RT Book, Section
A1 Cook, Kristen
A2 DiPiro, Joseph T.
A2 Talbert, Robert L.
A2 Yee, Gary C.
A2 Matzke, Gary R.
A2 Wells, Barbara G.
A2 Posey, L. Michael
SR Print(0)
ID 1148579537
T1 Anemias
T2 Pharmacotherapy: A Pathophysiologic Approach, 10e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9781259587481
LK accesspharmacy.mhmedical.com/content.aspx?aid=1148579537
RD 2024/04/24
AB Patient  Care  Process  for  the  Management  of  AnemiaCollectPatient  characteristics  (e.g.,  age,  race,  sex,  pregnant)Patient  history  (past  medical,  dietary  habits,  activity)Symptoms  of  anemia  (fatigue,  weakness,  chest  pain,  dizziness,  paleness,  etc.  (see  Clinical  Presentation  Box  100-1)Current  medications  (including  over-the-counter  and  supplements)Objective  data  (see  Box  100-1)Blood  pressure  (BP),  heart  rate  (HR)Labs  (CBC,  iron  studies,  vitamin  B12,  foliate,  homocysteine,  MMA,  etc.)AssessUnderlying  disease  states  (blood  loss,  heart  failure,  chronic  renal  disease,  HIV,  malignancy;  see  Table  100-6)Dietary  habits  and  potential  social  factors  contributing  to  nutritional  deficienciesAcuity  of  symptoms  and  need  for  transfusion  or  hospitalizationCurrent  medications  that  may  contribute  to  or  worsen  anemia  or  blood  lossLab  results  to  determine  underlying  etiology  of  anemia  for  proper  treatment  selection  or  attainment  of  treatment  goalsPlan*Dietary  interventions  for  nutritional  deficiencies  (Tables  100-1,  100-4,  100-5)Initiate  proper  drug  therapy  treatment  based  on  etiology.  This  includes  correct  formulation,  strength,  dosing,  frequency,  pertinent  drug  interactions.  (Table  100-2  and  100-3  for  iron  product  selection/drug  interactions)Monitoring  for  efficacy  and  safety  (lab  and  symptom  improvement,  corrected  etiology  if  possible,  adverse  effects)Patient  education  (expectations/purpose  of  treatment,  adverse  effects,  diet,  etc.)Improved  treatment  of  underlying  pathologies  if  contributing  to  anemia  of  chronic  diseaseImplement*Educate  patient  on  treatment  interventions  and  treatment  expectationsReinforce  adherence  to  treatment  plan  for  short  and  long  term  successSchedule  patient  for  follow-up  at  appropriate  intervalsFollow-up:  Monitor  and  EvaluateRecheck  lab  values  within  4  weeks  after  treatment  initiationTolerability  of  medications  (e.g.,  adverse  effects)Symptom  improvementIf  minimal  improvement  or  worsening,  evaluate  whether  etiology  of  anemia  is  correct*Collaborate  with  patient,  caregivers,  and  other  health  professionals