Chapter 54: Anemia

Question 1

oxygen carrier in hemoglobin and myoglobin

Answer 1

iron

Question 2

three places where iron is stored

Answer 2

liver, spleen, bone marrow

Question 3

injectable forms cause pain upon injection

Answer 3

iron

Question 4

most frequently used oral iron

Answer 4

ferrous sulfate

Question 5

each tablet contains 65 mg of elemental iron

Answer 5

ferrous sulfate

Question 6

biosynthetic form of the natural hormone erythropoietin

Answer 6

epoetin alfa

Question 7

most patients receiving this drug also receive an oral or IV iron preparation

Answer 7

epoetin alfa

Question 8

malabsorption syndromes are the most common causes of deficiency

Answer 8

folic acid

Question 9

medication is ineffective without adequate body iron stores and bone marrow function

Answer 9

epoetin alfa

Question 10

dietary iron must be converted by ______________ before it can be absorbed

Answer 10

gastric juices

Question 11

liquid oral preparations may stain teeth

Answer 11

iron

Question 12

contains largest amount of iron per gram of salt consumed

Answer 12

ferrous fumarate

Question 13

should not be used until actual cause of anemia is determined

Answer 13

folic acid

Question 14

administration alleviates symptoms of iron-deficiency anemia (underlying cause of anemia should be corrected)

Answer 14

iron

Question 15

four examples of foods that enhance iron absorption

Answer 15

orange juice
veal
fish
ascorbic acid

Question 16

33% elemental iron

Answer 16

ferrous fumarate

Question 17

water-soluble, B-complex vitamin essential for erythropoiesis

Answer 17

folic acid

Question 18

oral iron preparations are available as ____________

Answer 18

ferrous salts

Question 19

three examples of dietary sources of irons

Answer 19

meats, certain vegetables, grains

Question 20

most common cause of pediatric poisoning deaths

Answer 20

iron

Question 21

used for treatment of anemia associated with end-stage renal disease and chemotherapy-induced anemia

Answer 21

epoetin alfa

Question 22

causes black, tarry stools

Answer 22

iron

Question 23

primary uses are for deficiency and during pregnancy to prevent neural tube defects

Answer 23

folic acid

Question 24

used for prevention and treatment of iron-deficiency syndromes

Answer 24

iron

Question 25

300 mg tablets and 324 mg tablets are used interchangably

Answer 25

ferrous sulfate

Question 26

may mask symptoms of pernicious anemia, which requires other treatment than this

Answer 26

folic acid

Question 27

five GI side effects of iron

Answer 27

nausea, vomiting, diarrhea, constipation, stomach cramps/pain

Question 28

administered orally or intranasally to treat vitamin B12 deficiency

Answer 28

cyanocobalamin

Question 29

treatment goals for dialysis patients on epoetin alfa include a target hemoglobin of ___ g/dL

Answer 29

11

Question 30

usually administered by deep intramuscular injection

Answer 30

cyanocobalamin

Question 31

untreated pernicious anemia progresses to ____________ damage

Answer 31

neurologic

Question 32

most frequent adverse effects include hypertension, fever, headache, pruritus, rash, nausea, vomiting, arthralgia, and injection site reaction

Answer 32

epoetin alfa

Question 33

treatment goals for chronic kidney disease patients not on dialysis include a target hemoglobin of ____ g/dL

Answer 33

10

Question 34

five examples of foods that impair iron absorption

Answer 34

tea
coffee
milk
cereal products containing phytates
common dietary sources of iron

Question 35

used to treat pernicious anemia and other megaloblastic anemias

Answer 35

cyanocobalamin