iron Flashcards
where is iron stored
liver, bone, spleen
dietary sources & absorption
meat, veggies, grains, has to be converted by gastric juices before it can be absorbed
indications
prevention and tx of iron deficiency anemia, doesn’t tx actual cause only treats symptoms
adverse effects
pediatric poisoning death, n/v, diarrhea, abd cramps, black poop, teeth staining, pain upon injection
tx for iron overdose
suction & maintain airway, shock and dehydration control with IV fluids or blood, oxygen, vasopressors, chelation therapy
what medication is used for iron overload
deferiprone
what is oral iron called
ferrous salts
what are parenteral forms of iron called (3)
iron dextran, ferric gluconate, ferumoxytol
What can happen with iron dextran
anaphylaxis (orthostatic hypotn, could be fatal)
What do you have to do with iron dextran
give 25 mg test dose, if no reaction, rest of it 1 hr later
What is ferric gluconate used for
to replenish iron body content for ppl going through hemodialysis
What dose of ferric gluconate causes adverse reactions, what are the reactions
doses >125 mg, abd pain, dyspnea, itching
what are the normal lab values for hgb and hct
hgb = 12-18 hct = 37-50
what labs do you need to assess
hbg, hct, baseline levels of b-complex vitamins, folate levels
contraindications for ferrous salts
GI issues and liver dz
contraindications for iron dextran
any anemias other than iron deficiency
implementations for liquid preparations
drink through a straw
implementations for oral forms
take between meals, can take w/ food if u have to, can give w/ juice (no milk or antacids), sit upright for 15 mins to avoid esophageal corrosion (hence why GI issues are contraindicated)
implementation for iron dextran (admin)
25mg test dose, rest 1 hr later, z track method, have resuscitative equipment ready including epi
