lilley ch 54 anemia drugs Flashcards

1
Q

formation of new blood cells

A

hematopoiesis

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2
Q

where are RBCs made

A

bone marrow

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3
Q

immature RBCs

A

reticulocytes

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4
Q

type of anemia:
Vitamin B12 deficiency (failure of the stomach to produce
intrinsic factor which allows B12 to be absorbed in the
intestine)

A

pernicious anemia

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5
Q

2 types anemia

A

pernicious anemia

folic acid deficiency

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6
Q

erythropoiesis-stimulating drug

A

epoetin alfa

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7
Q

contraindications epoetin alfa (3)

A
  • uncontrolled hypertension
  • hemoglobin levels >10-11 g/dL
  • head and neck cancers
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8
Q

adverse effects epoetin alfa (3)

A
  • hypertension
  • fever
  • pruritis
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9
Q

sources iron (3)

A
  • meats
  • certain veggies
  • grains
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10
Q

4 foods enhance iron absorption

A
  • orange juice
  • veal
  • fish
  • ascorbic acid
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11
Q

4 foods impairing iron absorption

A
  • eggs
  • corn
  • beans
  • cereal products containing phytates
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12
Q

most common cause of pediatric poisoning deaths

A

iron

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13
Q

adverse effects iron (2)

A
  • N/V/D

- black, tarry stools

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14
Q

treatment of severe iron intoxication

A

chelation therapy with deferoxamine

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15
Q

med with largest amount of iron per gram of salt consumed

A

ferrous fumarate (femiron)

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16
Q

most frequently used oral iron

A

ferrous sulfate

17
Q

2 meds parenteral iron

A
  • iron dextran

- ferric gluconate

18
Q

injectable iron med indicated for pts with chronic renal failure

A

iron sucrose

19
Q

adverse effect iron sucrose

A

hypotension

20
Q

test dose required for which parenteral iron med

A

iron dextran

21
Q

who should take folic acid supplements and when

A

pregnant women to prevent neural tube defects

start taking before pregnancy

22
Q

contraindications for ferrous salts (3)

A
  • ulcerative colitis
  • peptic ulcer disease
  • liver disease
23
Q

when should oral forms of iron be taken

A

between meals

24
Q

what can oral forms of iron be taken with and what should they not be taken with

A

ok: juice
no: milk, antacids

25
Q

how long should patients taking oral iron remain upright after admin

A

15-30 mins