ANEMIA MEDS (EXAM 2)

Question 1

IRON DEFICIENCY ANEMIA

Answer 1

SUPPLEMENTAL IRON
FOLIC ACID (VEGGIES, CEREALS, RICE, BREAD, LIVER, BEANS, AVOCADO, PEAS)

Question 2

PERNICIOUS ANEMIA

Answer 2

VB12 INJECTIONS OR INTRANASAL CYANOCOBALAMIN
MAINTAIN IRON, VC, FOLIC ACID
MONITOR FOR GASTRIC CANCER

Question 3

APLASTIC ANEMIA

Answer 3

REMOVE CAUSATIVE AGENT
ERYTHROPOIETIN: EPOETIN ALFA
HEMATOPOIETIC STEM CELL TRANSPLANT

Question 4

FOLIC ACID DEFICIENCY ANEMIA

Answer 4

FOLIC ACID ORAL REPLACEMENT (1MG/DAY OR 5MG/DAY) FOR MALABSORPTION SYNDROMES OR CHRONIC ALCOHOLISM.

ORGAN MEATS, VEG, FRUIT, GRAINS AND BEANS

Question 5

SIDE EFFECTS OF MEDS

Answer 5

FERROUS FUMARATE: PO (GI)
FERROUS GLUCONATE: PO (NAUSEA)
FERROUS SULFATE: PO (CONSTIPATION)
IRON DEXTRAN INJECTION: IV,IM (TOXIC: FEVER, URTICARIA)

EPOETIN ALFA: IV, SUBQ

VB12 (CYANOCOBALAMIN) MONTHLY INJECT
FOLIC ACID (LARGE DOSES MASKS VB12, URINE=YELLOW)

Question 6

IMPLICATIONS

Answer 6

CHECK HEMOGLOBIN 4-6 WEEKS
VC AND IRON: INCREASE ABSORPTION

STOOLS: GREEN TO BLACK
LIQUID: DILATE AND STRAW TO PREVENT STAINING

MONITOR INCREASE BP
HGB AND HCT TWICE A WEEK

MONITOR CARDIOVASCULAR EVENT IF HGB INCREASES (>1G/DL IN 2 WEEKS)

LACK INTRINSIC FACTOR- THERAPY FOR LIFE