RBC pharm - Exam 1B

Question 1

what class are Ferrous sulfate (oral) &
Iron dextran (parenteral)

Answer 1

iron supplementation

Question 2

Ferrous sulfate & Iron dextran MOA

Answer 2

Replenish iron levels in body

Question 3

Ferrous sulfate & Iron dextran indication

Answer 3

Treat and prevent iron deficiency anemia, treat blood loss

Question 4

Ferrous sulfate & Iron dextran SE

Answer 4

Nausea, heartburn, constipation, dark stool, metallic taste, staining of teeth, fatal iron toxicity, accidentally overdose in children

Question 5

Ferrous sulfate & Iron dextran nursing considerations

Answer 5

Do not take w/ antacids or calcium supplements

Take w/ vit C

~antidote: deferoxamine/ desferal is drug given to treat iron toxicity (chelating agent)

Question 6

Ferrous sulfate (oral) nursing considerations

Answer 6

-best on empty stomach, before bed
-do not crush
-if liquid, straw

Question 7

Iron dextran (parenteral) nursing considerations

Answer 7

BBW: have epi available for possible allergic reaction

Question 8

what class is Cyanocobalamin

Answer 8

B12 replacement

Question 9

Cyanocobalamin MOA

Answer 9

Replenish B12 levels in the body

Question 10

Cyanocobalamin indication

Answer 10

Low B12 levels
Bariatric surgery / surgeries that removed part of the stomach

Question 11

Cyanocobalamin SE

Answer 11

pain or redness at injection site if using IM

Question 12

Cyanocobalamin nursing considerations

Answer 12

Increase dietary intake of B12 (meat, fish, eggs, milk)

If injectable, 1x/wk then go to monthly after levels improve

Question 13

what class is Folic acid supplement

Answer 13

folic acid

Question 14

Folic acid supplement MOA

Answer 14

Replenish folic acid in the body

Question 15

Folic acid supplement indication

Answer 15

To treat folic acid deficiency anemia,
Pregnant women to prevent neural tube defects

Question 16

Folic acid supplement SE

Answer 16

Well tolerated but can mask a B12 deficiency

Question 17

Folic acid supplement nursing consideration

Answer 17

Increased dietary intake of folic acid (fortified grains, fresh fruits & vegs)

Recommended dose OTC= 400 mcg

Question 18

what class is Epoetin alfa

Answer 18

Erythropoietin stimulating agents

Question 19

Epoetin alfa MOA

Answer 19

Stimulates erythropoiesis which then increases hemoglobin and reticulocyte counts

Question 20

Epoetin alfa indications

Answer 20

Only indicated when hemoglobin is less than 10g/dL unless on dialysis

Question 21

Epoetin alfa SE

Answer 21

HTN, serious CV events, progression of certain cancers, injection site problems, bone pain, headache

Question 22

Epoetin alfa nursing considerations

Answer 22

BBW: not for HB over 10

Need adequate bone marrow function and iron levels (only for kidney issues)

Contraindicated for pt w/ high BP

Blood tests weekly (goal HB <11 to decrease clotting risk)

Usually need iron supplementation

Do not give if it has been shaken or frozen + protect from light