Types of Anemia
What is the main responsibility of red blood cells?
carrying oxygen and removing CO2
Which Vitamin will increase the absorption of ferrous sulfate?
Vitamin C
red beefy tongue, fatigue, paresthesia, nausea and vomiting
Which vitamin is Folic Acid?
Vitamin B9
On which part of the body to hematopoietic drugs work?
What is erythropoiesis?
The production of red blood cells from the bone marrow
What are some symptoms of iron-deficient anemia?
Fatigue, pallor, pica, tachycardia
What are some possible causes of Vitamin B12 deficiency anemia?
malabsorption, pernicious anemia, lack of dietary intake
How would RBCs appear in folic acid deficiency anemia?
What type of supplement may need to be taken with Epogen?
Iron supplements
How would RBCs appear in Vitamin B12 deficient anemia?
Macrocytic
How is Iron Dextran administered?
IV or IM
Oral, IM, SQ, and intranasal
How can we test for folic acid deficiency anemia?
Serum folate level
Which labs would we assess to monitor effectiveness of Epogen?
RBCs, Hemoglobin and Hematocrit
What labs would we assess for anemia?
CBC for RBC count and Hgb level
What are some ADRs of Ferrous Sulfate?
Black tarry stools, N/V/D, abdominal cramping
Which foods could you recommend to a patient with a Vitamin B12 deficiency?
milk, eggs, fish
What is an indication for folic acid other than anemia?
prenatal
What are the possible ADRs of Oprelvekin?
What kinds of foods could you recommend to a patient with iron deficiency?
red meats, spinach, iron-fortified grains
What are some signs of iron toxicity?
N/V/D, acidosis, gastric necrosis, liver failure, pulmonary edema
Which electrolyte imbalance could occur from Cyanocobalamin?
Hypokalemia
What could cause malabsorption of folic acid?
intestinal disorders or alcoholism
The nurse you are working with saw that HL’s hemoglobin levels are 8, they are concerned about this regarding her Epogen, how would you respond?
Epogen is only contraindicated in cancer pts with a hemoglobin over 10 and over 11 in renal pts.