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Terms in this set (63)

There are many causes of anemia and the antianemic prescribed will be based upon the cause.
With iron deficiency anemia, iron supplements are commonly prescribed. Beware though - Iron is 'heavy' stuff
and shouldn't be taken 'lightly'!
· Iron can cause teeth staining (liquid form). Teach clients to dilute liquid iron with water or juice, drink with a
straw, and rinse mouth after swallowing.
· Iron can cause staining of skin and other tissues with IM injections. If IM route must be used, give IM doses
deep IM using Z track technique.
· Iron also has several drug administration interactions- of antacids or tetracycline's reduces absorption of
iron. Separate use by at least 2 hr.
· Vitamin C increases absorption, but also increases incidence of GI complications. Avoid vitamin C intake
when taking medication.
· Instruct clients to take iron on an empty stomach such as 1 hr before meals to maximize absorption.
Stomach acid increases absorption. However, iron can cause GI distress(nausea, constipation, heartburn) If
intolerable, iron can be administered with food to increase compliance with therapy but this does reduce
absorption.
· Instruct clients to space doses at approximately equal intervals throughout day to most efficiently increase
red blood cell production.
· Inform clients to anticipate a harmless dark green or black color of stool.
· Instruct clients to increase water and fiber intake (unless contraindicated), and to maintain an exercise
program to counter the constipation effects.
· Encourage concurrent intake of appropriate quantities of foods high in iron (liver, egg yolks, muscle meats,
yeast).
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