What are the indications for administration of a parenteral iron preparation? (Select all that apply.)
a. Blood loss of 750 mL/week
b. Celiac disease with anemia
c. History of alcoholism
d. Intestinal disease impairing absorption
e. Megaloblastic anemia
ANS: A, B, D
Patients who have lost 750 mL/week of iron cannot absorb enough oral iron, so parenteral iron is indicated for these patients. Patients with celiac disease or other diseases that impair iron absorption must receive parenteral iron. Patients with a history of alcoholism are generally deficient in folic acid. Megaloblastic anemia is a symptom of vitamin B12 and/or folic acid deficiency.
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