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Flashcards in Blood and Nutrition Deck (7)
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1
Q

Ferrous sulphate, ferrous fumarate

A

Used in iron deficiency anaemia to allow regeneration of haemoglobin.
Don’t take with food unless to alleviate GI effects
ADRs: Discolouration of stools, GI irritation, altered bowel habits.

2
Q

Hydroxocobalamin

A

Used in B12 deficiency anaemia and pernicious anaemia - IM injection
ADRs: nausea, headache, dizziness, hypersensitivity, fever, hypokalaemia, thrombocytopenia

3
Q

Folic acid

A

Used in folate deficiency megaloblastic anaemia

ADRs: GI disturbances

4
Q

Calcium resonium

A

(calcium polystyrene sulfonate) Used in the management of mild-moderate hyperkalaemia with no ECG changes - ion exchange resin
ADRs: faecal impaction if given rectally, gastro-intestinal concretions if given orally, intestinal necrosis if used with sorbitol, gastric irritation, nausea, vomiting, constipation

5
Q

Sodium Chloride solution

A

Parenteral fluid given in sodium depletion such as gastro-enteritis, diabetic ketoacidosis, ileus, and ascites
ADRs: sodium accumulation, oedema, hyperchloraemia acidosis

6
Q

Glucose solution

A

Parenteral fluid - indicated in fluid replacement (fever, hyperthyroidism, diabetes insipidus) and hypoglycaemia
ADRs: low pH - venous irritation and thrombophlebitis

7
Q

How would you treat hyperkalaemia?

A

If over 6.5 mmol/litre or ECG changes then give Calcium Gluconate to protect the myocardium.
Give soluble insulin with glucose to avoid hypo
Give salbutamol - nebulised or IV
Correct acidaemia
Review prescription of drugs precipitating hyperkalaemia
Haemodialysis