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
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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