exam 3: anemia

Question 1

epoetin alfa is given to pts who have. . .

Answer 1

• anemia associated with CKD
• anemia induced by chemo

Question 2

epoetin alfa is used when. . .

Answer 2

blood transfusions are not an option

Question 3

how does epoetin alfa treat anemia?

Answer 3

increases hgb concentration and stimulates RBC production in the bone marrow

Question 4

common s/e of epoetin alfa

Answer 4

• injection site reaction
• myalgia (muscle aches)
• arthralgia (joint stiffness)
• HTN
• dizziness

Question 5

major s/e of epoetin alfa

Answer 5

• anaphylaxis
• HF
• bronchospasm
• stroke

Question 6

epoetin alfa increases the risk for _______ when given to which type of pt

Answer 6

stroke, thrombosis, cardiac events & death when given to cancer pts with hgb >11

Question 7

lab values to monitor with epoetin alfa

Answer 7

• iron
• CBC
• INR
• CMP

Question 8

contraindications for epoetin alfa

Answer 8

• MI
• stroke
• neoplastic or thromboembolic diesase

Question 9

cyanocobalamin is a purified form of. . .

Answer 9

vitamin B12

Question 10

why would a pt be receiving cyanocobalamin?

Answer 10

vitamin B12 deficiency anemia

Question 11

common s/e with cyanocobalamin

Answer 11

• arthralgia
• dizziness
• nasopharyngitis

Question 12

major s/e with cyanocobalamin

Answer 12

• anaphylaxis
• hypokalemia

Question 13

contraindications for cyanocobalamin

Answer 13

• sensitivity to cobalt
• folic acid deficiency anemia
• severe pulmonary disease

Question 14

anemia contraindicated with cyanocobalamin

Answer 14

folic acid deficiency anemia

Question 15

use cyanocobalamin cautiously in pts with. . .

Answer 15

heart disease d/t sodium retention of med

Question 16

what should be assessed for after administering cyanocobalamin?

Answer 16

• pallor
• neuropathy
• red, inflamed tongue

Question 17

labs to monitor after administering cyanocobalamin

Answer 17

• vitamin B12
• iron

Question 18

ferrous sulfate is vital for. . .

Answer 18

hgb regeneration

Question 19

ferrous sulfate prevents and treats. . .

Answer 19

iron-deficiency anemia

Question 20

common s/e of ferrous sulfate

Answer 20

• n/v
• constipation
• dark stools
• stained teeth

Question 21

major s/e of ferrous sulfate

Answer 21

toxicity

Question 22

toxicity s/s of ferrous sulfate

Answer 22

• n/v
• green, tarry diarrhea
• hematemesis (vomiting blood)
• pallor
• cyanosis
• shock

Question 23

ferrous sulfate is indicated with. . .

Answer 23

• hemolytic anemia
• peptic ulcer
• ulcerative colitis

Question 24

daily requirements for ferrous sulfate (men+women)

Answer 24

• women: 15-18mg (pregnancy: 27mg)
• men: 8mg

Question 25

ferrous sulfate has decreased absorption when given with. . .

Answer 25

• St. John’s Wort
• chamomile
• peppermint

Question 26

pt education for ferrous sulfate

Answer 26

• take with food
• increased absorption when taken with vitamin C