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