NUR 524 EXAM 3 QUESTIONS AND CORRECT ANSWERS
1. Drugs
Ferrous sulfate, Iron Dextran, Vitamin B12, Folic Acid
Therapy for
Anemia
2. Drug Therapy - Factors VIII & IX
for Bleeding -desmopressin
Disor- ders
3. Drug Therapy Heparin, Low-molecular weight Heparin, Warfarin, Clopidogrel, Alteplase
for
Thromboem-
bolic Disease
Processes
Epoetin alfa, Filgrastim, Oprelvekin
4. Drug
Therapy
that
Supports Quinidine, Procainamide, Lidocaine, Flecainide, Propranolol, Amiodarone,
Hematopoiesi Vera- pamil, Diltiazem
s
5. Drug Digoxin, Dobutamine, Dopamine, Milrinone
Therapy for
Cardiac Dys-
rhythmias Nitroglycerine, Isosorbide
6. Drug Therapy
for Heart
Failure
7. Drug Therapy
for Angina
8. P: Ferrous Sulfate ¸Treatment of Iron Deficiency Anemia
(oral) Iron Dex- tran (IM/IV)
, NUR 524 EXAM 3 QUESTIONS AND CORRECT ANSWERS
¸Watch of S/S of iron
toxicity - stomach
pain, n/v, hemosptasis
(vomiting blood),
diarrhea, and shock -
can lead to organ
failure and death
¸May cause dark
green/black stools
¸P O may stain teeth - give
with a straw if liquid
and rinse mouth
¸Should try to take on
empty stomach to
increase absorption
- may give with food
if GI upset but may
prolong treatment
, NUR 524 EXAM 3 QUESTIONS AND CORRECT ANSWERS
¸Treatment is usually 1-2 months
¸Some preparations may not mix with milk or juice so
read label What do you need to monitor?
¸S/S of toxicity
¸RBC, Hbc, Hct
¸Oral assessment for staining
¸Bowel pattern - signs of dehydration for diarrhea (increase fluids) or
constipation (increase fluids/fiber)
9. P: Megaloblastic (Macrocytic) Anemia
Cyanocobal- What's special about them (important adverse reactions, contraindications or
amin drug interactions)?
¸May cause hypokalemia - early in treatment due to K+ being used up
to create new erythrocytes
¸Oral, nasal, IM, Sub Q preparations
I¸n Pernicious Anemia cannot use oral B12 since there is no intrinsic
factor present
- it will never absorb
¸Dosages are very large in oral preparations - encourage also eating
foods high in B12: Dairy, enriched cereal, egg yolks, and some seafood
¸Folic acid can mask B12 deficiency symptoms so sure patients continue
taking B12 even if symptoms resolve.
¸D I - Vitamin C should not be given concurrently as alters B12 stability
¸ETOH will reduce ettectiveness of
cyanocobalamin What do you need to
monitor?
¸K + levels for hypokalemia
¸Neurological symptoms improve - parathesias (numbness and tingling
in extrem- ities)
10. P: Folic Acid Megaloblastic (Macrocytic) Anemia
What's special about them (important adverse reactions, contraindications or
drug interactions)?
1. Drugs
Ferrous sulfate, Iron Dextran, Vitamin B12, Folic Acid
Therapy for
Anemia
2. Drug Therapy - Factors VIII & IX
for Bleeding -desmopressin
Disor- ders
3. Drug Therapy Heparin, Low-molecular weight Heparin, Warfarin, Clopidogrel, Alteplase
for
Thromboem-
bolic Disease
Processes
Epoetin alfa, Filgrastim, Oprelvekin
4. Drug
Therapy
that
Supports Quinidine, Procainamide, Lidocaine, Flecainide, Propranolol, Amiodarone,
Hematopoiesi Vera- pamil, Diltiazem
s
5. Drug Digoxin, Dobutamine, Dopamine, Milrinone
Therapy for
Cardiac Dys-
rhythmias Nitroglycerine, Isosorbide
6. Drug Therapy
for Heart
Failure
7. Drug Therapy
for Angina
8. P: Ferrous Sulfate ¸Treatment of Iron Deficiency Anemia
(oral) Iron Dex- tran (IM/IV)
, NUR 524 EXAM 3 QUESTIONS AND CORRECT ANSWERS
¸Watch of S/S of iron
toxicity - stomach
pain, n/v, hemosptasis
(vomiting blood),
diarrhea, and shock -
can lead to organ
failure and death
¸May cause dark
green/black stools
¸P O may stain teeth - give
with a straw if liquid
and rinse mouth
¸Should try to take on
empty stomach to
increase absorption
- may give with food
if GI upset but may
prolong treatment
, NUR 524 EXAM 3 QUESTIONS AND CORRECT ANSWERS
¸Treatment is usually 1-2 months
¸Some preparations may not mix with milk or juice so
read label What do you need to monitor?
¸S/S of toxicity
¸RBC, Hbc, Hct
¸Oral assessment for staining
¸Bowel pattern - signs of dehydration for diarrhea (increase fluids) or
constipation (increase fluids/fiber)
9. P: Megaloblastic (Macrocytic) Anemia
Cyanocobal- What's special about them (important adverse reactions, contraindications or
amin drug interactions)?
¸May cause hypokalemia - early in treatment due to K+ being used up
to create new erythrocytes
¸Oral, nasal, IM, Sub Q preparations
I¸n Pernicious Anemia cannot use oral B12 since there is no intrinsic
factor present
- it will never absorb
¸Dosages are very large in oral preparations - encourage also eating
foods high in B12: Dairy, enriched cereal, egg yolks, and some seafood
¸Folic acid can mask B12 deficiency symptoms so sure patients continue
taking B12 even if symptoms resolve.
¸D I - Vitamin C should not be given concurrently as alters B12 stability
¸ETOH will reduce ettectiveness of
cyanocobalamin What do you need to
monitor?
¸K + levels for hypokalemia
¸Neurological symptoms improve - parathesias (numbness and tingling
in extrem- ities)
10. P: Folic Acid Megaloblastic (Macrocytic) Anemia
What's special about them (important adverse reactions, contraindications or
drug interactions)?
