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Anemia
| 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 |
Created by:
Blitzkid22
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