Haemanitics And Erythropoietin Flashcards
Which substances inhibit iron absorption
- Excess phosphate
- excess oxalates
- excess phyates
Form insoluble complexes - Milk
- antacids
- tetracyclines
What are the various oral preparation of iron
- Ferrous sulphate
- Ferris gluconate
- ferrous fumarate
- Colloidal ferric hydroxide
- Carbonyl iron 
- Ferrous succinate
- iron choline citrate
- ferric ammonium citrate
What are the adverse effects of Oral iron preparations
- Nausea, vomiting
- epigastric discomfort
- dyspepsia
- metallic taste
- constipation or diarrhoea
- staining of teeth
Name parental preparations of iron
- Iron sorbitol citric acid complex (jectofer)
- Iron dextran (imferon)
- Ferrous sucrose
- ferric carboxymaltose
What are the indications for parental iron therapy
- Intolerance to oral iron
- malabsorption of oral iron
- noncompliance to oral iron
- severe iron Deficiency
- along with erythropoietin in patients with renal disease
How do you calculate total dose of parentental iron
Total iron = 4.4 x body weight x HB deficit
Which parental iron preparation contains nano particles of iron oxide
Ferric carboxy maltose
What are the adverse effects of parental iron preparation
- Pain at injection site
- abscess and discolouration of skin at the side of injection
- headache, pyrexia, nausea, vomiting
- Arthralgia
- lymphadenopathy
- Uriticaria
- anaphylactic reaction
What are the therapeutic uses of iron
- To treat Iron deficiency:
a) during pregnancy
b) due to blood loss
c)due to nutritional deficiency
d) due to poor absorption of iron from the gut - prophylaxis: pregnancy and infancy
What are the manifestations of acute iron poisoning
- Nausea, vomiting, epigastric pain
- bloody diarrhoea
- dehydration
- cyanosis
- drowsiness
- hyperventilation
- metabolic acidosis
- conversions, coma and death
Which drugs are useful in iron poisoning
- Desferrioxamine
- Deferiprone
- Calcium edetate
How do you treat iron poisoning
- General Measures
- specific therapy
What are the procedures for general measures for iron poisoning
- Supportive measures: airway, breathing, circulation, fluid and electrolyte balance should be maintained
- vomiting induced. gastric lavage- Sodium bicarbonate precipitates iron and reduces its adoption
- IV diazepam to control convulsions
What are the measures taken for specific therapy for iron poisoning
1. Desferrioxamine, A potent iron chelating agent IV
OR
2. Deferiprone oral iron chelator
IR
3. Calcium edetate
What are the manifestations of vitamin B 12 deficiency
- megaloblastic anaemia pallor of skin and mucous membranes
- Degeneration of posterior and lateral columns of spinal cord
- paresthesia, peripheral neuropathy, confusion, loss of memory, hallucination and psychosis
- Glossitis, atrophy of tongue and vagina