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Hematology Pharmacology
Drugs used in clotting disorders and hematologic deficiencies
15
Medical
Graduate
02/04/2011

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Term
Deferoxamine
Definition
Iron chelator
-acute iron poisoning
-hemochromatosis
IntraM or SubQ
Term
Ferrous sulfate
Definition
treatment for iron deficiency
oral or parenteral
no method for excretion; acute overdose (mostly in children) necrotizing gastroenteritis, ab pain, bloody diarrhea, shock
Term
ferrous gluconate
Definition
oral iron preparation
treatment for iron deficiency
Term
iron dextran
Definition
parenteral iron preparation
IV or deep IntraM
allergic rxn possible
Term
iron sucrose complex
Definition
parenteral iron preparation
IV only
less chance of allergic rxn
Term
iron sodium gluconate complex
Definition
parenteral iron preparation
IV only
less chance of allergic rxn
Term
vitamin B12
Definition
treats vitamin B12 deficiency, duh
-parenteral req for pernicious anemia and malabsorption
-no toxicity
Term
cyanocobalamin
Definition
parenteral B12
ItraM injections every other day 1-2wks
maintenance: 1/month
Term
hydroxycobalamin
Definition
parenteral B12
*preferred bc more highly protein bound and remains in circulation longer
ItraM injections every other day 1-2wks
maintenance: 1/month
Term
extrinsic factor
Definition
vitamin B12
Term
folic acid
Definition
treats folate deficiency
no toxicity, but can mask vitB12 def
oral
richest dietary sources: yeast, liver, kidney, green vegetables, fortified grains
Term
erythropoietin
(epoetin alpha)
Definition
stimulates erythroid proliferation, release of reticulocytes from BM
-treat anemia caused by: renal failure, HIV, cancer
IV or SubQ 1-3x/wk
tox: high bp, thrombotic complications
Term
darbepoetin alpha
(NESP)
Definition
glycosylated from of erythropoeitin
long lasting
IV or subQ 1x/wk
Term
Oprelvekin
(interleukin-11)
Definition
stimulates megakaryocyte progenitors --> increases platelet numbers
activates IL-ll receptors
-prevents throbocytopenia in chemo pt
daily by subQ injection
Term
thrombopoetin
Definition
stimulates megakaryocytes
genetically engineered protein: Romiplostim, still being researched
-used for ITP
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