The nurse is caring for a child with iron deficiency anemia. The physician has ordered ferrous fumarate 3 mg/kg/day in one or two divided doses. This tells the nurse which of the following?
A) The child requires a prophylactic dose of iron.
B) The child has mild to moderate iron deficiency.
C) The child has severe iron deficiency.
D) The child is being prepared for packed red blood cell administration.
B
Response:
The recommended dosage for iron supplementation for a child with mild to moderate iron deficiency is 3 mg/kg/day of ferrous fumarate. A prophylactic dose is 1 to 2 mg/kg/day of up to a maximum of 15 mg elemental iron per day. Severe iron deficiency requires 4 to 6 mg/kg/day of elemental iron in three divided doses. Transfusion of packed red blood cells is reserved for the most severe cases. Prior to the transfusion of packed red blood cells, the nurse would follow specific blood bank guidelines.
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