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    c  a  Elevates the serum iron ` |ontraindicated with  |  toxicity, ` assess allergy and
Iron Preparation c concentration, which allergy to any acidosis, coma and other
   then helps to form Hgb ingredient; sulfite death with overdose contraindications
 
   pregnant and or trapped in the allergy; that are present
` Prevention and lactating women, reticuloendothelial cells hemochromatosis, with the client.
treatment of iron 30-60mg/day PO for storage and eventual hemosedirosis,  GI upset, anorexia,
deficiency anemia conversion to a usable hemolytic anemias. nausea, vomiting, ` |onfirm that
form of iron. constipation, diarrhea, patient does have
` cietary ` 3se cautiously with dark stools, temporary iron deficiency
supplement for normal iron balance; staining of the teeth anemia before
iron peptic ulcer; regional (liquid preparations) treatment
enteritis, ulcerative
` 3nlabeled use: colitis. ` Give drug with
supplemental use meals (avoiding
during epoetin milk, eggs, coffee
therapy to ensure and tea0 if GI
proper discomfort is
hematologic severe, and slowly
response to increase to build
epoetin. up tolerance

` administer liquid
preparations in
water or juice to
mask the taste and
prevent staining of
teeth; have the
patient drink with
straw

` èarn the that


stool may be dark
or green

` arrange for
periodic
monitoring of Hct
and Hgb levels.
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 c  a  Required for ` |ontraindicated with 0     ` assess allergy and
Folic acid, vitamin c nucleoprotein synthesis allergy to folic acid allergic reactions other
supplement    and maintenance of preparations contraindications
pregnant and normal eryhtropoiesis
!"pain and that are present
 
   lactating women, ` 3se cautiously during discomfort at injection with the client.
` ÿreatment of 0.8mg/day lactation. site
megaloblastic ` administer orally if
anemias due to at all possible.
sprue, nutritional
deficiency, ` ÿest using schilling
pregnancy, test and serum
infancy, and vitamin B12 levels
childhood. to rule out
pernicious anemia.
ÿherapy may mask
signs of pernicious
anemia while the
neurologic
deterioration
continues.
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a


 c  c # Vitamin | is a compound ` 3se of sodium  ausea,vomiting, a &c 
vitamin supplement   that is necessary for ascorbate in heartburn,diarrhea. ' 

proper growth and patients on sodium ͻ Lab tests: Periodic Hct
 
   ` Infants and health. ÿhey are needed restriction; use of
0  
acute & Hgb, serum
` Prophylaxis and |hildren : Birth in small amounts only calcium ascorbate in
to 3 years of and are usually available patients receiving hemolytic anemia electrolytes.
treatment of scurvy age = 20 mg in the normal foods that digitalis. (patients with
and as a dietary are ingested. ascorbic deficiency of G6Pc); ͻ Monitor for & of

supplement. `   to 10 years of acid( vitamin |) is ` ascorbic acid may be sickle cell crisis. acute hemolytic
age = 25 mg necessary for wound contraindicated in anemia, sickle cell
healing. Vit | plays a patients with Headache (high
` adolescent and major role in many crisis.
` Increases hemolytic anemia .
doses).
adult males = oxidative and other
protection
25- 0 mg metabolic reactions ˜ 
   ˜  &
mechanism of the essential for formation $   3rethritis, '
  
` Pregnant and stabilization of dysuria, crystalluria
immune system, ` Precaution to be ÿake large doses of
Females = 30- 0 collagens,conversion of taken in patients with (high doses).
thus supporting folic acid to folinic acid, vitamin
mg pregnancy, during
wound healing. synthesis of adrenal lactation and in %   | in divided amounts
` Breast-feeding steroids and patients with past
ecessary for Mild soreness at because the body uses
females = 55 mg catacholamines.It is very history of renal
wound healing and important for injection site; dizziness only what is needed at a
calculi. and temporary
resistance to maintanance of particular time and
intracellular tissue. faintness with rapid
infection. excretes the rest in urine.
IV administration.
ͻ Megadoses can
interfere with
absorption of vitamin
B12.

  Vitamin | increases
theabsorption of iron
when takenat the same
time as iron-richfoods.

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