Patient Encounter 1 Part

The patient is diagnosed with IDA and is started on ferrous sulfate 325 mg orally three times daily to be taken on an empty stomach. Follow-up CBC 1 month later reveals a Hgb of 10 g/dL (100 g/L or 6.2 mmol/L), previously 9.3 g/dL (93 g/L or 5.77 mmol/ L). The patient complains of shortness of breath on exertion and constipation. She also admits to taking only one tablet a day because of nausea.

What Hgb level would constitute a therapeutic response in this patient?

How can nausea secondary to ferrous sulfate be reduced in this patient?

What changes to this patient's iron therapy do you recommend?

Table 66-2 Food Sources of Iron, Folic Acid, or Vitamin B12

kon Red meat, orga n meats, wheat germ r egg yol ksr oysters

Table 66-3 Iron Products (IV and PO) and Elemental Iron Content

Brand

Elemental Iron Content

Salt Form

Nameis)

per Dose Form

Oral Formulations

Ferrous ^uEfate

feosol

65 mg/325-mg tabEct 60 rrig/300-mg tablet

Ferrous sulfate,

N/A

65 mg/^00-mg tablet

anhydrous

Ferrous gluconate

Fergon

'19 mg/325-mg tablet 37 rrig/300-mg tablet

Ferrous fu ma rate

Feostat

33 mg/lGO-mg tablet

PoEysacc ha ride-

Niferex

150 ing/tapsule

iron complex

50 rng/tablet

Parenteral Formulations

Iron dextran InFED

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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