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NURB 3150 ATI Medication - Filgrastim Template
- Course
- Nurb 3150
- Institution
- Northwestern State University Of Louisiana
This is a comprehensive and detailed template on; ATI Medication - Filgrastim. ***Essential Study Resource!!
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ACTIVE LEARNING TEMPLATE: Medicationanna vanasselberg
STUDENT NAME _____________________________________
Þlgrastim (Neupogren)
MEDICATION __________________________________________________________________________ REVIEW MODULE CHAPTER ___________
leukopoietic growth factor.
CATEGORY CLASS ______________________________________________________________________
PURPOSE OF MEDICATION
Expected Pharmacological Action Therapeutic Use
- binds to and stimulates immature reduction of infection risk with:
neutrophils to divide and differentiate. - bone marrow transplantation.
- also activates mature neutrophils. - severe chronic neutropenia.
- myelosuppressive chemotherapy.
Complications Medication Administration
- obtain a baseline CBC with differential
- leukocytosis and platelet count and monitor twice
- bone pain. weekly thereafter.
- fever. - administer Þlgrastim by intermittent or
- splenomegaly (long-term use). continuous IV infusion or subcutaneous
injection.
- do not shake vials or mix with other
drugs.
- use each vial for one dose.
- do not administer within 24 hr of
Contraindications/Precautions cytotoxic chemotherapy.
Contraindications: Precautions:
- sensitivity to Escherichia coli- - bone marrow cancer.
derived proteins. - pre-existing cardia disease. Nursing Interventions
- acute respiratory distress
syndrome. - monitor CBC twice a week
- current chemotherapy, radiation. during treatment.
- monitor the degree of bone
Interactions pain.
- Þlgrastim interferes with the action of cytotoxic drugs. - monitor for spleen
- lithium potentiates release of neutrophils. enlargement.
Client Education
- report bone pain or fever.
Evaluation of Medication Effectiveness - report abdominal pain or
- decreased incidence of infection in patients who receive fullness.
bone marrow depressing antineoplastic reduction of
duration of sequelae of neutropenia after bone marrow - do not breast feed while taking
transplantation. medication.
ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE A7
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