Pharmacotherapy of Anemias

Question 1

Pt Eval

Answer 1

Duration and symptoms
History of GI bleed or ulcers
Med use, diet, stool abnormalities and menstrual history
Hgb, Hct, MCV, RDW, MCH, MCHC
Blood in poop, iron, B12/folate levels, erthropoietin levels, smear

Question 2

Desired outcomes of treatment

Answer 2

Alleviate signs and symptoms
Correct underlying etiology
Prevent complication and recurrences

Question 3

Dietary supplements of iron

Answer 3

Seafood
Meats
Grains (fortified cerials, dried beans)
Veggies

Question 4

Dietary supplements of B12

Answer 4

Beef, fortified cereals, milk/yogurt, oysters, tuna, salmon

Question 5

Dietary supplements of folate

Answer 5

Chicken liver, fortified creals, pasta, lentils, asparagus, chickpeas, spinach

Question 6

Iron Supplements PO

Answer 6

Ferrous..
Sulfate (first line)
Gluconate
Fumurate (high iron)

Question 7

Iron Supplements IV

Answer 7

Iron dextran
Sodium ferric glyconate
Iron sucrose
Ferumoxytol

Question 8

B12 Treatment

Answer 8

Cyanocoblamin (PO and IV)
- IV in neurologic presentation pts only
Nascobal (nasal)