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Ferrous Sulfate

Ferrous Sulfate

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Published by Conn_Casipe_8158

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Published by: Conn_Casipe_8158 on Jan 23, 2011
Copyright:Attribution Non-commercial


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Generic Name Ferrous SulfateBrand NameApo-Ferrous Sulfate (CAN)Feosol, Fer-gen-sol, Fer-In-SolClassificationIron preparationDosage325 mg BIDMode of Action Acts to normalize RBC production by binding with hemoglobin or by being oxidized and stored ashemosiderin or aggregated ferrtitin in reticuloendithiliaal cells of the liver, spleen, and bone marrow.
Prevention and treatment of iron deficiency anemia
Dietary supplement for iron
Unlabeled use: supplemental use during epoetin therapy to ensure proper hematologic response toepoetinContraindication
Contraindicated with patient with allergy to any ingredient; sulfite allergy; hemochromatosis,hemosiderosis, hemolytic anemias
Use cautiously with normal iron balance; peptic ulcer, regional enteritis, ulcerative colitisDrugInteractionsDrug-drug:
Decreased anti-infective response to ciprofloxacin, norfloxacin, ofloxacin; separate doses by at least2hr 
Decreased absorption with antacids, cimetidine
Decreased effects of levodopa if taken with iron
Increased serum iron levels with chloramphenicol
Decreased absorption of levothyroxine; separate doses by at least 2 hr Drug-food:
Decreased absorption with antacids, eggs, milk, coffee and tea, avoid concurrent administration of any of theseSide/ AdverseEffects 
Side effects:
GI upset, nausea, vomiting; diarrhea or constipation; dark or green stools
Adverse effects:CNS:
CNS toxicity, acidosis, coma and death with overdose
Anorexia, diarrhea, dark stools, temporary staining of the teethNursingResponsibility1.Assess history of allergy to any ingredient, sulfite, hemochromatosis, hemolytic anemias; normaliron balance; peptic ulcer, regional enteritis, ulcerative colitis2.Assess skin lesions, color, gums, teeth, bowel sounds; CBC, Hgb, Hct, serum ferritin and ironlevels3.Confirm that patient dose have iron deficiency anemia before treatment4.Give drug with meals if GI discomfort is severe; slowly increase to build up tolerance5.Administer liquid preparations in water or juice to mask the taste and prevent staining of teeth;have the patient drink solution with a straw

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