PHARM HEMO Drugs

Question 1

Cyanocobalamin

Answer 1

Vitamin B12

Question 2

Iron Sucrose

Answer 2

Venofer

Question 3

Folic Acid

Answer 3

Vitamin (water- soluble)

Question 4

Ferrous Sulfate

Answer 4

(Oral) Iron Supplement

Question 5

Epoetin Alfa

Answer 5

Procrit

Question 6

Filgrastim

Answer 6

Neupogen

Question 7

Hydroxyurea

Answer 7

Hydrea

Question 8

What class is Hydroxyurea (Hydrea) in?

Answer 8

Antineoplastic/ Antisickling agent

Question 9

Indications/ Use: Hydroxyurea (Hydrea)

Answer 9

Sickle cell disease, certain cancers

Question 10

Common Side effects of Hydroxyurea (Hydrea)

Answer 10

• nausea
• low blood counts
• mouth sores
• skins ulcers

Question 11

Patient Teaching: Hydroxyurea (Hydrea)

Answer 11

• Take consistently as prescribed
• Monitor for mouth sores & infections

Question 12

Nursing Considerations: Hydroxyurea (Hydrea)

Answer 12

• Monitor CBC for decreased WBCs and platelets
• Watch for signs of infection, as the medication can lower immune response

Question 13

What is class is Filgrastim (Neupogen) in?

Answer 13

Granulocyte Colony- Stimulating Facor (G-CSF)

Question 14

Indications/ Use: Filgrastim (Neupogen)

Answer 14

Neutropenia (low neutrophil count) due to chemotherapy or bone marrow disorders.

Question 15

Common side effects of Fligrastim (Neupogen)

Answer 15

• bone pain
• nausea
• fatigue

Question 16

Patient Teaching: Filgrastim (Neupogen)

Answer 16

• Explain its role in boosting WBC
• Encourage reporting of bone pain

Question 17

Nursing Considerations: Filgrastim (Neupogen)

Answer 17

• Monitor WBC count to assess repsonse & avoid overproduction
• Watch for bone pain & treat with analgesics if needed

Question 18

Hydroxyurea (Hydrea) Route

Answer 18

PO

Question 19

Filgrastim (Neupogen) Route

Answer 19

SubQ, IV

Question 20

What class is Epoetin Alfa (Procrit) in?

Answer 20

Erythropoiesis- Stimulating Agent (ESA)

Question 21

Indications/ Use: Epoetin Alfa (Procrit)

Answer 21

Anemia (especially in CKD or cancer)

Question 22

Epoetin Alfa (Procrit) Route

Answer 22

SubQ, IV

Question 23

Common side effects of Epoetin Alfa (Procrit)

Answer 23

• Hypertension
• headache
• blood clots
• joint pain

Question 24

Patient teaching: Epoetin Alfa (Procrit)

Answer 24

• Inform of blood pressure monitoring
• Report signs of blood clots

Question 25

Nursing Considerations: Epoetin Alfa (Procrit)

Answer 25

* Monitor for hypertension; control BP before starting treatment * Assess hemoglobin levels to avoid overcorrection, which can increase clot risk

Question 26

Indications/ Use: Ferrous Sulfate

Answer 26

Iron- deficiency anemia

Question 27

Ferrous Sulfate Route

Answer 27

PO

Question 28

Common side effects of Ferrous Sulfate

Answer 28

* Constipation * Nausea * Stomach upset

Question 29

Patient Teaching for Ferrous Sulfate

Answer 29

* take with vitamin C to improve absorption * warn about constipation & dark stools

Question 30

Nursing Considerations for Ferrous Sulfate

Answer 30

* Monitor for GI side effects such as constipation; advise increased fluid & fiber intake * Assess for signs of iron overload (abdominal pain, joint pain)

Question 31

Indications/ Use: Folic Acid

Answer 31

Folate deficiency, anemia

Question 32

Folic Acid Route

Answer 32

PO, IM, IV

Question 33

Common side effect of Folic Acid

Answer 33

* rash * nausea * confusion

Question 34

Patient Teaching for Folic Acid

Answer 34

* take as prescribed, especially during pregnancy * Encourage a folate-rich diet

Question 35

Nursing Considerations for Folic Acid

Answer 35

* Monitor for signs of folate deficiency (fatigue, irritability) * Assess for improvement in anemia symptoms & follow up with CBC

Question 36

What class is Cyanocobalamin (VitaminB12) in?

Answer 36

Vitamin (water- soluable)

Question 37

Indications/ Use for Cyanocobalamin (Vitamin B12)

Answer 37

* pernicious anemia * B12 deficiency

Question 38

Cyanocobalamin (Vitamin B12) Route

Answer 38

PO; IM; IV

Question 39

Common side effects of Cyanocobalamin (Vitamin B12)

Answer 39

* injection site pain (IM) * diarrhea * fatigue

Question 40

Patient Teaching for Cyanocobalamin (Vitamin B12)

Answer 40

* Encourage a balanced diet with B12 rich foods * Warn of possible diarrhea or injection site pain

Question 41

Nursing Considerations for Cyanocobalamin (Vitamin B12)

Answer 41

* Monitor B12 levels & symptoms of deficiency (fatigue, pallor) * Ensure correct administration route (IM vs ORAL based on deficiency cause)

Question 42

What class is Iron Sucrose (Venofer) in?

Answer 42

Iron Supplement

Question 43

Indications/ Use of Iron Sucrose (Venofer)

Answer 43

Iron-deficiency anemia (especially CKD)

Question 44

Iron Sucrose (Venofer) Route

Answer 44

IV

Question 45

Common side effect for Iron Sucrose (Venofer)

Answer 45

* Hypotension * headache * muscle cramps * nausea

Question 46

Patient Teaching Iron Sucrose (Venofer)

Answer 46

* Inform that this is an IV iron treatment for anemia * Advise sitting if dizziness occurs

Question 47

Nursing Considerations for Iron Sucrose (Venofer)

Answer 47

* Monitor for allergic reactions (rash, itching, swelling) * Watch for hypotension during administration * Monitor hemoglobin & iron levels regularly