iron

Question 1

where is iron stored

Answer 1

liver, bone, spleen

Question 2

dietary sources & absorption

Answer 2

meat, veggies, grains, has to be converted by gastric juices before it can be absorbed

Question 3

indications

Answer 3

prevention and tx of iron deficiency anemia, doesn’t tx actual cause only treats symptoms

Question 4

adverse effects

Answer 4

pediatric poisoning death, n/v, diarrhea, abd cramps, black poop, teeth staining, pain upon injection

Question 5

tx for iron overdose

Answer 5

suction & maintain airway, shock and dehydration control with IV fluids or blood, oxygen, vasopressors, chelation therapy

Question 6

what medication is used for iron overload

Answer 6

deferiprone

Question 7

what is oral iron called

Answer 7

ferrous salts

Question 8

what are parenteral forms of iron called (3)

Answer 8

iron dextran, ferric gluconate, ferumoxytol

Question 9

What can happen with iron dextran

Answer 9

anaphylaxis (orthostatic hypotn, could be fatal)

Question 10

What do you have to do with iron dextran

Answer 10

give 25 mg test dose, if no reaction, rest of it 1 hr later

Question 11

What is ferric gluconate used for

Answer 11

to replenish iron body content for ppl going through hemodialysis

Question 12

What dose of ferric gluconate causes adverse reactions, what are the reactions

Answer 12

doses >125 mg, abd pain, dyspnea, itching

Question 13

what are the normal lab values for hgb and hct

Answer 13

hgb = 12-18 hct = 37-50

Question 14

what labs do you need to assess

Answer 14

hbg, hct, baseline levels of b-complex vitamins, folate levels

Question 15

contraindications for ferrous salts

Answer 15

GI issues and liver dz

Question 16

contraindications for iron dextran

Answer 16

any anemias other than iron deficiency

Question 17

implementations for liquid preparations

Answer 17

drink through a straw

Question 18

implementations for oral forms

Answer 18

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)

Question 19

implementation for iron dextran (admin)

Answer 19

25mg test dose, rest 1 hr later, z track method, have resuscitative equipment ready including epi