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Classification:
Analgesics
Route: PO
Date Ordered: Treatment of Required for GI disturbances, >Obtain a careful history of >report rash, difficulty in
02/04/11 megablastic nucleoprotein hypersensitivity reactions; dietary intake and drug and breathing.
anemias due to synthesis and alcohol usage prior to start of
Generic Name: Folic sprue, nutritional maintenance of normal therapy. Drugs reported to
Acid deficiency erythropoiesis. cause folate deficiency
include oral contraceptives,
Brand Name: Folvite alcohol, barbiturates,
methotrexate, phenytoin,
Classification: primidone, and trimethoprim.
Folic acid Folate deficiency may also
Vitamin supplement result from renal dialysis.
Date ordered: Reduction in Filgastrim stimulates GI disturbances, anorexia, > Pre-malignant or malignant > Teach patient technique for
02/03/11 durationof the production of headache, asthenia, fever, myeloid conditions, monitor self administration: dose, S/E,
neutropenia (& neutrophil and may musculoskeletal pain, bone full blood counts & spleen disposal of containers &
Generic Name: associated reduce the duration of pain, rash, alopecia, inj site size. needles.
Filgrastim sequelae) in chemotherapy-induced reactions & leucocytosis. > Assess patient's underying > Instruct patient to report
myeloablative neutropenia and Pulmonary infiltration condition before starting adverse reactions & to
Brand Name: therapy followed thereby reduce the therapy. manage skeletal pains.
White C by bone marrow incidence of > Determine baseline CBC &
transplantation associated sepsis platelet count before
Classification: treatment & monitor twice
Antineoplastics & weekly.
Immunosuppressants >Assess allergic/
hypersensitivity reactions:
Dosage: 300mg itching, rash, urticaria.
> Monitor possible S/E:
Route: IV single dose CNS: fever, fatigue,
weakness CV: MI, arrythmia,
chest pain GI: N/V, diarrhea,
mucositis, stomatitis,
constipation GU: hematuria,
protenuria Musculoskeletal:
skeletal pain Respiratory:
dyspnea, cough Skin:
alopecia, rash, cutaneous
vasculitis.
> Assess for bone pain:
frequency, duration,
intensity.
> Assess patient's and
family's knowledge of drug
therapy.
Date ordered: Pernicious anemia A coenzyme that Peripheral vascular > Obtain a sensitivity test
02/04/11 stimulate metabolic thrombosis, heart failure, history before
function an is needed pulmonary edema, itching, administration
Generic Name: > Avoid I.V. administration
for cell replication, transient diarrhea
Vitamin B Complex bec. faster systemic
hematopoiesis and elimination will reduce
Brand Name: nucleoprotein an effectiveness of vitamin.
Polynerv 500 myelin synthesis. > Monitor patient for
hypokalemia for first 48
Classification: hours, as anemia correct
Vitamins and itself. Give potassium
Minerals supplements, as needed.
Dosage: 1 tab OD
Route: P.O. OD