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    Drug Study

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    Vic Intia Paa
    1) Iron is used to treat iron-deficiency anemia. It should not be used to treat other types of anemia unless iron deficiency is also present. Hypersensitivity and anemia not caused by iron deficiency are contraindications. 2) Calcium and vitamin D are used to treat or prevent low calcium levels. Known digoxin toxicity is a contraindication. Some drug interactions include digoxin and certain phosphate binders. Hypercalcemia and constipation are adverse reactions. 3) Folic acid is used to treat megaloblastic anemias of pregnancy. It stimulates red blood cell, white blood cell, and platelet production in megaloblastic anemias.

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    Drug Study

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    Vic Intia Paa
    51 views2 pages
    1) Iron is used to treat iron-deficiency anemia. It should not be used to treat other types of anemia unless iron deficiency is also present. Hypersensitivity and anemia not caused by iron deficiency are contraindications. 2) Calcium and vitamin D are used to treat or prevent low calcium levels. Known digoxin toxicity is a contraindication. Some drug interactions include digoxin and certain phosphate binders. Hypercalcemia and constipation are adverse reactions. 3) Folic acid is used to treat megaloblastic anemias of pregnancy. It stimulates red blood cell, white blood cell, and platelet production in megaloblastic anemias.

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    1) Iron is used to treat iron-deficiency anemia. It should not be used to treat other types of anemia unless iron deficiency is also present. Hypersensitivity and anemia not caused by iron deficiency are contraindications. 2) Calcium and vitamin D are used to treat or prevent low calcium levels. Known digoxin toxicity is a contraindication. Some drug interactions include digoxin and certain phosphate binders. Hypercalcemia and constipation are adverse reactions. 3) Folic acid is used to treat megaloblastic anemias of pregnancy. It stimulates red blood cell, white blood cell, and platelet production in megaloblastic anemias.

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    51 views2 pages

    Drug Study

    Uploaded by

    Vic Intia Paa
    1) Iron is used to treat iron-deficiency anemia. It should not be used to treat other types of anemia unless iron deficiency is also present. Hypersensitivity and anemia not caused by iron deficiency are contraindications. 2) Calcium and vitamin D are used to treat or prevent low calcium levels. Known digoxin toxicity is a contraindication. Some drug interactions include digoxin and certain phosphate binders. Hypercalcemia and constipation are adverse reactions. 3) Folic acid is used to treat megaloblastic anemias of pregnancy. It stimulates red blood cell, white blood cell, and platelet production in megaloblastic anemias.

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    IRON

    INDICATION Iron deficiency anemia


    Irons are used for the treatment or prophylaxis of iron-deficiency anemias.
    ACTION They should not be given for the treatment of other types of anemia except
    where iron deficiency is also present. Iron-deficiency anemias respond
    readily to iron therapy but the underlying cause of the anemia should be
    determined and treated.
    Hypersensitivity. Anemia not caused by iron deficiency, evidence of iron
    CONTRAINDICATIO overload or hereditary disturbances in utilization of iron.
    N
    Antacid, milk, tetracycline, zinc: absorption of oral iron is decreased.
    DRUG Ciprofloxacin, levofloxacin, norfloxacin, tetracycline, levodopa,
    INTERACTIONS penicillamine: absorption is decrease by oral iron
    GI: GI discomfort, anorexia, nausea, vomiting, heartburn, constipation or
    ADVERSE diarrhea, fecal impaction, dark stools, dental discoloration.
    REACTION Genitourinary: Urine discoloration.
    Dermatologic: Allergic reactions, contact dermatitis.
    The nurse must educate or discuss using iron supplements and increasing
    NURSING dietary sources of iron as indicated. Prepare for blood-typing and cross
    RESPONSIBILITIES matching, and for administering packed PBCs during labor if the client has
    severe anemia. 

    CALCIUM
    INDICATION to treat or prevent low calcium levels
    Calcium carbonate is a calcium supplement, Vitamin D3 is a fat-soluble
    ACTION sterol, it aids in the regulation of calcium and phosphate homeostasis and
    bone mineralization.

    Known or suspected digoxin toxicity; not recommended as routine treatment


    CONTRAINDICATIO in cardiac arrest (includes asystole, ventricular fibrillation, pulseless
    N ventricular tachycardia, or pulseless electrical activity)
    Some products that may interact with this drug include: digoxin, certain
    DRUG phosphate binders (such as calcium acetate), phosphate supplements (such
    INTERACTIONS as potassium phosphate), sodium polystyrene sulfonate.
    significant: Hypercalcemia, constipation, bloating and gas.
    ADVERSE Gastrointestinal disorders: Nausea, vomiting.
    REACTION
    The nurse must:
    NURSING
    RESPONSIBILITIES - include encouraging fluid intake and ambulation. Fluids containing
    sodium should be used unless contraindicated as sodium
    increases calcium excretion.
    - Cardiac rhythm should be monitored. 
    - Calcium levels should be monitored as ordered, as well as sodium
    and potassium levels due to use of diuretics.

    FOLIC ACID
    INDICATION treatment of megaloblastic anemias of pregnancy
    Stimulates production of RBCs, WBCs, and platelets in patients with
    ACTION megaloblastic anemias. Include improved symptoms of glossitis, diarrhea,
    constipation, weight loss, irritability, fatigue, restless legs, diffuse muscular
    pain, insomnia, forgetfulness, mental depression, pallor.
    Folic acid alone for pernicious anemia or other vitamin B 12 deficiency states;
    CONTRAINDICATIO normocytic, refractory, aplastic, or undiagnosed anemia.
    N
    may antagonize effects of folate therapy; phenytoin metabolism may be
    DRUG increased, thus decreasing its levels in folate-deficient patients.
    INTERACTIONS
    Although doses up to 5 mg daily have been safely used in some research,
    ADVERSE doses of folic acid greater than 1 mg daily might cause abdominal cramps,
    REACTION diarrhea, rash, sleep disorders, irritability, confusion, nausea, stomach upset,
    behavior changes, skin reactions, seizures, gas, excitability, and other side
    effects.

    - Obtain a careful history of dietary intake and drug and alcohol usage
    NURSING prior to start of therapy. Drugs reported to cause folate deficiency
    RESPONSIBILITIES include oral contraceptives, alcohol, barbiturates, methotrexate,
    phenytoin, primidone, and trimethoprim. Folate deficiency may also
    result from renal dialysis.
    - Keep physician informed of patient's response to therapy.
    - Monitor patients on phenytoin for sub therapeutic plasma Levels.

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