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IDA Flashcards

0
Q

First line therapy

A

Fe sulphate

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1
Q

Iron therapy for IDA pregnant

A

60-120mg +

400ug Folic acid

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2
Q

Poor pregnancy outcome hgb levels?

A

Lt 6g/dl

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3
Q

Fe requirement How many times higher for vegetarians

A

1.8

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4
Q

Fe Dissolve rapidly in?

A

Stomach

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5
Q

Not recommended form of fe tablet

A

Enteric coated

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6
Q

Daily supplementation should be how many doses

A

2/3

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7
Q

When should fe be taken

A

1 hr preprandial

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8
Q

Fe better taken with?

A

Vitamin c

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9
Q

Fe should not be taken w?

A

Milk caffeine
Tea
Wine legumes

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10
Q

If the px has gastrointestinal upset what will u do w fe intake?

A

Half dose initially

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11
Q

If px has constipation, what med is allowed to take?

A

Docusate sodium

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12
Q

For follow up, the px hgb increases what should be done next?

A

Lower dose to 30mg

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13
Q

Adequate fe replacement in pregnant px when?

A

Ferritin 50u/L

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14
Q

Moderate to sever anemia supplementation

A

Parenteral

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15
Q

Give 5 Indications of parenteral fe

A 
Malabsorption
Intolerance to oral fe
Hgb 7-10.5g/dL
Need for rapid effect
Non compliance
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16
Q

Advantage of parenteral fe

A

Less risk transmission of infection
Long shelf life
Not aw blood transfusion reactions

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17
Q

More stable than dextrans and gluconate

A

Iron sucrose

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18
Q

Fe form Less binding to transport proteins,low stability

A

Sodium fe gluconate

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19
Q

20 wks gestation IDA, parenteral herapy recommended?

A

No, after 21wks

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20
Q

Formula to compute ID

A

Target-actual x wt x 0.24 + 500mg

21
Q

Target is 12, weight is 50kg what is ID when hgb is 10

22
Q

Dosing schedule? 2 ampuoles/ 100mL PNSS

A

Infused for 1 hr

23
Q

_______ is prudent before giving the therapeutic dose

24
Q

Test dose?

A

0.5ml 10 mg iron sucrose

25
Q

Hgb level for bloos transfusion

26
Q

EPO therapy dose w iron sucrose

A

10 000 units

27
Q

Hgb <9g/dl

A

200mg iron sucrose 2x/ wk

28
Q

If blood falls below 6g/dL

A

Transfuse blood

29
Q

Adverse effect of blood transfusion

A

Hemolysis
GVHD
Fever, chills

30
Q

Major cause of anemia in perpartal

A

Acute hemorrhage

31
Q

Ways to maintain intravascular homeostasis

A
  1. Use of dextrans w preacution in px with hemostatic deficit
  2. Maintain normothermia perioperative
  3. Fluid shifting( crytalloids for urine; colloid for acute blood loss)
  4. Hypovolemia tx w crystalloid or colloid
  5. Blood transfusion only when less than 7g/dL
32
Q

Prevention strategies?

A

Food based

Iron supplement

33
Q

Food based approach?

A

Dietary

Food fortified

34
Q

Recommended for 1st trimester?

35
Q

Dietary for lactating

A

Amennorheic 27

36
Q

Richest sources of iron

A

Liver and glands

37
Q

Dietary iron exists as

A

Heme

Nonheme

38
Q

Alkaline pH is favored for this iron

39
Q

Enhancers of iron

A

Heme(meat…)
Vitc
Fermented food

40
Q

Inhibitor of iron

A

Phytates
High inositol
Phenolic cmpds
Calcium

41
Q

Alterations in meal pattern

A

Dont drink tea, milk, cheese(dairy)

Include fruit juice

42
Q

Adding nutrient during processing of food

A

Food fortification

43
Q

Most common strategy to prevent IDA

A

Iron supplementation

44
Q

For prevention what dose?

A

60mg/day for 3 months

45
Q

What if patient is to preven ida and shes in 26 weeks gestation what dose?

46
Q

Pregnant woman resides in an endemic area what should u give?

A

Antihelminthic

+iron

47
Q

Px is 6 mos post partum
She has hgb 129
Ferritin 12

A

Id without anemia

48
Q

Definitive dx of ida

A

Iron status

49
Q

Universal routine low dose fe at first prenatal visit

50
Q

Severe anemia

A

Hgb 6.9-7.9

51
Q

Mild anemia

OB (9 decks)

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