Name of CI: Celna Mae C. Echerecho, RN, MN DRUG STUDY Area of Exposure: OB Ward Name of Drug Dosage / Mechanism of Indication Contraindication Adverse Effect Nursing Responsibilities Frequency/ Action Timing / Route Acts to normalize Indicated to Contraindicated in CNS: Dizziness, fever, Give iron tablet with a full Generic Name: Dosage: RBC production by prevent iron patients with headache, paresthesia, glass of juice or water. Ferrous sulfate 1 tab of 65mg binding with deficiency hemochromatosis, syncope Don’t crush the tablet. hemoglobin or by based on hemolytic Don’t give antacids, coffee, Frequency: being recommended anemias, CV: Chest pain, dairy products, eggs, tea, QD x 30 days oxidized and daily hemosiderosis, hypertension, or whole-grain breads or Brand Name: stored as allowances. hypersensitivity to hypotension, cereals within 1 hour Fersulfate Iron Timing: hemosiderin or iron salts or their tachycardia before or 2 hours after iron ODAC - 7 AM aggregated ferritin components, and intake. Also, inform the in other anemic EENT: Metallic taste, client about this. reticuloendothelial conditions unless tooth discoloration Instruct patient not to chew Classification: Route: cells of the liver, accompanied by the tablet and any solid Hematinic PO spleen, and bone iron deficiency. GI: Abdominal cramps, form of iron except for marrow. Iron is an constipation, epigastric chewable tablets. essential pain, nausea, stool Urge patient to eat chicken, component of discoloration, vomiting fish, lean red meat, and hemoglobin, turkey, as well as foods myoglobin, and HEME: rich in vitamin C, such as several enzymes, Hemochromatosis, citrus fruits and fresh including hemolysis, vegetables, to improve iron cytochromes, hemosiderosis absorption. catalase, and Urge patient to avoid foods peroxidase. Iron is RESP: Dyspnea, that impair iron absorption, needed for wheezing including dairy products, catecholamine eggs, spinach, and high- metabolism and SKIN: Diaphoresis, fiber foods, such as whole- normal neutrophil flushing, pruritus, rash, grain breads and cereals function. urticaria and bran. Also advise her to avoid drinking coffee or Other: Angioedema tea within 1 hour of iron intake. Check stool for occult blood, as ordered. Advise patient to consult prescriber before taking large amounts of iron for longer than 6 months. Warn patient about high risk of accidental poisoning, and urge her to