NRN 202 Final Exam

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Author:
Anonymous
ID:
189024
Filename:
NRN 202 Final Exam
Updated:
2012-12-12 12:41:42
Tags:
Hematology
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Description:
Anemias, Cancers
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  1. Iron-Deficiency Anemia-Med Mgmt
    • Iron supplements
    • -Oral (ferrous sulfate, ferrous gluconate, ferrous famarate) best absorbed on empty stomach, address GI side effects
    • -IM infrequently given (z-track method and avoid viorous rubbing of site, stains skin
    • -IV test dose required first
  2. Folic Acid Anemia-Med Mgmt
    folic acid 1 mg orally daily (IM if malabsorption)
  3. Vitamin B 12 deficiency Anemia-Med Mgmt
    • Oral supplements for vegeratarians
    • Monthly IM in fi malabsorption or lack of instrinsic factor
    • -pernicious anemia-pervent recurrence with lifelong viamin b12 therapy or in gastric bypass
  4. Aplastic Anemia-Med Mgmt
    • Immunosuppressants
    • ATG and cyclosporine or androgen
  5. Polycythemia Vera: Medical Mgmt
    • chemotherapy-Hydroxyurea (hydrea)
    • antiplaetlet agregator-anagrelide (agrylin)
    • Interferon alfa-2b for pruritus
    • Allopurinol (zyolgprim) for gout prevention
    • apirin (low dose)
  6. Chronic Myeloid Leukema (CML): Medical Mgmt
    Imatinib mesylate (Gleevec) best during chronic phase
  7. Multiple Myeloma-Med Mgmt
    • Bisphosphanates:
    • inhibit bone breakdown, treatskeletal pain and hypercalcemia, monthly via IV infusion (aredia, Someta, Didronel)
    • Corticosteroids
    • Pretease inhibitor (Bortezomib)

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