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Author Question: The patient has taken epoetin alfa (Epogen) with good results for several months. On this visit, the ... (Read 67 times)

asmith134

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on: Jul 23, 2018
The patient has taken epoetin alfa (Epogen) with good results for several months. On this visit, the nurse analyzes the patient's lab results and finds indications of severe anemia and cytopenias. What order will the nurse anticipate receiving?
 
  A) Increase the dosage of Epogen.
  B) Change the patient to another erythropoiesis-stimulating agent.
  C) Discontinue Epogen.
  D) Begin administering Epogen IV instead of subcutaneously.

Question 2

The nurse is caring for a patient who is prescribed cidofovir, IV. What other medication will the nurse administer with cidofovir?
 
  A) Probenecid
  B) Paroxetine hydrochloride
  C) Penciclovir
  D) Prostigmin


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courtney_bruh

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Reply #1 on: Jul 23, 2018
Answer to Question 1

C
Feedback:
In patients treated with Epogen or any drug in this class who develop severe anemia after improvement, the drug should be stopped and should not be changed to another drug in the class because it is likely due to patient's development of neutralizing antibodies. Increasing the dosage will not help and changing the route of administration will not reverse the process after antibodies have formed.

Answer to Question 2

A
Feedback:
Cidofovir, which is given by IV infusion, reaches peak levels at the end of the infusion; in studies, it was cleared from the system within 15 minutes after the infusion was completed. It is excreted unchanged in the urine and must be given with probenecid to increase renal clearance of the drug. Paroxetine hydrochloride is Paxil, an antidepressant; Penciclovir is an antiviral cream; Prostigmin is an anticholinesterase agent used in myasthenia gravis. None of these drugs are used with cidofovir except for probenecid.


asmith134

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Reply #2 on: Jul 23, 2018
TY


courtney_bruh

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Reply #3 on: Jul 23, 2018
You're welcome


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