Hematopoyéticos Flashcards

1
Q

Familias de hematopoyéticos

A

Estimul de megacariopoyesis
Estimul eritropoyesis
Estimul de colonias granuloc.
Fe
Vit y cofac hematopoyesis

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2
Q

Estimul de megacariopoyesis

A

Romiplostim
Eltrombopag
Oprelvekin

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3
Q

MoA de romiplostim

A

Ago de R trombopoyetina

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4
Q

Indicas de romiplostim

A

Púpura trombocitopénica inm cron

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5
Q

EA de romiplostim

A

Trombocitosis
Eventos trombo
Cefalea
Mielofibrosis

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6
Q

Adm de romiplostim

A

Inyectable

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7
Q

MoA de eltrombopag

A

Ago no pep de R de trombopoyetina

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8
Q

EA de eltrombopag

A

Trombosis
Hepatotox (transaminasas ↑)
Cataratas

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9
Q

Indicas de eltrombopag

A

PTI cron
Anemia aplásica severa
Trombocitopenia en hepatitis C

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10
Q

Adm de eltrombopag

A

Oral

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11
Q

Monitoreo de eltrombopag

A

Monitorear función hep

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12
Q

MoA de oprelvekin

A

Estimul prolif de megacarioc. y prod de plaquetas

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13
Q

Indicas de oprelvekin

A

Prevención de trombocitopenia postquimio

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14
Q

EA de oprelvekin

A

Retención de liq
Taquicardia
Arritmias
Visión borrosa

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15
Q

¿Qué estimul de megacariopoyesis no se usa tanto por sus EA?

A

Oprelvekin

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16
Q

Fac estimul de colonias granuloc.

A

Filgrastim
Pelfilgrastim
Sargramostim

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17
Q

MoA de filgrastim

A

Estimul prolif y dif de progen de neutrófilos

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18
Q

Indicas de filgrastim

A

Neutropenia postquim
neutropenia congénita
Transplante MO

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19
Q

EA de filgrastim

A

Dolor óseo
Esplenomeg
Ruptura esplénica

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20
Q

MoA de pegfilgrastim

A

Mismo que filgastrim pero con + vida media

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21
Q

Uso de pegfilgrastim

A
  • frec que filgastrim
22
Q

MoA de sargramostim

A

Estimul
- Granulocitos
- Monocitos
- Eosinófilos

23
Q

Indicas de sargramostim

A

Neutropenia postquim
Transplante MO

24
Q

EA de sargramostim

A

Fiebre
Mialgia
Hipotensión
Edema pul
Erupción

25
GM-CSF
Sargramostim
26
G-CSF
Filgastrim
27
Estimul de eritropoyesis
Epoetina-α Darbepoetina-α
28
MoA de epoetina-α
Ago de R de eritropoyetina
29
Indicas de epoetina-α
Anemia en ERC Ca aso a quimio VIH
30
EA de epoetina-α
Hipertensión Trombosis Eventos cardiovasc Progresión tum
31
Monitoreo de epoetina-α
Monitorear Hb
32
MoA de darbepoetina-α
Ago de R de eritropoyetina - Mod glicosilación (vida media + larga)
33
Indicas
ERC cron
34
Adm de darbepoetina-α
Semanal
35
Vit y cofac hematopoyesis
Á. folico V. B12
36
MoA de á. fol
Síntesis de purinas y timidina parareplicación c.
37
Indicas de á. fol
Anemia megaloblast Prevención en defectos de tubo neural
38
¿El á. fol corrige sx neurológica?
NO, solo corrige anemia megaloblast
39
MoA de v. B12
Cofac síntesis de metionina y DNA
40
Indicas de v. B12
Anemia perniciosa Deficit malabsortivo Neuropatías (ayudante)
41
EA de v. B12
Reacc alérgica
42
Hierros (Fe)
Oral IV
43
MoA de Fe
Síntesis de Hb
44
Indica de Fe
Anemia ferropénica
45
EA de Fe oral
Nausea Dolor ab Estreñimiento Heces negras
46
EA de Fe IV
Reacc anafilactica (dextrano)
47
Uso de Fe IV
Cuando oral no es tolerado o malabsorbido
48
Contraindicas de Fe oral
Antiácidos
49
¿Con que se absorbe mejor el Fe oral?
Vit C
50
Monitoreo de Fe IV
Ferritina Transferrina
51