hemologic and immune pharmothereaputics: erthropoitetic growth factors Flashcards
1
Q
erthropoitetic growth factors: MOA
A
acts of the bone marrow to increase production of red blood cells
2
Q
erthropoitetic growth factors therapeutic uses
A
used for anemia to increase erythrocytes counts for pts going into surgery (alternative for blood products for jehovahs witnesses)
- stimulates bone marrow to make more abc
- not fool proof
3
Q
erthropoitetic growth factors common meds
A
- epoetin alfa: erythropoietin
- darbepoetin alfa: long acting erthryopoietin
4
Q
erthropoitetic growth factors complications
A
- hypertension
- risk for thrombotic event
- dvt
- headache, body aches
5
Q
erthropoitetic growth factors contraindications
A
- uncontrolled hypertension
- some cancers (possible increased tumor growth)
6
Q
erthropoitetic growth factors interactions
A
may increase requirements for heparin anticoagulation during hemodialysis
7
Q
erthropoitetic growth factors nursing implications
A
- obtain baseline vitals (bp especially) and monitor frequently
- administer sq or iv based on clients weight
- monitor hg and hct 2x per week until therapeutic
- monitor iron levels, folic acid and b12
- monitor for dvt
- follow medication preparation guidelines
- consent form to be signed before giving
8
Q
erthropoitetic growth factors pt. teaching
A
- must sign consent before taking
- may need to take iron concuurently
- notify provider if s/s of blood clot
