PHARM HEMO Drugs Flashcards
Cyanocobalamin
Vitamin B12
Iron Sucrose
Venofer
Folic Acid
Vitamin (water- soluble)
Ferrous Sulfate
(Oral) Iron Supplement
Epoetin Alfa
Procrit
Filgrastim
Neupogen
Hydroxyurea
Hydrea
What class is Hydroxyurea (Hydrea) in?
Antineoplastic/ Antisickling agent
Indications/ Use: Hydroxyurea (Hydrea)
Sickle cell disease, certain cancers
Common Side effects of Hydroxyurea (Hydrea)
- nausea
- low blood counts
- mouth sores
- skins ulcers
Patient Teaching: Hydroxyurea (Hydrea)
- Take consistently as prescribed
- Monitor for mouth sores & infections
Nursing Considerations: Hydroxyurea (Hydrea)
- Monitor CBC for decreased WBCs and platelets
- Watch for signs of infection, as the medication can lower immune response
What is class is Filgrastim (Neupogen) in?
Granulocyte Colony- Stimulating Facor (G-CSF)
Indications/ Use: Filgrastim (Neupogen)
Neutropenia (low neutrophil count) due to chemotherapy or bone marrow disorders.
Common side effects of Fligrastim (Neupogen)
- bone pain
- nausea
- fatigue
Patient Teaching: Filgrastim (Neupogen)
- Explain its role in boosting WBC
- Encourage reporting of bone pain
Nursing Considerations: Filgrastim (Neupogen)
- Monitor WBC count to assess repsonse & avoid overproduction
- Watch for bone pain & treat with analgesics if needed
Hydroxyurea (Hydrea) Route
PO
Filgrastim (Neupogen) Route
SubQ, IV
What class is Epoetin Alfa (Procrit) in?
Erythropoiesis- Stimulating Agent (ESA)
Indications/ Use: Epoetin Alfa (Procrit)
Anemia (especially in CKD or cancer)
Epoetin Alfa (Procrit) Route
SubQ, IV
Common side effects of Epoetin Alfa (Procrit)
- Hypertension
- headache
- blood clots
- joint pain
Patient teaching: Epoetin Alfa (Procrit)
- Inform of blood pressure monitoring
- Report signs of blood clots
Nursing Considerations: Epoetin Alfa (Procrit)
- Monitor for hypertension; control BP before starting treatment
- Assess hemoglobin levels to avoid overcorrection, which can increase clot risk
Indications/ Use: Ferrous Sulfate
Iron- deficiency anemia
Ferrous Sulfate Route
PO
Common side effects of Ferrous Sulfate
- Constipation
- Nausea
- Stomach upset
Patient Teaching for Ferrous Sulfate
- take with vitamin C to improve absorption
- warn about constipation & dark stools
Nursing Considerations for Ferrous Sulfate
- Monitor for GI side effects such as constipation; advise increased fluid & fiber intake
- Assess for signs of iron overload (abdominal pain, joint pain)
Indications/ Use: Folic Acid
Folate deficiency, anemia
Folic Acid Route
PO, IM, IV
Common side effect of Folic Acid
- rash
- nausea
- confusion
Patient Teaching for Folic Acid
- take as prescribed, especially during pregnancy
- Encourage a folate-rich diet
Nursing Considerations for Folic Acid
- Monitor for signs of folate deficiency (fatigue, irritability)
- Assess for improvement in anemia symptoms & follow up with CBC
What class is Cyanocobalamin (VitaminB12) in?
Vitamin (water- soluable)
Indications/ Use for Cyanocobalamin (Vitamin B12)
- pernicious anemia
- B12 deficiency
Cyanocobalamin (Vitamin B12) Route
PO; IM; IV
Common side effects of Cyanocobalamin (Vitamin B12)
- injection site pain (IM)
- diarrhea
- fatigue
Patient Teaching for Cyanocobalamin (Vitamin B12)
- Encourage a balanced diet with B12 rich foods
- Warn of possible diarrhea or injection site pain
Nursing Considerations for Cyanocobalamin (Vitamin B12)
- Monitor B12 levels & symptoms of deficiency (fatigue, pallor)
- Ensure correct administration route (IM vs ORAL based on deficiency cause)
What class is Iron Sucrose (Venofer) in?
Iron Supplement
Indications/ Use of Iron Sucrose (Venofer)
Iron-deficiency anemia (especially CKD)
Iron Sucrose (Venofer) Route
IV
Common side effect for Iron Sucrose (Venofer)
- Hypotension
- headache
- muscle cramps
- nausea
Patient Teaching Iron Sucrose (Venofer)
- Inform that this is an IV iron treatment for anemia
- Advise sitting if dizziness occurs
Nursing Considerations for Iron Sucrose (Venofer)
- Monitor for allergic reactions (rash, itching, swelling)
- Watch for hypotension during administration
- Monitor hemoglobin & iron levels regularly