Anemia drugs Flashcards

1
Q

What is hematopoeisis?

A

It is the formation of new blood cells

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2
Q

What are the two reasons for anemia?

A

Defect of the red blood cell and excessive destruction of RBCs

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3
Q

What is the main drug example of erythropoiesis-stimulating agents?

A

Epoetin alfa

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4
Q

What is important to give with epoetin alfa?

A

Oral iron supplements because epoetin is ineffective without iron since iron helps with hemoglobin synthesis

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5
Q

What is the longer acting form of epoetin called?

A

Darbapoeitin

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6
Q

What are the contraindications of epoeitin alfa?

A

Uncontrolled hypertension,head and neck cancers

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7
Q

What are the main types of anemias

A

pernicious, iron deficiency and folic acid deficiency anemias

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8
Q

Where is iron stored in the body?

A

It is stored in the liver, spleen, and bone marrow

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9
Q

What are the dietary sources of iron?

A

Meat, vegetables, eggs and grain

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10
Q

What are three examples of oral iron?

A

Ferrous fumarate, ferrous gluconate, ferrous sulphate

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11
Q

What are parenteral drug examples of iron?

A

Iron dextran, iron sucrose, and ferric sulphate

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12
Q

What other vitamin is often given with iron supplementation?

A

They will be given ascorbic acid (Vit C) which helps with absorbing the iron

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13
Q

What foods impede iron absorption?

A

Milk, beans, eggs

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14
Q

What is a serious adverse effect of iron dextran?

A

Anaphylaxis

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15
Q

What are the main adverse effects of iron?

A

Pediatric poisoning death, black tarry stool, constipation, pain from injectable forms

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16
Q

What is a normal expected adverse effect of iron?

A

Black tarry stool

17
Q

What is the antidote for iorn intoxication?

A

Deferoxamine mesylate

18
Q

Which parenteral iron drugs are used most often and why

A

Ferrous gluconate and iron sucrose because they don’t have as high of a risk of anaphylaxis

19
Q

Why should a patient be in recumbent position after being given IV iron

A

IV iron causes hypotension so they should not be walking

20
Q

WHy should a patient be sitting up when taking oral IV

A

A patient should be sitting up to avoid esophageal corrosion

21
Q

What is folic acid and what is it used for?

A

It is a B-complex vitamin that is used for folic acid deficiency and to prevent neural tube defects in pregnancy

22
Q

What is cyanocobalamin and what is used to treat?

A

It is vitamin b12 used to treat pernicious and megoaloblastic anemias

23
Q

When should a person take milk and antacids if they are taking iron supplementation?

A

An hour before or after taking the iron supplement

24
Q

WHat lab values are assessed for an anemic patient?

A

Ferritin, TSAT, TIBC, CBC,