chapter 28 - ATI Testing

●● Therapeutic●Uses
Complications
◯● Iron-deficiency●anemia
Vitamins, minerals, and supplements
◯● Use●iron●sucrose●and●SFGC●only●for●clients●who●are●undergoing●long-term●
hemodialysis●and●are●deficient●in●iron.
◯● Prevention●of●iron-deficiency●anemia●for●clients●who●are●at●an●increased●risk,●such●as●
pregnant●women,●infants,●and●children.
◯● Parenteral●forms●should●only●be●used●in●clients●who●are●unable●to●take●oral●
medications.●IV●route●is●preferred.
SIDE/ADVERSE EFFECTS NURSING INTERVENTIONS/CLIENT EDUCATION
Gi distress (nausea, constipation, heartburn) • if intolerable, administer medication with
food, but this greatly reduces absorption.
• may need to reduce dosage.
• monitor the client’s bowel pattern and
intervene as appropriate. advise clients
that these side effects usually resolve with
continued use.
teeth staining (liquid form) • teach clients to dilute liquid iron with
water or juice, drink with a straw, and rinse
mouth after swallowing.
staining of skin and other tissues with im
injections
• Give im doses deep im using Z-track
technique.
• avoid this route if possible.
anaphylaxis risk with parenteral administration • monitor clients who are receiving iV iron
preparations.
• Be prepared with life-support equipment.
Hypotension, which may progress to
circulatory collapse with parenteral
administration
Fatal iron toxicity in children can occur when
an overdose of iron (2 to 10 g) is ingested
(severe Gi symptoms, shock, acidosis, liver and
heart failure).
Contraindications/precautions
●● Contraindicated●for●clients●with:●
◯● Previous●hypersensitivity●to●iron
• monitor vital signs when administering
parenteral iron.
• use the chelating agent, deferoxamine
(desferal), to treat toxicity.
◯● Hemolytic●anemia,●peptic●ulcer●disease,●and●severe●liver●disease
PN PHARMACOLOGY FOR NURSING 343