DRUG MECHANISM OF INDICATION
ACTION
FERROUS SULFATE Essential component in
formation of Hgb, myoglobin,
PHARMACOTHERAPEUTIC: enzymes. Promotes effective
Enzymatic mineral. erythropoiesis and transport,
CLINICAL:Iron preparation. utilization of oxygen.
Therapeutic Effect: Prevents
1 Tab OD iron deficiency.
CONTRAINDICATION
Prevention, treatment of iron
deficiency anemia due to
inadequate diet,
malabsorption, pregnancy,
blood loss.
ADVERSE EFFECTS
Contraindications: Large doses may aggravate
Hemochromatosis, hemolytic existing GI tract disease
anemias. Cautions: Peptic (peptic ulcer, regional
ulcer, regional enteritis, enteritis, ulcerative colitis).
ulcerative colitis, pts Severe iron poisoning occurs
receiving frequent blood most often in children,
transfusions manifested as vomiting,
severe abdominal pain,
diarrhea, dehydration,
followed by hyperventilation,
pallor, cyanosis,
cardiovascular collapse.
NSG RESPONSILITIES
BASELINE ASSESSMENT
Assess nutritional status, dietary
history.
To prevent mucous membrane and
teeth
staining with liquid preparation,
use
dropper or straw and allow
solution to
drop on back of tongue.
INTERVENTION/EVALUATION
Monitor serum iron, total iron-
binding
capacity, reticulocyte count, Hgb,
ferritin.
Monitor daily pattern of bowel
activity,
stool consistency. Assess for
clinical improvement,
record relief of iron deficiency
symptoms (fatigue, irritability,
pallor, paresthesia
of extremities, headache).
PATIENT/FAMILY
TEACHING
•Expect stool color to darken.
Oral liquid may stain teeth. If GI
discomfort occurs, take after meals
or with food. Do not take within 2
hrs of other medication or eggs,
milk, tea, coffee, cereal.