IDA

Question 0

First line therapy

Answer 0

Fe sulphate

Question 1

Iron therapy for IDA pregnant

Answer 1

60-120mg +

400ug Folic acid

Question 2

Poor pregnancy outcome hgb levels?

Answer 2

Lt 6g/dl

Question 3

Fe requirement How many times higher for vegetarians

Answer 3

1.8

Question 4

Fe Dissolve rapidly in?

Answer 4

Stomach

Question 5

Not recommended form of fe tablet

Answer 5

Enteric coated

Question 6

Daily supplementation should be how many doses

Answer 6

2/3

Question 7

When should fe be taken

Answer 7

1 hr preprandial

Question 8

Fe better taken with?

Answer 8

Vitamin c

Question 9

Fe should not be taken w?

Answer 9

Milk caffeine
Tea
Wine legumes

Question 10

If the px has gastrointestinal upset what will u do w fe intake?

Answer 10

Half dose initially

Question 11

If px has constipation, what med is allowed to take?

Answer 11

Docusate sodium

Question 12

For follow up, the px hgb increases what should be done next?

Answer 12

Lower dose to 30mg

Question 13

Adequate fe replacement in pregnant px when?

Answer 13

Ferritin 50u/L

Question 14

Moderate to sever anemia supplementation

Answer 14

Parenteral

Question 15

Give 5 Indications of parenteral fe

Answer 15

Malabsorption
Intolerance to oral fe
Hgb 7-10.5g/dL
Need for rapid effect
Non compliance

Question 16

Advantage of parenteral fe

Answer 16

Less risk transmission of infection
Long shelf life
Not aw blood transfusion reactions

Question 17

More stable than dextrans and gluconate

Answer 17

Iron sucrose

Question 18

Fe form Less binding to transport proteins,low stability

Answer 18

Sodium fe gluconate

Question 19

20 wks gestation IDA, parenteral herapy recommended?

Answer 19

No, after 21wks

Question 20

Formula to compute ID

Answer 20

Target-actual x wt x 0.24 + 500mg

Question 21

Target is 12, weight is 50kg what is ID when hgb is 10

Answer 21

ID 524?

Question 22

Dosing schedule? 2 ampuoles/ 100mL PNSS

Answer 22

Infused for 1 hr

Question 23

_______ is prudent before giving the therapeutic dose

Answer 23

Test dose

Question 24

Test dose?

Answer 24

0.5ml 10 mg iron sucrose

Question 25

Hgb level for bloos transfusion

Answer 25

< 7 g

Question 26

EPO therapy dose w iron sucrose

Answer 26

10 000 units

Question 27

Hgb <9g/dl

Answer 27

200mg iron sucrose 2x/ wk

Question 28

If blood falls below 6g/dL

Answer 28

Transfuse blood

Question 29

Adverse effect of blood transfusion

Answer 29

Hemolysis GVHD Fever, chills

Question 30

Major cause of anemia in perpartal

Answer 30

Acute hemorrhage

Question 31

Ways to maintain intravascular homeostasis

Answer 31

1. Use of dextrans w preacution in px with hemostatic deficit 2. Maintain normothermia perioperative 3. Fluid shifting( crytalloids for urine; colloid for acute blood loss) 4. Hypovolemia tx w crystalloid or colloid 5. Blood transfusion only when less than 7g/dL

Question 32

Prevention strategies?

Answer 32

Food based | Iron supplement

Question 33

Food based approach?

Answer 33

Dietary | Food fortified

Question 34

Recommended for 1st trimester?

Answer 34

27mg/day

Question 35

Dietary for lactating

Answer 35

Amennorheic 27

Question 36

Richest sources of iron

Answer 36

Liver and glands

Question 37

Dietary iron exists as

Answer 37

Heme | Nonheme

Question 38

Alkaline pH is favored for this iron

Answer 38

Heme

Question 39

Enhancers of iron

Answer 39

Heme(meat...) Vitc Fermented food

Question 40

Inhibitor of iron

Answer 40

Phytates High inositol Phenolic cmpds Calcium

Question 41

Alterations in meal pattern

Answer 41

Dont drink tea, milk, cheese(dairy) | Include fruit juice

Question 42

Adding nutrient during processing of food

Answer 42

Food fortification

Question 43

Most common strategy to prevent IDA

Answer 43

Iron supplementation

Question 44

For prevention what dose?

Answer 44

60mg/day for 3 months

Question 45

What if patient is to preven ida and shes in 26 weeks gestation what dose?

Answer 45

120 mg

Question 46

Pregnant woman resides in an endemic area what should u give?

Answer 46

Antihelminthic | +iron

Question 47

Px is 6 mos post partum She has hgb 129 Ferritin 12

Answer 47

Id without anemia

Question 48

Definitive dx of ida

Answer 48

Iron status

Question 49

Universal routine low dose fe at first prenatal visit

Answer 49

30mg

Question 50

Severe anemia

Answer 50

Hgb 6.9-7.9

Question 51

Mild anemia

Answer 51

9.5-10.5