A patient who has been prescribed oral ferrous sulfate reports taking extra doses for the past few months. The patient's serum iron level is 560 mcg/dL. What will the nurse expect the provider to order for this patient?
a. Discontinuing the ferrous sulfate and re-checking the iron level in 1 month
b. Gastric lavage and treatment for acidosis and shock
c. Giving oral deferasirox [Exjade]
d. Giving parenteral deferoxamine [Desferal]
D
If the plasma level of iron is high (above 500 mcg/dL), it should be lowered with parenteral de-feroxamine. This level is toxic and must be treated. Gastric lavage is used if unabsorbed tablets are present. Oral deferasirox is used for chronic overload caused by blood transfusions.
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