Middle Tennessee State University
School of Nursing NURS 3530: Caring for Adult Clients I Problems of Oxygenation: Transport and Perfusion Medications 
Side Effects
Nursing Implications
Antianemic Agents
PO: Fe Sulfate (Feosol)
IM/IV- Fe Dextran
 Iron replacement.
Absorbs best on an empty stomach, but may need to take with food.
  Iron deficiency anemia
Anaphylaxis (with IM/IV route);severe hypotension urticaria,
 GI: nausea, indigestion, constipation, dark/black stools
 Liquid form stains teeth or tissues
Can take with meals if GI distress. 
Dilute liquid in juice or water & administer through a straw.
IM: Use Z-Track- May give test dose
IV: May give test dose
 Increase dietary sources of Fe; increase fluids & fiber to prevent constipation.

Interactions: Antacids decrease absorption
Ascorbic Acid (Vit. C) promotes absorption of iron

Vitamin B12 (Cyanocobalamin)
Required for cell growth by permitting utilization of folic acid. Needed for DNA synthesis.
Vitamin B12 deficiency; Impaired absorption; Pernicious Anemia (PA)

Oral (large doses), intranasal, IM or deep SQ Teach about dietary sources of B12 Monitor B12 blood levels every 6 months. Lifelong treatment in PA
Assess for S&S of hypokalemia: muscle weakness; irregular HR
Folic Acid (Folvite)
Folic acid deficiency: Insufficient dietary intake (i.e. alcoholism)
Prophylactic before/during pregnancy to prevent neural tube defects
Teach about dietary sources of folic acid: liver, grain products (cereals), green leafy veggies (spinach) & broccoli, asparagus
Alpha Adrenergic Blockers: Block alpha 1 receptors – resulting in vasodilation
prazosin (Minipress)
Blocks alpha 1 receptor to cause vasodilation...

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