exam 3: anemia Flashcards
epoetin alfa is given to pts who have. . .
- anemia associated with CKD
- anemia induced by chemo
epoetin alfa is used when. . .
blood transfusions are not an option
how does epoetin alfa treat anemia?
increases hgb concentration and stimulates RBC production in the bone marrow
common s/e of epoetin alfa
- injection site reaction
- myalgia (muscle aches)
- arthralgia (joint stiffness)
- HTN
- dizziness
major s/e of epoetin alfa
- anaphylaxis
- HF
- bronchospasm
- stroke
epoetin alfa increases the risk for _______ when given to which type of pt
stroke, thrombosis, cardiac events & death when given to cancer pts with hgb >11
lab values to monitor with epoetin alfa
- iron
- CBC
- INR
- CMP
contraindications for epoetin alfa
- MI
- stroke
- neoplastic or thromboembolic diesase
cyanocobalamin is a purified form of. . .
vitamin B12
why would a pt be receiving cyanocobalamin?
vitamin B12 deficiency anemia
common s/e with cyanocobalamin
- arthralgia
- dizziness
- nasopharyngitis
major s/e with cyanocobalamin
- anaphylaxis
- hypokalemia
contraindications for cyanocobalamin
- sensitivity to cobalt
- folic acid deficiency anemia
- severe pulmonary disease
anemia contraindicated with cyanocobalamin
folic acid deficiency anemia
use cyanocobalamin cautiously in pts with. . .
heart disease d/t sodium retention of med
what should be assessed for after administering cyanocobalamin?
- pallor
- neuropathy
- red, inflamed tongue
labs to monitor after administering cyanocobalamin
- vitamin B12
- iron
ferrous sulfate is vital for. . .
hgb regeneration
ferrous sulfate prevents and treats. . .
iron-deficiency anemia
common s/e of ferrous sulfate
- n/v
- constipation
- dark stools
- stained teeth
major s/e of ferrous sulfate
toxicity
toxicity s/s of ferrous sulfate
- n/v
- green, tarry diarrhea
- hematemesis (vomiting blood)
- pallor
- cyanosis
- shock
ferrous sulfate is indicated with. . .
- hemolytic anemia
- peptic ulcer
- ulcerative colitis
daily requirements for ferrous sulfate (men+women)
- women: 15-18mg (pregnancy: 27mg)
- men: 8mg
ferrous sulfate has decreased absorption when given with. . .
- St. John’s Wort
- chamomile
- peppermint
pt education for ferrous sulfate
- take with food
- increased absorption when taken with vitamin C
