Anemia
What is Anemia?
A condition in which levels of RBCs and hemoglobin are low
Ferrous Sulfate is used for the treatment and prevention of what?
Iron deficiency anemia
What is the indication for antacids?
Relief of symptoms for gastritis, GERD, and PUD
What is the role of a mucosal protectant?
To protect the lining of the stomach
What are the most common routes for antiemetics?
IV or Rectal (IM, Transdermal accepted)
What are common signs and symptoms of anemia? (Name 4)
Fatigue, weakness, dizziness, pallor, tachycardia, SOB, headache, low H&H
What are common side effects of Ferrous Sulfate? (Name 3)
Constipation, diarrhea, N/V, dark stools, abdominal cramping, staining of teeth, tissue irritation
What is a common side effect of Magnesium Salts?
Diarrhea
What is a contraindication of misoprostol?
Pregnancy
When is the best time to administer an antiemetic or antinausea drug?
Prior to symptoms occurring
What is the role of hemoglobin?
A protein-iron compound in the blood that carries oxygen from the lungs to the body’s cells and carbon dioxide from the body’s cells to the lungs
What can help in the absorption of Ferrous Sulfate?
Orange juice, veal, fish
What is the recommended timeframe for antacid use?
Two weeks
How do H2 Receptor Antagonists work?
Suppresses acid by blocking histamine at H2 receptors
Which type of antiemetic/antinausea drug is best for motion sickness?
Antihistamine
Describe Pernicious Anemia.
A result of the body's inability to absorb B12 needed for RBC development
Why would a patient need B12 to be administered as an injection?
They have malabsorption of B12
Which patients should avoid the use of Sodium Salts?
Patients with heart failure, HTN, renal failure
PPI's are used in conjunction with what to treat ulcers caused by H. Pylori?
Antibiotics
Which type of antiemetic/antinausea drug is best for nausea related to chemotherapy or postoperative care?
Antidopainergic (Compazine)...or a Serotonin Antagonist (Zofran)
What are the common causes of Folic Acid Deficiency Anemia? (Name 3)
Lack of uncooked vegetables in diet, alcohol use, liver disease, pregnancy
What is the action of Folic Acid?
The formation and function of RBCs
Which type of antacids is best for patients with renal disease?
Aluminum Salts (the most easily excreted)
Omeprazole, Esomeprazole, Lansoprazole, Pantoprazole
What are some nursing implications or interventions for patients experiencing N/V and receiving antiemetic/antinausea drugs? (Name 3)
Assess severity of symptoms, provide oral care, provide comfort measures, assess risk for dehydration and electrolyte imbalance, advance diet as appropriate