vivian lecture Flashcards
what is the immediate action when there is low ion?
IV iron (by passes the need for absorption and less GI effects)
how long does iv iron takes to work?
takes 1 week to improve Hb by 1 unit ,
requires time for iron abroption and incorporation into RBC
what is faster than administering iron?
blood transfusion can be done to quickly increase haemoglobin level
what is a long term action to solve low ironlevel ?
PO iron
what are the advantages of using PO iron?
it avoid the need for IV access and monitoring
what are the disadvantages of PO iron?
needs compliencce for 3-6 months
some med need compliance to take 30 min beofre eating
GI side effect may not be tolerable for some
TAKES 2 weeks to improve HB by 1 unit
how to solve heavy mensural bleeding?
- hormonal therapy by regulating mensural cycle (estrogen progestin therapy)
- helps to make bleeding more regular, lighter - anti fibrinolytic to reduce fibrinolysis (cause growth of clots)
- tranexamic acid
what are the oral iron meds?
ferrous sulphate
polymaltose
gluconate
what are the adverse effects of oral iron?
metallic taste nausea flatulence black urine constipation black and dry stools
what are some special note on polymaltose ?
lesser GI side effect than sulphate
taken with food
when are ferous sulpahte and gluconate taken?
30 min before food as it requires an acidic medium to be absorbed
what to do for sulphate and polymaltose if side effect is very bad?
can lower dose or take every other day to improve tolerance and absorption
can take after food if tolerance is an issue
what is one special thing about gluconate?
contains maganase copper folic acid vit C (helps with iron absorption) sorbitol (laxative)
what are the other medication for iron?
ferrous carboxymalose
dextran
sucrose
which medication is admistered through IV?
carboxy , dextran and sucrose