A child with sickle cell disease is receiving hypertransfusion therapy, and the current serum ferritin level is 1,035 µg/L. What medication does the nurse prepare to administer?
A.
Deferoxamine (Desferal)
B.
Elemental iron
C.
Furosemide (Lasix)
D.
Morphine sulfate (Duramorph)
ANS: A
A complication of hypertransfusion is iron overload, diagnosed with a serum ferritin level of greater than 1,000 µg/L. The treatment is chelation therapy with an agent such as deferoxamine. Iron would be contraindicated. Lasix is given for fluid overload. Morphine is given for pain.
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