The nurse preparing to provide care to a patient with thrombocytopenia would review the administration instructions for which category of medications?
1. Vitamin supplements
2. Erythropoietic agents
3. Immune-suppressive medications
4. Parenteral iron supplementation
3
Rationale 1: Vitamin supplementation is used to correct deficiencies in key elements, such as vitamin B12 and serum folate, required for hemoglobin synthesis. This treatment is indicated for anemia.
Rationale 2: Erythropoietic agents are used to treat anemias by stimulating, differentiating, and proliferating the hematopoietic cascade.
Rationale 3: Immune-suppressive medications, such as steroids and intravenous immunoglobulin, are used to suppress the immune response, including the autoimmune response. This treatment is useful for patients with immune thrombocytopenia purpura. Suppression of the immune system results in platelet survival.
Rationale 4: Parenteral iron supplements are used to treat anemias, not thrombocytopenia.
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