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40 Cards in this Set
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Female Hb
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12-16
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Male Hb
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13-17
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MCV
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80-100
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Reticulocyte count
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0.5-1.5
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Serum Ferritin Male
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12-300
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Serum Ferritin Female
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12-150
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Serum Iron Male
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50-160
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Serum Iron Female
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40-150
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TIBC
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250-400
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Folate
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1.8-6.0
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Vitamin B12
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100-900
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megaloblastic
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folate
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pernicious
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B12
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Ferric sulfate
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22%
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Ferric gluconate
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11%
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Ferric fumarate
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33%
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Polysaccharide iron complex
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100% Capsules
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Recommended dosage of Fe
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200mg element/day
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Parenteral Iron Indication
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Iron malabsorption
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Ferrlicit
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Sodium Ferric gluconate
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>6 yo with hemodialysis
125mg/wk x8 wks no need to test dose Dilute in 100ml NS infuse over 60 min Change in BP N/V Not dialyzable |
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Infed
Dexferam |
Iron dextran
Pain and brown on injection site Chest pain, seizures, hypotension |
Dose is wt and Hb based.
Infuse at a rate of 50mg/ml/min 1000mg total dose Give test dose of 25mg 5-10min infusion of diluted solution wait 1 hour then give rest diluted in 250-1000ml NS/D5W over 2-6 hrs Give Epi, Diphenhydramine, Corticosteroids if anaphylaxis. |
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Venofar
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Iron Sucrose
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CKD patients with Epo treatment
100mg (5ml) undiluted IV 1ml/min Hypotension, leg cramps, headache, NVD |
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Feraheme
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Feramoxytol
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30mg/ml (510mg/vial)
Give 510 IV push followed by second dose 3-8days later hypotension, iron overload, NVD, constipation, peripheral edema. |
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Blood transfusion
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do only if Hb 6-8
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Desferal
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Deferoxamine
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Max dose 6g/day
IM 500-1000mg/day IV 2g infusion (<15mg/kg/hr) with each unit of blood transfused. NTE 1g in absence of transfusion. SQ 1-2g (20-40mg/kg/day) over 8-24 hrs via continuous infusion pump don't use is severe renal disease |
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Exjade
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Deferasirox
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Renal and hepatic impairment
Gastrointestinal hemorrhage ' 20mg/kg PO qd on empyt stomach 30 min before meal. Do not give if CrCl <40 Monitor Scr, LFT, Bilirubin |
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Epoetin Indications
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Chronic renal failure
Zidovudine-treated HIV-infected patients Cancer pts on chemo Reduction of Allogeneci blood transfusion in Surgery pt |
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Epoetin dosing
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50-100 Units/kg TIW
Chemo: 150 Units/kg or 40,000 Units TIW Surgery 300 Units/kg x10days during surgery and 4 days after |
decrease dose 25% if 1g/dl increase in 2 wk
Hold dose if Hgb >12 ADR HTN, Seizures, NV Refrigerate |
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Darbopoetin
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Aranesp
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Refrigerate
CSF 0.45mcg/kg qwk Chemo 2.25 - 4.5mcg/kg qwk. 500mcg q3wk Edema, Muscle spasm/aches |
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Calomist
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Cyanocobalamin nasal spray
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Good if pt cannot swallow.
500 mcg into one nostril qwk |
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Cyanocobalamin ADR
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Swelling
Headache Vomiting Rhinitis Mild diarrhea Anxiety Hyperurecimia Hypocalemia |
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Rubesol-1000
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Vit B12 Inj
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100mcg qd 6-7days. 100mcg qod 7 days. 100mcg qmonth
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Folic Acid Strengths
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0.4 - 0.8 mg OTC
1mg Rx |
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Folic Acid ADR
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Flushing
Rash |
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Neutropenia def
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ANC < 500
ANC = WBC [(Segs+Bands)/100] |
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Neupogen
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Filgrastam
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300-600mcg IV SC qd
don't give 24-48hr before and within 24hr after chemotherapy CI Hypersen. to E. coli ADR Bone pain, rash, fever |
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Neulasta
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Pegfilgrastam
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6mg SC / chemo cycle
Don't use if <45kg |
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Leukine
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Sargramostim
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250-500mcg/ IV SC qd
Has benzyl alcohol Don't administer 24 hours before or during treatment ADR Hypotension, syncope, headache, diarrhea, fever, muscle pain. |
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Neumega
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Oprelvekin
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50mcg/kg/day SQ after chemo until platlets reach 50,000
ADR Edema, tachycardia, conjuctiva redness, fever, fatigue, anemia, muscle pain |
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Hydrea
Droxia |
Hydroyurea
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15mg/kg/day PO.
Max 35mg/kg/day CrCl<60 need to start with 7.5mg/kg/day PO CI in severe bone marrow depression. |
