anemia drugs Flashcards
side effects of epoetin alfa
headache, pruritis, rash, hypertension, arthralgia, fever, n/v, injection site reactions.
(HA, HTN) (Rash, Pruritis) (Arthralgia, Fever), (n/v, injection site reactions)
indications for epoetin alfa
chemo-induced anemia, HIV induced anemia, end stage renal disease.
contraindications for epoetin alfa
cancer patients with hgb >10 g/dL
renal patients with hgb >11 g/dL
an increased thrombosis risk, clot risk.
uncontrolled HTN.
nursing considerations
most patients need supplemental iron (PO or IV)
- you need proper iron stores and bone marrow function.
- renal patients on dialysis should have a goal of hgb 11 g/dL
- CKD patients not on dialysis should have a goal of hgb 10 g/dL
don’t take iron with?
eggs, coffee, and tea.
take iron with?
vitamin c
iron side effects?
black tarry stools.
stained teeth.
stomach pain, n/v, constipation
pediatric death
pain upon injection
iron toxicity
treatment?
shock, coma, death
deferoxamine (de-death (x))
iron overload treatment:
deferiprone
use what to combat stained teeth?
straw with the oral liquid solutions.
which antibiotic will decrease iron and iron will decrease this antibiotic?
tetracycline
which antibiotic just reduces absorption?
fluroquinolones