IDA treatment Flashcards
TREATMENT
• TREAT UNDERLYING CONTRIBUTING CAUSE
• Example:
hookworms, tumors or ulcers
• For simple nutritional deficiencies or increase need
DIETARY SUPPLEMENTATION
DIETARY SUPPLEMENTATION
•Oral supplementation of Ferrous Sulfate
• Standard prescription
• Side effect: (2) = leads to poor compliance
• Course of Treatment:____
Nausea, Constipation
6 months or longer
• Reduced intestinal side effects compared to ferrous sulfate but equally effective in correcting iron deficiency
•Oral Bovine Lactoferrin:
• Provide iron supplementation has been studied developing nations
Oral Bovine Lactoferrin:
• Gastric achlorhydria, celiac disease, matriptase-2 mutations
• With notable side effects
Intravenous administration of Iron Dextrans
• Used in rare cases in which iron absorption is impaired
Intravenous administration of Iron Dextrans
RARELY warranted because of associated risk
UNLESS the Hgb is dangerously low
RBC transfusions
RESPONSE TO TREATMENT
• HGB content of reticulocytes will correct within____
2 days
• Reticulocyte count begin to increase within______
• Anticipated rise of HGB appears in_____
• Return to normal about______
5-10 days
2-3 weeks
2 months
• PBS and indices still reflects______ RBC population for several months with younger______cells (BIPHASIC POPULATION)
microcytic
normocytic
• Iron therapy must continue for another______ to replenish the storage pool and prevent relapse
3-4 months