Iron

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Author:
merazar15
ID:
228623
Filename:
Iron
Updated:
2013-07-30 14:59:47
Tags:
Iron
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Description:
pharm
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  1. drugs:
    • oral
    • Ferrous sulfate- give 1st ·        
    • Ferrous fumarate, ferrous gluconate, polysaccharide-iron complex

    • IV        
    • Iron dextran·        
    • Sodium ferric gluconate – give 2nd if can’t give ferrous sulfate , iron sucrose
  2. cell characteristics of iron deficiency anemia:
    • Microcyctic, hypochromic anemia
    • (small & pale RBC)
  3. goal of iron therapy:
    • 2-fold:
    • Correct the anemia·        
    • Correct the deficient iron stores in the body
  4. how long can it take for oral iron therapy to correct the iron stores?
    6-12 months
  5. dosing for
    Ferrous Gluconate:
    325 mg PO tid
  6. dosing for Polysaccharide-iron complex:
    150 mg (1 capsule) PO 1—2 times per day
  7. dosing for Ferric Gluconate:
    Most patients will require a minimum cumulative dose of 1 g of elemental iron
  8. SE c/ PO administration:
    • GI symptoms (common & dose related)
    • black stool
    • iron toxicity
  9. SE of iron dextran:
    • Anaphylaxis-like reactions
    •     Chest pain, wheezing, and hypotension
  10. how can you treat iron toxicity?
    • Deferoxamine (IV)- on exam  or
    • Deferasirox (PO)

    (or phlebotomy)

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