Download Internal Medicine - The Carter Center

Survey
yes no Was this document useful for you?
   Thank you for your participation!

* Your assessment is very important for improving the work of artificial intelligence, which forms the content of this project

Document related concepts

Infection wikipedia, lookup

Disease wikipedia, lookup

Management of multiple sclerosis wikipedia, lookup

Multiple sclerosis research wikipedia, lookup

List of medical mnemonics wikipedia, lookup

Dental emergency wikipedia, lookup

Sjögren syndrome wikipedia, lookup

Adherence (medicine) wikipedia, lookup

Syndemic wikipedia, lookup

Focal infection theory wikipedia, lookup

Transcript
Internal Medicine
Absorption increased by giving between meals, but side effects are less if
given with meals
Common Side effects; GI upset, nausea, dyspepsia, constipation /diarrhea. If
the side effects are not tolerable, reduced dose or change brand e.g. to ferrous
gluconate or ferrous lactate syrup.
•
Response to treatment; an expected daily rise of hemoglobin by 0.1-0.2 gm /dl
in
•
Follow-up; reticulocytosis will start at 3-4 days and peak on the 10th day of
initiation of treatment.
•
An increase in Hgb concentration of at least 2gm/dl after 3wks of therapy is
considered as a good response.
•
Treatment should be continued for about 3 months after resolution of anemia to
replenish the iron store.
Inadequate response may imply
•
Continuing hemorrhage
•
non compliance to therapy
•
Wrong diagnosis
•
Mixed deficiency – associated folate or vit.B12 deficiency
•
Another cause for anemia e.g. malignancy, inflammation
•
Malabsorption – rare cause
•
Use of slow release preparations
Parentral iron
Indications:
1. Oral Iron intolerance despite modification in dosage regimen
2. Malabsorption
3. Inability or unwillingness to take orally
• Iron-dextran complex or iron sorbitol citrate can be used Intra-muscularly or intra-venous
route.
Dose (ml) = 0.0442 (desired Hgb – Observed Hgb.) X weight (Kg.) + (0.26 x weight Kg.)
B)
Anemia of chronic diseases (ACD)
It occurs in association with a variety of chronic inflammatory and malignant diseases.
398