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Drug Study

Erythropoietin (EPO) is a biologic response modifier that stimulates red blood cell production. It is used to treat anemia secondary to chronic renal failure. Nursing considerations for EPO include monitoring for uncontrolled hypertension, seizures, and hyperkalemia as well as ensuring adequate iron stores and transferrin saturation levels. Iron is a mineral vital for hemoglobin regeneration and oxygen transport. It is used to prevent and treat iron deficiency anemia. Nursing considerations for iron supplementation include administering it with food to prevent gastrointestinal upset, monitoring for side effects like nausea and constipation, and informing patients about drug and food interactions that can decrease iron absorption. Patients should also be monitored for signs of anemia like pallor

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16K views2 pages

Drug Study

Erythropoietin (EPO) is a biologic response modifier that stimulates red blood cell production. It is used to treat anemia secondary to chronic renal failure. Nursing considerations for EPO include monitoring for uncontrolled hypertension, seizures, and hyperkalemia as well as ensuring adequate iron stores and transferrin saturation levels. Iron is a mineral vital for hemoglobin regeneration and oxygen transport. It is used to prevent and treat iron deficiency anemia. Nursing considerations for iron supplementation include administering it with food to prevent gastrointestinal upset, monitoring for side effects like nausea and constipation, and informing patients about drug and food interactions that can decrease iron absorption. Patients should also be monitored for signs of anemia like pallor

Uploaded by

NURSETOPNOTCHER
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPT, PDF, TXT or read online on Scribd
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Submitted by: Jillianne M.

Bertiz BSN 4A SCT


Drug Name and Drug Classification Indication Nursing Consideration/s
Dosage and Action/s
Erythropoietin *Biologic Response modifier *To treat anemia 2o to CRF *EPO is contraindicated in clients
(EPO) with:
*Stimulates
Stimulates the division and >uncontrolled hypertension
Brandnames: differentiation of committed >known hypersensitivity to
Epogen, Procrit, red blood cell progenitors in mammalian cell-derived
Eprex the bone marrow. products
>known hypersensitivity to
Dosage: *Pregnacy Category: C human albumin
A: 50-100U/kg
IV/SC *Pharmacokinetics: *Follow the manufacturer’s
3 x wk Absorption: SC,IV Preparation and administration.
Distribution: PB:UK
Metabolism: t½: 4-13hrs *Evaluation of iron stores should
with CRF; occur during the therapy.
20% less
w/ N renal function *Tranferrin saturation should be
Excretion: In urine at last 100 ng/ml.

*Pharmacodynamics: *Monitor for adverse reactions


IV Onset: 7-10 days like seizures and hyperkalemia.
Peak: 2-4 days
Duration: UK
SC Onset: 7-10 days
Peak: 5-42 hrs
Duration: UK
Submitted by: Jillianne M. Bertiz BSN 4A SCT
Drug Name and Drug Classification Indication Nursing Consideration/s
Dosage and Action/s
Iron *Mineral for antianemia *To prevent and treat iron *Contraindicated in clients with
deficiency anemia hemolytic anemia, Peptic ulcer
Brandnames: *Vital
Vital for hemoglobin and Ulcerative colitis
Ferrous sulfate regeneration, specifically it
(Feosol, Fer-Iron) enables the RBC *Administer vitamins with food to
Ferrous gluconate development and oxygen prevent GI upset.
(Fergon, Fertinic) transport via hemoglobin
Ferrous fumarate *Caution on intake of chamomile,
(Feostat, Fumerin) *Pregnancy Category: A feverfew, peppermint and St.
John’s wort for it interfere with the
Dosage: *Pharmacokinetics: absorption of iron and other
A: 300-325mg qid Absorption:5-30%intestines minerals.
↑ to 650mg PRN/ Distribution: PB:UK
as tolerated Metabolism: t½: Uk *Increadead effect of iron with
Excretion: Urine, feces, bile viatmin C; decreaded effect of
tetracycline, antacids,
*Pharmacodynamics: penicillamine
PO Onset: 4 days
Peak: 7-14 days *Inform clients of side-effects like
Duration: 3-4 mos nausea and vomiting, diarrhea,
constipation,epigastric pain and
refer to the attending nurse upon
occurrence for management.

*Monitor for adverse reactions


like pallor and drowsiness.

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