Ferrous Sulfate, ferrous
gluconate, or ferrous fumarate
- Class:iron supp/ antianemic
- Indication:Treatment & prevention iron deficiency anemia.
- Action: Enters the bloodstream and is transported to the organs of the reticuloendothelial system (liver, spleen, bone marrow) where it becomes part of iron stores
- Side effects: teeth staining, nausea, constipation, dark stools, epigastric pain, GI bleeding, vomiting
- Assessments: Assess nutritional status and dietary history to determine possible cause of anemia and need for patient teaching.Assess bowel function for constipation or diarrhea. Notify physician or other health care professional and use appropriate nursing measures should these occur.
- Teaching: Encourage patient to comply with medication regimen. Take missed doses as soon as remembered within 12 hr; otherwise, return to regular dosing schedule. Do not double doses; Advise patient that stools may become dark green or black.Instruct patient to follow a diet high in iron; Discuss with parents the risk of a child overdosing on iron. Medication should be stored in the original childproof container and kept out of reach of children. Do not refer to vitamins as candy. In the event of a suspected overdose, parents should contact poison control center