Anemia and Hemopoietic Agents Self Study Flashcards
The most significant side effects of ferrous sulfate are:
GI disturbance
Nausea, vomiting, heartburn, constipation, diarrhea.
. During the initial therapy of the ferrous sulfate, the nurse teaches the patient to take the ferrous sulfate between meals or with food to decrease GI side effects?
With food
When Luellen Rogers returns to the clinic in 3 months, the nurse correctly instructs the patient to change the administration to ________ (between meals or with food) to increase the absorption of the medication.
between meals
Luellen calls the clinic because she is concerned that there is now blood in her stool. She reports the stool is dark green/black in color. How should the nurse respond to this patient concern?
(Ferrous Sulfate supplement)
Dark green/black stool is a harmless side effect of oral iron supplements and not indicative of bleeding.
Leuellen doesn’t like to swallow pills and would like to try the liquid iron preparations. What instruction should the nurse give the patient, particular to this formation?
(Ferrus sulfate supplement)
Dilute the liquid formulation gin juice or water, drink with a straw, and rinse mouth with water to prevent staining of the teeth.
The most serious adverse effect of giving iron dextran intravenously is _________.
anaphylaxis
IV administration of iron dextran requires what additional resources to be on hand?
Injectable epinephrine and resuscitation supplies
IM administration of iron dextran can cause pain, discoloration, and tumors at the site.
What administration technique should be used to administer Iron dextran IM?
Injected deep in the buttock using the Z-track technique
What is typically given prior to the full therapeutic dose regardless of IM or IV administration of iron dextran?
Test dose
The presence of Vitamin B12 helps to catalyze the conversion of ____ ___ to its active form.
folic acid
In what forms can vitamin B12 be administered?
Oral, IM, SQ, intranasal
NOT IV
All patients with vitamin B12 deficiency may benefit from oral vitamin B12.
(True or False)
False, patients with severe neurological symptoms should be treated with SQ or IM B12.
Patients taking the intranasal formulation should receive instruction to avoid ___ _____ for _ ____ before or after administering the drug.
Hot Foods, 1 hour
A patient with severe neurological deficiency from vitamin B12 deficiency should be given __ __ __ form of the drug.
IM or SQ
Patients with pernicious anemia (intrinsic factor deficiency) will have to continue treatment for how long?
Life long treatment
Which of the following individuals are typical for folic acid or folinic acid therapy? Select all that apply
- women thinking about becoming pregnant
- women who are pregnant
- alcoholics
- patients receiving cancer chemotherapy
- child with poor nutrition
- patient with disease of the small intestine
- women thinking about becoming pregnant
- women who are pregnant
- alcoholics
- child with poor nutrition
- patient with disease of the small intestine
A caregiver presents to the emergency room with an Alzheimer’s patient who has accidentally taken a whole bottle of folic acid. What treatment does the nurse expect?
Says massive dosages (15 mg) have been taken with no ill effects as long as it’s not long term.
Long-term high doses of folic acid can lead to colon and prostate cancer.
The production of what kind of blood cell is stimulated by erythropoietin?
Red blood cells
Erythropoietic growth factor.
The production of what kind of blood cell is stimulated by granulocyte colony-stimulating factor (GCSF)?
White blood cells
Leukopoietic growth factor.
The production of what kind of blood cell is stimulated by Oprelvekin (interleuken-11)?
Platelets
Thrombopoietic growth factor.
True or False: All hematopoietic growth factors come in a SQ formulation.
True
What are four indications for receiving erythropoietin?
Anemia of chronic renal failure
Chemotherapy-induced Anemia (nonmyeloid malignancies only and when the treatment goal is not curative)
HIV-infected Patients Taking Zidovudine (AZT)
Anemia in Patients Facing Surgery
The most significant side effect of epoetin alfa (Erythropoietin) is _____________.
hypertension
Patients receiving epoetin alfa (Erythropoietin) should have CBC measured twice weekly. When the hemoglobin rises above __gm/dL, there is an increased risk of serious cardiovascular events and death.
11gm/dL
