancreatic enzymes.

Sometimes indicated in pancreatitis patients to bypass the stomach altogether while still providing adequate nutrition.

PCA for pain management; morphine and demerol may not be indicated in acute pancreatitis.

PPI, H2 Blockers and Antacids

-prazoles, -Tidines, and antacids will reduce stomach acid production and irritation by pancreatic enzymes.

Diuretic (potassium sparing) major sodium excretion and works slowly; used to treat ascites in cirrhosis

Second-line treatment in ascites - can lead to severe hyponatramia which causes neurological damage.

Drain up to 5-6 L of body fluid, side-lying. Monitor hemodynamics - can cause systemic issues - electrolytes; Vitals before during and after

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MS3 Exam 2 Treatment

Question	Answer
Aminocaproic Acid	A fibrinolyitic enzyme inhibitor that slows the dissolution of preexisting blood clots keeping them around longer - ITP
Corticosteriods	Suppress the immune system to stop auto immune function; generally short-term d/t long term effects - ITP
Splenectomy	Last resort if treatment options aren't working. Will prevent hemolysis and bleeding/ will raise platelets to ~30,000 - ITP, SCA
IVIG	Used for autoimmune conditions but is costly
Thrombopoietin Receptor Agonists	Romiplostim and Eltromopag; will stimulate the production of platelets by the kidney in ITP
Factor VIII, IX	Important blood products in the clotting cascade for the treatments of Hemophilia A & B - VII before VIII; A before B
Factor VII	If clients gain a resistance to either Factor VIII or IX, Factor VII acts as a bypass straight to the main clotting factor.
Vasopressors	Desmopressin - synthetic ADH stimulates RAAS for fluid management and activation of factor VIII - DIC
Cryoprecipitate	A blood product that primarily contains clotting factors (fibrinogen, Von Willebrand Factor, Factor VIII) - DIC
Erythropoetin	Epoetin Alfa - synthetic formulation to stimulate the production of RBCs by stimulating the bone marrow - aplastic anemia.
Bone Marrow Transplant	If bone marrow is not producing enough cells (WBC, RBCs, Platelets), then a transplant might be indicated - Aplastic Anemia.
Folic Acid	Given for folic acid deficiencies and sickle cell anemia patients since folic acid is an essential nutrient for RBC synthesis.
NG Suction	Used to provide 'bowel rest' along with NPO status, as a distended bowel will lead to secretion of pancreatic enzymes.
Jejuneostomy	Sometimes indicated in pancreatitis patients to bypass the stomach altogether while still providing adequate nutrition.
Dilaudid	PCA for pain management; morphine and demerol may not be indicated in acute pancreatitis.
PPI, H2 Blockers and Antacids	-prazoles, -Tidines, and antacids will reduce stomach acid production and irritation by pancreatic enzymes.
Aldactone	Diuretic (potassium sparing) major sodium excretion and works slowly; used to treat ascites in cirrhosis
Lasix	Second-line treatment in ascites - can lead to severe hyponatramia which causes neurological damage.
Paracentesis	Drain up to 5-6 L of body fluid, side-lying. Monitor hemodynamics - can cause systemic issues - electrolytes; Vitals before during and after

Created by: Wasurenboh

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