1. Chapter 22 Agents Used to Treat Anemias

2. Copyright 2007 Thomson Delmar Learning, a division of Thomson Learning Inc. All rights reserved. 22 - 2 Anemia Decreased number of circulating red blood cells  Decreased hemoglobin = decreased oxygen capacity Many causes

3. Copyright 2007 Thomson Delmar Learning, a division of Thomson Learning Inc. All rights reserved. 22 - 3 Iron-Deficiency Anemia Nutritional deficit  Common cause Clients with:  Bleeding disorders  Menses  Pregnant women  Infants  Blood donors

4. Copyright 2007 Thomson Delmar Learning, a division of Thomson Learning Inc. All rights reserved. 22 - 4 Therapeutic Agents Iron salts  Ferrous sulfate  Ferrous fumarate  Ferrous gluconate Side effects  Gastrointestinal upset  Constipation Intramuscular and intravenous

5. Copyright 2007 Thomson Delmar Learning, a division of Thomson Learning Inc. All rights reserved. 22 - 5 Epogen or Procrit Synthetic products Generic name: epoetin alfa recombinant Erythropoietin  Synthesized by the liver  Stimulates red blood cells

6. Copyright 2007 Thomson Delmar Learning, a division of Thomson Learning Inc. All rights reserved. 22 - 6 Megaloblastic Anemias Large red blood cells Neutrophil and platelet changes Treated with vitamin B 12  Intramuscular

7. Copyright 2007 Thomson Delmar Learning, a division of Thomson Learning Inc. All rights reserved. 22 - 7 Folic Acid Deficiency Needed for proper neural development Products enriched with folate  Grain products