Document Detail


Practical approach to initiation of recombinant human erythropoietin therapy and prevention and management of adverse effects.
MedLine Citation:
PMID:  2260619     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Therapy with recombinant human erythropoietin (rHuEPO) can reverse anemia and improve the quality of life in anemic hemodialysis patients. However, therapy is costly and must be used efficiently. An initial rHuEPO dose less than 50 U/kg intravenously three times weekly may be adequate to achieve a hematocrit of 30-33% in many patients. Acquired iron deficiency is a common problem during rHuEPO therapy and must be prevented with oral and parenteral iron replacement to maintain the efficacy of rHuEPO. Patients should be monitored carefully for additional problems including: an increase in blood pressure; onset of seizures or headaches; increased blood potassium, phosphate, and creatinine concentrations; enhanced coagulability resulting in dialyzer and vascular access clotting; and myalgias with a 'flu-like' syndrome.
Authors:
P A Abraham
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of nephrology     Volume:  10 Suppl 2     ISSN:  0250-8095     ISO Abbreviation:  Am. J. Nephrol.     Publication Date:  1990  
Date Detail:
Created Date:  1991-01-31     Completed Date:  1991-01-31     Revised Date:  2007-02-14    
Medline Journal Info:
Nlm Unique ID:  8109361     Medline TA:  Am J Nephrol     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  7-14     Citation Subset:  IM    
Affiliation:
Department of Medicine, Hennepin County Medical Center, Minneapolis, Minnesota.
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MeSH Terms
Descriptor/Qualifier:
Anemia / blood,  etiology,  physiopathology,  therapy*
Blood Pressure
Erythropoietin / administration & dosage,  adverse effects,  therapeutic use*
Headache / etiology
Hematocrit
Humans
Iron / deficiency
Kidney Failure, Chronic / complications*
Recombinant Proteins
Seizures / etiology
Chemical
Reg. No./Substance:
0/Recombinant Proteins; 11096-26-7/Erythropoietin; 7439-89-6/Iron

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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