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- Ferrous sulfate- give 1st ·
- Ferrous fumarate, ferrous gluconate, polysaccharide-iron complex
- Iron dextran·
- Sodium ferric gluconate – give 2nd if can’t give ferrous sulfate , iron sucrose
cell characteristics of iron deficiency anemia:
- Microcyctic, hypochromic anemia
- (small & pale RBC)
goal of iron therapy:
- Correct the anemia·
- Correct the deficient iron stores in the body
how long can it take for oral iron therapy to correct the iron stores?
325 mg PO tid
dosing for Polysaccharide-iron complex:
150 mg (1 capsule) PO 1—2 times per day
dosing for Ferric Gluconate:
Most patients will require a minimum cumulative dose of 1 g of elemental iron
SE c/ PO administration:
- GI symptoms (common & dose related)
- black stool
- iron toxicity
SE of iron dextran:
- Anaphylaxis-like reactions
- Chest pain, wheezing, and hypotension
how can you treat iron toxicity?
- Deferoxamine (IV)- on exam or
- Deferasirox (PO)
What would you like to do?
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