Brunton, L.B. (Ed). (2011). Goodman & Gilman’s The Pharmacological Basis of Therapeutics (12th edition). McGraw Hills Access Medicine (electronic copy at HSL).
BC is a 9-month-old, 7.5 kg Burmese infant who presents to your clinic for a routine check-up. BC’s mother states that for the past couple of months BC seems to be sleeping more than previously and when he is awake he is somewhat lethargic. Upon questioning BC’s mother states that BC was exclusively breast-fed for the first six months and switched to cow’s milk at that age. BC does not eat much solid food at this time. A blood test confirms that BC has iron-deficiency anemia. You decide to treat BC with 6 mg/kg/day of elemental iron for a minimum of three months with a follow-up visit one month from now. You recommend Fer-In-Sol drops to the mother.
1. What is the concentration of iron (mg/mL) in Fer-In-Sol drops?
2. What is BC’s total daily dose (mL/day)?
4. How should the daily dose be divided (# of doses/day)?
5. What potential adverse effects do you mention to BC’s mother?
JK is a thirteen-year-old, 50 kg Caucasian girl presenting to your clinic with fatigue and poor appetite. JK is familiar to you and you observe she is very pale compared to the last time you saw her. JK had her first period 1 year ago and her periods are moderate to heavy. You confirm a diagnosis of iron-deficiency. You decide to treat JK with iron at a dose of 6 mg/kg/day of elemental iron.
6. How many tablets/day of ferrous sulfate would JK need to receive your prescribed dose?
7. How many tablets/day of ferrous gluconate would JK need to receive your prescribed dose?
8. How many capsules/day of iron polysaccharide would JK need to receive your prescribed dose?
9. What mineral supplement should JK avoid while taking iron?
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