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Anemia Treatments
Pharmacotherapy Fall 2013 Exam 3
21
Pharmacology
Professional
11/30/2013

Additional Pharmacology Flashcards

 


 

Cards

Term
Fe
Definition
200 mg elemental, 325 mg so4 tid
Term
Forms of iron
Definition
Sulfate, gluconate, fumarate or polysaccharide
Term
Max absorption of iron
Definition
On empty stomach, acidic environment but may worsen GI side effects
Term
Efficacy of folate
Definition
Hgb will increase 2weeks after therapy initiation and may normalize after 2-4 weeks
Term
Avoid concomittant administration with iron
Definition
Antacids, calcium, H2 antagonists and PPIs
Term
SEs of Iron
Definition
Abdominal pain, nausea, heartburn, constipation, dark stools
Term
Drug interactions of iron
Definition
Fluoroquinolones, tetracycline, phenytoin *blocks absorption of these drugs
Term
Efficacy of iron
Definition
Assessed after at least 3 months of supplementation
Term
Increase of Hgb 1g/dL per week
Definition
Iron
Term
IV administration of iron
Definition
If patients unable to tolerate oral or non-responsive to oral
Term
Formulations of IV iron
Definition
Dextran, sucrose, gluconate
Term
Iron dextran
Definition
IM formulation, test dose needed
Term
Iron ferric gluconate
Definition
Only FDA approved for use with EPO in patients with CKD, costly, lower risk of anaphylaxis
Term
Test dose of iron dextrose
Definition
0.5 mL (25mg) over 30sec followed by monitoring for S/Sx of anaphylaxis
Term
B12 dosage forms
Definition
IM/SQ OR PO
Term
Folate treatment
Definition
1mg/day po but may need up to 5mg in some cases of malabsorption
Term
Epo stimulating proteins
Definition
Epoetin-alpha (Epogen, procrit), darbepoetin-alpha (Arnesp)
Term
Cautions of Epo
Definition
Death, cardiovascular events, stroke, HTN
Term
Cancer patients caution with epo
Definition
Breast cancer, non-small cell lung cancer, head and neck cancer, lymphoid and cervical cancer
Term
Hydroxyurea
Definition
Decreases incidence of pain, acute chest syndrome, and need for blood transfusion
Term
Toxicity of hydroxyurea
Definition
Myelosuppressive, acute leukemia, chronic opportunistic infections
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