Nursing Responsibilities of Hematinic Drugs

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NURSING RESPONSIBILITIES OF HEMATINIC DRUGS

Nursing Implications
Assessment & Drug Effects

 Lab tests: Monitor Hgb and reticulocyte values during therapy. Investigate the absence of
satisfactory response after 3 wk of drug treatment. (When Necessary)
 Continue iron therapy for 2–3 mo after the hemoglobin level has returned to normal
(roughly twice the period required to normalize hemoglobin concentration).
 Monitor bowel movements as constipation is a common adverse effect.

Patient & Family Education

 Note: Ascorbic acid increases absorption of iron. Consuming citrus fruit or tomato juice
with iron preparation (except the elixir) may increase its absorption.
 Be aware that milk, eggs, or caffeine beverages when taken with the iron preparation may
inhibit absorption.
 Be aware that iron preparations cause dark green or black stools.
 Report constipation or diarrhea to physician; symptoms may be relieved by adjustments
in dosage or diet or by change to another iron preparation.
 Do not breast feed while taking this drug without consulting physician.

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