-
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
-
Folic Acid Anemia-Med Mgmt
folic acid 1 mg orally daily (IM if malabsorption)
-
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
-
Aplastic Anemia-Med Mgmt
- Immunosuppressants
- ATG and cyclosporine or androgen
-
Polycythemia Vera: Medical Mgmt
- chemotherapy-Hydroxyurea (hydrea)
- antiplaetlet agregator-anagrelide (agrylin)
- Interferon alfa-2b for pruritus
- Allopurinol (zyolgprim) for gout prevention
- apirin (low dose)
-
Chronic Myeloid Leukema (CML): Medical Mgmt
Imatinib mesylate (Gleevec) best during chronic phase
-
Multiple Myeloma-Med Mgmt
- Bisphosphanates:
- inhibit bone breakdown, treatskeletal pain and hypercalcemia, monthly via IV infusion (aredia, Someta, Didronel)
- Corticosteroids
- Pretease inhibitor (Bortezomib)
|
|
