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.