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Iron (Ferrous Sulfate)

Remember what you need to know about iron, also known as ferrous sulfate, from the story of the iron who runs a dry cleaning business who gets out the toughest stains and wrinkles. The secret to getting out the stains has to do with the special blend of salt a ferret pours into the irons.&nbsp;This represents that iron is often prepared for administration as a ferrous salt. The ferrous sulfate form of iron is one of four types of ferrous salts, and it is absorbed up to three times more readily than the ferris type of iron salt.&nbsp;It is primarily used to treat iron deficiency anemia, shown by the anemone working hard to get out wrinkles. Common side effects may include GI distress resulting in constipation and diarrhea, and is shown by the GI shooting a flare-gun because he’s having a fashion emergency. Patients may also experience nausea and vomiting, shown by GI’s vomit because there was dark stools on his clothes. This represents that it can be normal for patients taking iron tablets to present with dark stools. Considerations include taking iron between meals, as iron is best absorbed on an empty stomach. However, if GI upset occurs the patient may take iron with food to increase medication adherence. This is shown by the iron instructing his customers to iron between meals. This causes a big grin to form across a happy customer's face showing off his liquid stained teeth, as liquid forms of iron may stain teeth. Be sure to keep this medication out of the reach of children to avoid accidental poisoning, shown by the iron being out of reach for the child, and exercise caution in individuals with GI disorders such as peptic ulcers, ulcerative colitis, and regional enteritis, shown by the caution-tape around the GI with a disorder. Lastly, avoid antacids when taking iron supplements, shown by the avoid-sign above the ant-acid, as this can interfere with absorption.So to summarize. Iron is provided to the body through ferrous salts. It is commonly given to individuals with iron deficiency anemia. Side effects may include GI distress, nausea and vomiting, and dark stools. Considerations include taking iron between meals, avoiding antacids, and being aware that liquid forms can stain teeth. Keep this medication out of the reach of children, and use caution in patients with GI disorders.&nbsp;

educational

story

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title iron.png

Metal poisoning (Lead, Arsenic, Iron)

Iron deficiency anemia

Ferrous Sulfate (Iron)

Mechanism

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Ferrous Salts

What mechanism of action or pharmacological action is best associated with iron (ferrous sulfate)?

Indications

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Anemia

Which of the following diseases or disorders is iron (ferrous sulfate) most likely indicated for?

Side Effects

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GI Distress

Which of the following side effects is most likely associated with iron (ferrous sulfate) administration?

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Nausea and Vomiting

Which of the following side effects is most likely associated with iron (ferrous sulfate) administration AND diminishes with continued use?

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Dark Stools

Which of the following side effects is most likely associated with iron (ferrous sulfate) administration AND tends to worry patients upon incidence though harmless?

Considerations

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Take Between Meals

Which of the following instructions or patient education points associated with iron (ferrous sulfate) improves absorption but may worsen GI side effects?

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Liquid can Stain Teeth

Which of the following considerations is most important when administering iron (ferrous sulfate)?

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Keep out of Reach from Children

Which of the following instructions or patient education points is best associated with iron (ferrous sulfate)?

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Caution with GI Disorders

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Avoid Antacids

Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13th Edition

First Aid for the USMLE Step 1 2017

Hockenberry, Wong's Nursing Care of Infants and Children, 10th Ed.

Ignatavicius Medical-Surgical Nursing, 9th Edition

Lilley, Rainforth Collins & Snyder, Pharmacology and the Nursing Process, 8th Ed.

Master The Boards USMLE Step 2 CK, 3E

Maternity and Women's Health Care, 11th Edition (Elsevier)

Medical-Surgical Nursing, 10th Ed, Lewis, Dirksen, Heitkemper, & Bucher

Medical-Surgical Nursing, 9th Ed, Lewis, Dirksen, Heitkemper, & Bucher

NP - Certification Examination and Practice Preparation 4th Edition, Fitzgerald

PANCE Prep Pearls: 2nd Ed, 2017

Pharmacology and the Nursing Process 7e, Lilley, Rainforth Collins, Snyder, 2014

Pharmacology and the Nursing Process 8e, Lilley, Rainforth Collins, Snyder, 2017

STEP-UP to USMLE Step 2 CK, 4th Ed

This Picmonic was updated to include the fact that iron is best absorbed on an empty stomach. Both audios were remastered in the process.

This Picmonic was reviewed for academic accuracy.

This Iron runs a dry cleaning business where they get out the toughest stains and wrinkles known to man. &nbsp;The secret to getting out the stains has to do with the special blend of salt a ferret pours into the irons. &nbsp;And the blazing speed at which the clothing is finished is thanks to the many iron welding tentacles of the anemone who works in the back. &nbsp;But there are drawbacks to being so good and getting out stains and wrinkles. &nbsp;It's not uncommon for a GI to show up shooting a flare-gun, screaming wardrobe emergency. &nbsp;Getting out their puke stains isn't so bad. &nbsp;It's the tighty whities stuck to dark stools that really urk the anemone. &nbsp;But no matter what the state of your laundry was when you arrived, you'll be happy about the way it looks when you leave. &nbsp;The iron is good at cleaning clothes and encourages his customers to only iron between meals so that food doesn’t get on their clean clothes.&nbsp;The iron even offers free refreshments, although they tend to stain their teeth, the customers have so much to smile about they don't seem to mind. &nbsp;The service is good. &nbsp;The work is impeccable. &nbsp;And the scorching hot irons are kept out of the reach of children, who get to learn from the mistakes of the occasional GI with disorders, who let's just say are a few turds short of a bowel movement. &nbsp;Finally, the true secret to how this iron gets so much business has less to do with its doing right and more to do with the avoid-sign it nailed up over the ant-acid's laundromat next door. &nbsp;He still hasn't figured out why business is so slow.

"I will take this medication on an empty stomach."

"Because this medication may upset my stomach, I can take it with an antacid."

"This medication may cause the harmless side effect of dark stools."

"If I experience vomiting from this medication, I should stop taking it immediately."

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