Vitamin B12
Cyanocobalamin
What is another term for epoetin alfa?
Epogen
What is another term for ferrous sulfate? And what is it indicated for?
- Iron deficiency anemia
What is the drug class of vincristine?
Plant alkaloid
It is the number one cause of hypothyroidism in the United States
Hashimoto's thyroiditis
What is the term called when a patient is vitamin b12 deficient? Who are at an increased risk?
- Megaloblastic anemia
- Vegans
What is the MOA of epoetin alfa? And what is it indicated for?
- Stimulates the production of RBC
- Anemia
For patients who are taking iron supplements, what are the SE/AE and black-box warning
GI Effects for PO route: constipation
can cause fatal overdoses in children
What is the indication for the use of vincristine?
Cancer
What is cosyntropine?
Is used for diagnosing adrenocortical insufficiency due to adrenal or pituitary causes Diagnostic medication to determine adrenal insufficiency cause by pituitary insufficiency
What is the MOA of cyanocobalamin?
Required component for RBC creation and DNA synthesis
Why would you NOT assess the efficacy of epoetin alfa 12 hours later?
Epoetin alfa takes several days to take effect
What is the MOA of ferrous sulfate?
Required component for hemoglobin synthesis
What is the MOA of vincristine?
- inhibits cell division and RNA/DNA/Protein synthesis
What are three lab values to evaluate ferrous sulfate effect?
- HGB, hematocrit, and red blood cell count
What are patient education for someone taking Vitamin B12?
- Dietary souces are only available from animal products such as eggs, dairy, and meat
- Treatment may need to continue for life
What is a black box warning for epoetin alfa?
Multiple adverse events when given to patients with HGB higher than 11
How long does the treatment last PO route?
1-2 months or until PTs hemoglobin is corrected
Neurological effects
What vitamin, when taken in excess, can cause teratogenic effects?
Vitamin A
What is the meaning of IF, and how does it relate to vitamin b12?
IF = Intrinsic Factor
Without intrinsic factor we can eat foods rich in b12 and still become deficient. It is required for our body to be able to synthesize b12
What are the patient education for people who are prescribed Epogen?
- Takes several days to take effect
- Parentally only
- Has a risk of developing blood clots for PT who has normal HGB
What are the patient teachings for a person taking ferrous sulfate?
- Black stool
- DO NOT TAKE IT WITH FOOD; When taking iron PO with food it decreases absorption and adverse effect
- Dietary food: Grains, vegetables, meats, fortified cereals
- Vitamin C increases the absorption of Iron
What are nursing considerations for a patient taking Vincristine?
- Monitor neurologic status before and during treatment.
- Assess the infusion site frequently for redness, irritation, or inflammation. ...
What causes SIADH, and what is it?
- Syndrome of inappropriate antidiuretic hormone secretion occurs when excessive levels of antidiuretic hormones
- The syndrome causes the body to retain water and certain levels of electrolytes in the blood to fall (such as sodium)