Page 385 - Critical Care Nursing Demystified

370 CRITICAL CARE NURSING DeMYSTIFIED

TABLE 8–3 Miscellaneous Medications Used With Patients in ARF and CRF (Continued)
Medication Actions Use Precautions
Iron supple- Increase needed Anemia 1. Poorly absorbed if
mentation for red blood associated taken with phosphate
Ferrous sulfate cell stimulation with CRF binders, H2 blockers,
(Feosol) and proton pump
inhibitors
Iron sucrose
(Venofer) IV 2. Causes constipation
form and black stools;
patient teaching
required to increase
fiber/fluid to
prevent constipation
3. Assess neurologic
changes due to iron
toxicity
4. Give IM injections
Z track
Procrit (EPO) Synthetic To promote 1. Takes several weeks
erythropoietin red blood cell to take effect
Increases quality stimulation in 2. Does not replace Downloaded by [ Faculty of Nursing, Chiangmai University 5.62.158.117] at [07/18/16]. Copyright © McGraw-Hill Global Education Holdings, LLC. Not to be redistributed or modified in any way without permission.
of life as the absence of transfusions in
increases erythropoietin in emergency blood
energy, appetite, ESRD loss
and functional/ Prevents 3. Monitor the BP as
role abilities increased hypertension can
frequency result
of blood
transfusions
Proton pump Inhibits HCL To prevent 1. Monitor for
inhibitors release in the stress ulcers and hypersensitivity to
Pantoprazole lumen of the GI bleeding these drugs
(Protonix) stomach 2. Administer before
Esomeprazole meals
(Nexium) 3. Monitor for GI
upsets including
nausea, vomiting,
and diarrhea
4. Monitor for Clostrid-
ium difficile, which
has been reported to
be three times
higher in patients on
this group of drugs