Name of Patient: M. G. Attending Physician: Dr.

T
Age: 55 Impression Diagnosis: Low Hgb and
Low Hct

Name of Drug Dosage, Mechanism of Indication Adverse Special Nursing Responsibilities

Route, Action Reactions Precautions
Freq.,
Timing
Generic: Dose: 400 Iu  Erythropoietin It is inidicated for Hypertension, Chronic renal Check the physician's order.
Epoetion regulates the patient since myalgia, failure, ischaemic
Observe and follow the 10 rights of
Alpha Route: SQ erythropoiesis the patient has arthralgia, flu-like heart diseases, medication administration.
by stimulating low level of Hgb syndrome, rashes seizures, liver
Frequency: the and Hct and urticaria. dysfunction, Do not shake solution. Shaking may
Brand: twice a week differentiation denature the glycoprotein, rendering
Epogen (Sat-Wed) and it biologically inactive.
proliferation of
Timing: 12 erythroid Inspect solution for particulate
Classification Contraindication Side Effects
matter prior to use. Do not use if
Pharmacologi PM precursors, Uncontrolled Hypertensive solution is discolored or if it contains
cal: stimulating the hypertension, crisis with particulate matter.
erythropoiesis- release of hypersensitivity encephalopathy-
stimulating reticulocytes to mammalian like symptoms Use only one dose per vial, and do
agents (ESAs). into the cell products and e.g. headache, not reenter vial.
circulation, and albumin (human) confusion,
synthesis of Do not give with any other drug
generalised
solution.
cellular seizures.
haemoglobin. Thrombosis. Control BP adequately prior to
initiation of therapy and closely
monitor and control during therapy.
Hypertension is an adverse effect
that must be controlled.

Be aware that BP may rise during

early therapy as the Hct increases.
Notify physician of a rapid rise in
Hct (>4 points in 2 wk). Dosage will
need to be reduced because of risk of
serious hypertension.