Iron deficiency actions/effects

Mechanism of Action An enzymatic mineral that is an essential component in the formation of Hgb, myoglobin, and enzymes. Promotes effective erythropoiesis and transport and utilization of oxygen (Oj). Therapeutic Effect Prevents iron deficiency. Pharmacokinetics Absorbed in the duodenum and upper jejunum. Ten percent absorbed in patients with normal iron stores increased to 20%-30%in those with inadequate iron stores. Primarily bound to serum transferrin. Excreted in urine, sweat, and sloughing of intestinal mucosa. Half-life 6 hr. 

The average dose for the treatment of iron-deficiency anemia is about 200 mg of iron/day (2—3 mg/kg/day), given in three equal doses of 65 mg. Children weighing 15—30 kg can take half the average adult dose, while small children and infants can tolerate relatively large doses of iron (e.g., 5 mg/kg). The dose used is a compromise between the desired therapeutic action and the adverse effects. Prophylaxis and mild nutritional iron deficiency may be managed with modest doses. When the object is the prevention of iron deficiency in pregnant women, for example, doses of 15—30 mg of iron/day are adequate to meet the 3-6 mg daily requirement of the last 2 trimesters. 

WARNING Anaphylactic Rxns w/ use use only if oral Fe not possible administer where resuscitation techniques available Uses Fe deficiency when cannot supl PO Action Fe supl Dose Adul. Iron defic anemia Estimate Fe deficiency, give 25-100 mg IM/IV /d until total dose total dose (mL) = [-.0442 x (desired Hgb - observed Hgb) x LBW] + (0.26 x LBW) Iron replacement, blood loss Total dose (mg) = blood loss (mL) x Hct (as decimal fraction) max 100 mg/d Peds >4 mo. As for adults max 0.5 mL (wt <5 kg), 1 mL (5-10 kg), 2 mL (>10 kg) p dose IM or direct IV Caution [C, M] Contra Anemia w/o Fe deficiency. Disp Inj SE Anaphylaxis, flushing, dizziness, inj site inf Rxns, metallic taste Interactions X Effects W/ chloramphenicol, X absorption of oral Fe EMS Anaphylactic Rxns common taking oral Fe t risk of tox and SEs OD May cause N/V, HA, muscle/joint pain and fev symptomatic and supportive Iron Sucrose (Venofer) [Iron Supplement] Uses Fe deficiency anemia w/ chronic HD in those receiving erythropoietin Actions Fe r lacement. Dose 5 mL (100 mg) IV on dialysis, 1 mL (20 mg)/min max Caution [C, M] Contra Anemia w/o Fe deficiency Disp Inj SE Anaphylaxis, -1- BP, cramps, N/V/D, HA Interactions i Absorption OF oral Fe supls EMS See Iron Dextran OD See Iron Dextran... 

The toxic effects of cadmiun are further manifested by a negative action on the metabolism of iron, copper and zinc which results in a deficiency of these metals with relevant disturbances. Cadmium also exerts teratogenic, mutagenic and carcinogenic effects [10]. 

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