NR 566 / NR566 Advanced Pharmacology for
Care of the Family Final Exam Review|
Rated A |Latest 2021 / 2022| Chamberlain
College
1. Anticoagulant
... [Show More] preferred for high risk of CVA with Afib
- The 2012 ACCP guidelines recommend 150 mg of dabigatran twice daily as
the anticoagulant therapy of choice rather than warfarin
- For patients with persistent or paroxysmal AF at high risk for stroke, the
recommendation is warfarin with a target INR between 2 and 3.
2. Drugs which decrease anticoagulant effectiveness
- Oral contraceptives, carbamazepine, etc.
- Vitamin K-containing foods
3. Iron deficiency anemia prevention:
- adequate iron intake
- -monitor in periods of rapid growth (infancy, adolescence, pregnancy)
- -replacement in infants (1mg/kg/day starting at 4 months) (2mg/kg/day in
preterm infants)
- -folic acid supplementation in pregnancy
4. Iron deficiency anemia Tx
- iron replacement (based on age)
- divide dose in 3 doses per day
5. Iron deficiency anemia monitoring:
- reticulocyte count 5 to 10 days after starting therapy,
- Hgb, Hct, Ferritin at 4 weeks, then at 3 months and annually
6. iron deficiency anemia outcome evaluation:
- return to normal Hgb, Hct, and ferritin levels
- If Hgb, Hct, and ferritin do not return to normal patient should be evaluated
for source of blood loss
7. iron deficiency anemia Pt education:
- importance of prevention with adequate iron intake
- administration (empty stomach if tolerated, 3 times daily)
- constipation (may need stool softener)
- Take with vitamin C to enhance absorption.
- Avoid taking with dairy products, calcium, antacids.
8. iron deficiency anemia risk groups:
- infants fed goat's milk or powdered formula
- vegetarians and vegans
- -pregnancy
- -patients with sprue, crohn's disease, giardia infections, and short bowel
syndrome
- -patients taking drugs that affect folic acid absorption
9. Folic acid deficiency prevention
- Adequate dietary intake
- Folic acid supplementation in pregnancy
- 0.4 mg/day prior to conception and during pregnancy
- Women of childbearing age and pregnant women should consume 0.4 to 0.8
mg/day.
10. Folic acid deficiency drug therapy
- Oral folic acid 1 to 2 mg/day for 4 to 5 weeks
- Hgb levels start to rise in a week
- Initial dose: 1 mg/day in adults in children
- Maintenance dose Infants 0.1 mg/day Pregnant or lactating women: 0.8
mg/day [Show Less]