Hematologic Pharmacology Questions With Complete Solutions

You are talking to a patient who is about to begin taking liquid ferrous sulfate (Feosol) to treat iron-deficiency anemia. Which of the following instructions should you include about the drug? (Select all that apply.) 1. swish before swallowing 2. drink through straw 3. do not rinse your mouth after 4. dilute it with water 5. take it with food correct answer: drink it through a straw, dilute it with water first You are caring for a patient who is about to begin taking cyanocobalamin (Nascobal), a vitamin B12 preparation. You should understand that the drug treats which of the following types of anemia? 1. pernicious 2. sickle cell 3. aplasia 4. iron-defficiency correct answer: pernicious [lack of intrinsic factor, needed to absorb B12] Before administering IV folic acid, you should explain to the patient that the drug can cause which of the following adverse effects? 1. headache 2. nausea 3. dizziness 4. flushing correct answer: flushing [upon injection] You are caring for a patient who is taking warfarin (Coumadin) to prevent venous thrombosis. You should explain that taking the drug requires daily blood samples to monitor of which of the following laboratory tests? 1. fibrinogen 2. PT/INR 3. platelets 4. aPTT correct answer: PT/INR [prothrombin time / international normalized ratio; between 2-3] match drug / pharmacological action Filgrastim (Neupogen) Alteplase (Activase) Epoetin alfa (Procrit) Clopidogrel (Plavix) correct answer: Filgrastim (Neupogen) - WBC prod Alteplase (Activase) - thrombolytic Epoetin alfa (Procrit) - RBC prod Clopidogrel (Plavix) - antiplatelet You are caring for a patient who is about to begin taking clopidogrel (Plavix) to prevent transient ischemic attacks. You should tell the patient to report which of the following adverse effects? (Select all that apply.) 1. petechiae 2. tinnitus