Exam 3

Question 1

Epoietin Alpha Admin Route

Answer 1

IV SubQ

Question 2

Common SE of Epoietin Alpha

Answer 2

site pain, itiching, headache, dizziness, N/V

Question 3

Serious SE of Epoetain

Answer 3

HTN, Seizures, DVT/ PE, CVA

Question 4

BlackBox Warning for Epoetain?

Answer 4

Risk for death, MI, Stroke, CV events

Question 5

Death risk higher or lower for CKD patients using Epoetin?

Answer 5

Higher

Question 6

Nursing implication for Epoetin?

Answer 6

Baseline H/H and BP

Question 7

What labs to monitor when using Epoetin?

Answer 7

Iron levels

Question 8

What must you do before you give Epoetin Alpha?

Answer 8

Correct iron, B12 and folic acid levels before giving drug

Question 9

What should be reported to provider when taking this drug?

Answer 9

Headaches

Question 10

What is special about ferric carboxymaltose?

Answer 10

new and do not have to give as often

Question 11

How do you give IV iron?

Answer 11

IVPB over 15 min (slow)

Question 12

What imaging can iv iron mess up?

Answer 12

MRI for up to 3 months

Question 13

Common AE of IV Iron?

Answer 13

N/V, Dizziness, Edema,

Question 14

What is a common SE of Injectafer?

Answer 14

Hypertension

Question 15

Serious SE of IV Iron?

Answer 15

Arrest, Hypotenison, Tachycardia, Fainitn

Question 16

Black Box Warning for Feraheme?

Answer 16

Anaphylactic even if had in the past

Question 17

What are the 4 IV iron preparations?

Answer 17

iron sucrose, sodium ferrous gluconate, ferumoxytol, ferric carboxymaltose

Question 18

How do you admin Kayexalate?

Answer 18

oral or enema

Question 19

When should you give Kayexalate?

Answer 19

3 hours before or after other meds

Question 20

Is Kayexalate absorbed?

Answer 20

No gone in feces

Question 21

What should you not mix Kayexalate with?

Answer 21

Orange juice or juice containing K+

Question 22

Common AE of Kayexalate?

Answer 22

N/V, constipation

Question 23

What electrolyte do you want to monitor when on Kayexalate.

Answer 23

Monitor for hypokalemia

Question 24

Is calcium carbonate calcium based?

Answer 24

Yes

Question 25

Is Sevelamer Carbonate Calcium free>

Answer 25

Yes

Question 26

Ae effects of calcium carbonate?

Answer 26

farting, constipation, mu, urolithiasis

Question 27

Nursing Admin of Calcium carbonate?

Answer 27

give with food and look for hx of kindeny stones

Question 28

AE effects of calcium free phospate binder?

Answer 28

N/V, bowel obstruction, GI ulcer and necrosis

Question 29

Nursing considerations for Sevelamer Carbonate?

Answer 29

Give with fod, moniter DEK and folic acid, monitor bicarb