iron deficiency anaemia treatment
TRANSCRIPT
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TREATMENT-IDA(Iron Deficiency Anaemia)
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APPROACHDepends on
• Severity and Cause
• Ability of the patient to tolerate
• Absorption capacity
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TREATMENT OF CAUSE
Underlying cause for iron deficiency should be treated
Such as upper GI bleed , peptic ulcer , menorrahagia
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R xRED CELL TRANSFUSION
ORAL IRON THERAPY
PARENTERAL IRON THERAPY
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RED CELL TRANSFUSION
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INDICATIONS
Blood loss Cardiac instability
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• Mainly related to severity of anaemia than to iron deficiency
• Not only corrects anaemia acutely but also acts as a source of iron for reutilization
• Stabilizes the patient
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Mainly done for the patients with Hb < 8 gm/dl
Iron content of packed red cells is around 1 mg of haeme iron per ml
Expected Hb level after transfusion of 1 unit is 1 gm/dl
Iron stores replenishes in 2-3 weeks
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Oral iron therapy
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• Asymptomatic patients with established IDA
• Simple salts to complex iron compounds
• Ascorbic acid combination to enhance absorption
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Oral iron supplements
• Ferrous sulphate (52%)
• Ferrous succinate (35%)
• Ferrous fumarate (33%)
• Ferrous gluconate (12%)
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IRON TOLERANCE TEST
2 Iron tabs given
Serum Iron at 2 hrs
At least 100 mcg/dl
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Do’s Empty stomach
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Dont’s
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Monitoring• Increase in reticulocyte count
after 4-7 days
• Increase in Hb level after 3-4
weeks
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Monitoring• Reconsider the diagnosis if no response
• Reveal the cause for poor response
(prolonged bleeding ,poor patient
compliance)
• Don’t continue the treatment beyond 3-4
weeks if there is no favourable response
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SIDE EFFECTS
Nausea,vomiting
Heart burnAbdominal discomfort
Constipation
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PARENTERAL THERAPY
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INDICATIONS Iron malabsorption
Severe oral iron intolerance
Haemodialysis patient
Patients on erythropoietin Therapy
Non compliance patients
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Iron Dextran
Ferumoxytol (510 mg / inj )
Sodium Ferric Gluconate (125mg
/inj )
Iron Sucrose (200mg/inj )
Ferric Carboxymaltose (750mg/inj )
Parenteral preparations
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GOAL1.To correct Hb deficit and provide
atleast 500mg of iron stores
2.Repeated small doses in a
protracted period
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Formula to Calculate Iron need
• Body weight(Kg) x 2.3 (15 – Patient’s
Hb,gm/dl) + 500 or 1000mg(Store)
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Drug of Choice• IM (Z-track technique) Iron Dextran 2ml
daily on Alternate days
• IV (Test dose-0.5ml) of Iron dextran over
5-10 minutes,2ml can be injected/day
taking 10 mins for inj.
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Newer Preparations Ferrous sucrose-100mg IV in 5mins(once
daily/weekly)
Ferric carboxymaltose(latest
formulation) 100mg IV or 1000mg
diluted with saline in 15 mins
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IRON DEFICIENCY ANAEMIA IN PREGNANCY
Depends on degree of anaemia &period of gestation
Blood transfusion: severe anaemia, near term or if she is in labour
Oral treatment : Ferrous salts given 200 mg TDS
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Intramuscular therapy : Iron dextran
complex ,Iron- sorbitol -citric acid complex
Oral iron is stopped 24 hrs priorly
Intravenous therapy: Iron dextron diluted in
500ml of 5% glucose as slow iv as needed
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Closely observe during IV infusion
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SIDE EFFECTS
STAINING
FEVER
Headache STERILE ABSCESS
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PREVENTION
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Initiative by TN govt
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Treat the underlying cause
Treat the anaemia
Replenish the Iron stores
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