NR 566 / NR566 Advanced Pharmacology for Care of the Family Final Exam Review| Rated A |Latest 2021 / 2022| Chamberlain College

NR 566 / NR566 Advanced Pharmacology for Care of the Family Final Exam Review| Rated A |Latest 2021 / 2022| Chamberlain College 1. Anticoagulant preferred for high risk of CVA with Afib - The 2012 ACCP guidelines recommend 150 mg of dabigatran twice daily as the anticoagulant therapy of choice rather than warfarin - For patients with persistent or paroxysmal AF at high risk for stroke, the recommendation is warfarin with a target INR between 2 and 3. 2. Drugs which decrease anticoagulant effectiveness - Oral contraceptives, carbamazepine, etc. - Vitamin K-containing foods 3. Iron deficiency anemia prevention: - adequate iron intake - -monitor in periods of rapid growth (infancy, adolescence, pregnancy) - -replacement in infants (1mg/kg/day starting at 4 months) (2mg/kg/day in preterm infants) - -folic acid supplementation in pregnancy 4. Iron deficiency anemia Tx - iron replacement (based on age) - divide dose in 3 doses per day 5. Iron deficiency anemia monitoring: - reticulocyte count 5 to 10 days after starting therapy, - Hgb, Hct, Ferritin at 4 weeks, then at 3 months and annually 6. iron deficiency anemia outcome evaluation: - return to normal Hgb, Hct, and ferritin levels - If Hgb, Hct, and ferritin do not return to normal patient should be evaluated for source of blood loss 7. iron deficiency anemia Pt education: - importance of prevention with adequate iron intake - administration (empty stomach if tolerated, 3 times daily) - constipation (may need stool softener) - Take with vitamin C to enhance absorption. - Avoid taking with dairy products, calcium, antacids. 8. iron deficiency anemia risk groups: - infants fed goat's milk or powdered formula - vegetarians and vegans - -pregnancy - -patients with sprue, crohn's disease, giardia infections, and short bowel syndrome - -patients taking drugs that affect folic acid absorption 9. Folic acid deficiency prevention - Adequate dietary intake - Folic acid supplementation in pregnancy - 0.4 mg/day prior to conception and during pregnancy - Women of childbearing age and pregnant women should consume 0.4 to 0.8 mg/day. 10. Folic acid deficiency drug therapy - Oral folic acid 1 to 2 mg/day for 4 to 5 weeks - Hgb levels start to rise in a week - Initial dose: 1 mg/day in adults in children - Maintenance dose Infants 0.1 mg/day Pregnant or lactating women: 0.8 mg/day