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ABSN > RBC pharm - Exam 1B > Flashcards

RBC pharm - Exam 1B Flashcards

1
Q

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

A

iron supplementation

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2
Q

Ferrous sulfate & Iron dextran MOA

A

Replenish iron levels in body

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3
Q

Ferrous sulfate & Iron dextran indication

A

Treat and prevent iron deficiency anemia, treat blood loss

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4
Q

Ferrous sulfate & Iron dextran SE

A

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

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5
Q

Ferrous sulfate & Iron dextran nursing considerations

A

Do not take w/ antacids or calcium supplements

Take w/ vit C

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

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6
Q

Ferrous sulfate (oral) nursing considerations

A

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

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7
Q

Iron dextran (parenteral) nursing considerations

A

BBW: have epi available for possible allergic reaction

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8
Q

what class is Cyanocobalamin

A

B12 replacement

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9
Q

Cyanocobalamin MOA

A

Replenish B12 levels in the body

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10
Q

Cyanocobalamin indication

A

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

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11
Q

Cyanocobalamin SE

A

pain or redness at injection site if using IM

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12
Q

Cyanocobalamin nursing considerations

A

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

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

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13
Q

what class is Folic acid supplement

A

folic acid

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14
Q

Folic acid supplement MOA

A

Replenish folic acid in the body

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15
Q

Folic acid supplement indication

A

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

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16
Q

Folic acid supplement SE

A

Well tolerated but can mask a B12 deficiency

17
Q

Folic acid supplement nursing consideration

A

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

Recommended dose OTC= 400 mcg

18
Q

what class is Epoetin alfa

A

Erythropoietin stimulating agents

19
Q

Epoetin alfa MOA

A

Stimulates erythropoiesis which then increases hemoglobin and reticulocyte counts

20
Q

Epoetin alfa indications

A

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

21
Q

Epoetin alfa SE

A

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

22
Q

Epoetin alfa nursing considerations

A

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

ABSN (90 decks)

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