Iron Supplementation: Key Facts for NCLEX
Introduction
- Iron can be administered medicinally for patients with iron deficiency anemia.
- Essential component of hemoglobin, responsible for carrying oxygen in red blood cells.
Why Iron is Prescribed
- Treats anemia (lack of red blood cells).
- Increases hemoglobin and red blood cell count.
- Specifically used for iron deficiency anemia.
Side Effects of Iron Supplementation
Constipation
- Symbolized by black beans not passing through a bag.
- Counteracts: High fiber diet, regular exercise, staying hydrated.
Black, Tarry Stools
- Black stain on pants symbolizes black tarry stools.
- Expected side effect: Harmless for patients taking iron.
- Important: Warn patients that this is expected.
Tooth Discoloration (Liquid Iron)
- Black beans stuck in teeth symbolize tooth discoloration.
- Instructions: Dilute in water/juice, drink through straw, rinse mouth afterwards.
Gastrointestinal Upset
- Symbolized by nausea from tasting black bean dish.
- Symptoms: Nausea, vomiting.
- Best absorbed on empty stomach, but small amount of food can help alleviate GI discomfort.
Guidelines for Food and Iron Intake
Calcium (Milk)
- Spilled milk symbolizes the avoidance of calcium with iron.
- Calcium inhibits iron absorption; avoid dairy products.
Vitamin C (Cranberry Juice)
- Cranberry juice symbolizes food encouraged with iron.
- Vitamin C enhances iron absorption; encourage intake with citrus fruits and juices.
Recap
- Iron: Natural mineral, treats anemia, increases hemoglobin.
- Side Effects: Constipation, black tarry stools, tooth discoloration (liquid form), GI upset.
- Instructions: Avoid calcium, consume with Vitamin C for enhanced absorption.
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