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FERROUS SULFATE
- give: anemia deficiency
- a/p: pallor, low energy levels, constipation
- teach: dilute c water or juice, increase fluid and fiber, take on empty stomach
- tr: prevention or treatment of iron deficiency anemias
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CYANOCOBALAMIN
- give: B12 deficiency
- a/p: pallor, dyspnea, palpitations, fatigue
- teach: check b12 levels, take orally or monthly injection
- tr: treatment of vit B12 deficiency, correction of megaloblastic anemia
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FOLIC ACID
- give: reduces risk of neural tube defects in fetus
- a/p: fatigue, pallor, palpitations, dyspnea
- teach: increase folate-rich foods, limit alcohol, serum folate levels test, mask symptoms of b12 deficiency
- tr: 0 megaloblasts, reticulocyte increase, hct increase
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EPOETIN ALFA
- give: anemia caused by chemo, increase RBCs
- a/p: HTN, increase CV, hgb levels
- teach: hgb, monitor CV, BP
- tr: increase hgb
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FILGASTRIM
- give: increase WBCs
- a/p: bone pain, leukocytosis
- teach: monitor WBCs levels
- tr: absence of infection
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CYCLOPHOSPHAMIDE
- give: treatment of cancer
- a/p: check liver enzymes, LFTs, AST, ALT
- teach: take c food, maintain hydration
- tr: reduced cancer growth
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CISPLATIN
- give: to treat cancer
- a/p: peripheral neuropathy, kidney damage, ototoxicity, CBC (wbc, rbc, platelets)
- teach: nausea, vomiting
- tr: cancer free
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METHOTREXATE
- give: treat cancer
- a/p: renal impairment, oral and GI ulcerations, CBC
- teach: hydration, report bloody stool
- tr: decrease cancer growth
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DOXORUBICIN
- give: treats cancer
- a/p: cardiotoxicity, BP, HR, CBCs
- teach: monitor BP, HR, red urine and sweat
- tr: tumor is shrinking
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VINCRISTINE
- give: treats cancer
- a/p: check neuro, WBC <4k, platelets<75k
- teach: s/s of neuropathy
- tr: decrease spread of cancer
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TAMOXIFEN
- give: breast cancer
- a/p: hot flashes, fluid retention, monitor dvt, nausea
- teach: get mammogram, dvt possible
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INTERFEON ALFA-2B
- give: chronic hepatitis, HIV, cancer
- a/p: flu-like symptoms (fever, fatigue, myalgia, headache, chills, depression) depression
- teach: give analgesic, notify provider c s/s of depression or flu
- tr: boost immune and stop cancer cell progression
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CYCLOSPORINE
- give: immunosuppressant for transplants
- a/p: nephrotoxicity, infections (hepatotoxicity, lymphomas, HTN, tremor, hirsutism, anaphylactic reactions)
- teach: transplant not rejected
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PREDNISONE
- give: suppress immune response (allograft rejection, asthma, RA, systemic lupus erythematosus, MS
- a/p: kidney damage, liver damage, increase BS
- teach: monitor BUN & Creatine levels, take until gone, takes awhile to work
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DEXAMETHASONE
- give: replacement therapy, treating nonendocrine disorders, diagnosing cushing's sundrome
- a/p: kidney damage, liver damage, increase BS
- teach: monitor BUN & Creatine levels
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ALLOPURINOL
- give: chronic gout
- a/p: check urine alkalinity
- teach: fluid intake of 2L/day, use NSAIDS in acute attack or flare up
- tr: improved joint function, reduced blood uric acid levels
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PROBENECID
- give: to inhibit reabsorption of uric acid, anti-gout
- a/p: check urine alkalinity, renal impairment
- teach: no aspirin, GI effects/take c food, increase fluid intake
- tr: decrease plasma uric acid, decrease calcium oxalate stones, increase uric acid excreted
-
VITAMIN D
- give: to regulate calcium's and phosphorus' homeostasis
- a/p: increase blood levels, decrease renal excretion, monitor serum calcium concentrations
- teach: serum calcium draw, blood draw levels
-
RALOXIFENE
- give: osteoporosis
- a/p: DVT, pulmonary embolism
- teach: monitor circulatory system, lung sounds, respiratory system
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ALENDRONATE
- give: osteoporosis, paget's disease
- a/p: esophagitis, atypical femoral fx
- teach: take c sufficient amt of liquids, make sure med has been fully swallowed, seek medical attention if pt has difficulty swallowing, pain upon swallowing, or worsening heartburn
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ONDANSETRON
- give: nausea and vomiting
- a/p: monitor heart
- teach: dizziness, diarrhea, may cause rash
- tr: no nausea or vomiting
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