In preparing to care for a client with clotting disorders, the nurse reviews the types (categories) of medications the client is likely to receive, including:
1. Immune-suppressive medications.
2. Erythropoietic agents.
3. Parenteral iron supplementation.
4. Vitamin supplementation.
Immune-suppressive medications.
Rationale: Immune-suppressive medications, such as steroids and intravenous immunoglobulin, are used to suppress the immune response, including the autoimmune response. Suppression of the immune system results in platelet survival. Erythropoietic agents are used to treat anemias by stimulating, differentiating, and proliferating the hematopoietic cascade. Parenteral iron supplements and vitamin supplements also are used to treat anemias. Parenteral iron supplementation stimulates the release of iron from plasma. Vitamin supplementation is used to correct deficiencies in key elements, such as vitamin B12 and serum folate, required for hemoglobin synthesis.
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