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Fe SO4 PO: Therapeutic: • Prevention and Contraindicated GI: constipation, dark • ASSESSMENT:
300 mg Antianemics treatment of iron in: stools, diarrhea, • Assess nutritional status
2-4 deficiency • Primary epigastric pain, GI and dietary history to
times Pharmacologic: anemia hemochromatos bleeding determine possible cause of
daily Iron supplements is anemia and need for patient
• hemolytic teaching.
Action: anemias and • Assess for bowel function
• An essential other anemias for constipation or diarrhea.
mineral found in not due to iron Notify physician or other
hemoglobin, deficiency health care professional and
myoglobin, and • some products use appropriate nursing
many enzymes contain alcohol, measures and should these
• Parenteral iron tartrazine, or occur.
enters the sulfites and • IMPLEMENTATION:
blood stream should be • Oral preparations are most
and organs of avoided in effectively absorbed if
the patients with administered 1 hour before
reticuloendothel known or 2 hours after meals. If
ial system intolerance or gastric irritation occurs,
(liver, spleen, hypersensitivity administer with meals. Take
bone marrow), • Concurrent oral tablets and capsules with a
where iron is iron therapy full glass of water or juice.
separated out Do not crush or chew
and becomes enteric – coated tablets and
part of iron do not open capsules.
stores. • HEALTH TEACHING:
• Prevention/ • Encourage patient to
treatment of comply with medication
iron deficiency regimen.
as its • Take missed doses as soon
therapeutic as remembered within 12
effect. hours; otherwise, return to
regular dosing schedule. Do
not double doses.
• Advise patient that stools
may become dark green or
black and that this change
is harmless.