A. ETIOLOGY AND PATTERNS OF SYMPTOMS

1. Mr. Huang has metastatic prostate cancer, diabetes, and uncontrolled hypertension. He has mild congestive heart failure and is currently receiving two units of packed red blood cells for a hemoglobin of 8 g/dL. Your colleague asks why he is not given erythropoietin alfa rather than risk complications of a fluid overload. Your most appropriate response would be which of the following?

  1. Erythropoietin alfa injections take 2–6 weeks to be effective.
  2. Erythropoietin alfa is contraindicated in patients with uncontrolled hypertension.
  3. Erythropoietin alfa can potentially increase his severity of congestive heart failure and stroke.
  4. Erythropoietin alfa is only given to anemic patients being treated with myelosuppressive ...

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