Chapter 18 – Anemia and Supplements (QE) Sample Questions
1. EC, a 12-year-old girl was brought by her mom to a walk-in clinic due to severe fatigue, palpitation, and palor symptoms. Her doctor suspected anemia and conducted blood works with results as follows: Hb: 80 g/L; Serum ferritin: 30 ng/mL. The doctor then prescribed an oral iron supplement with 150 mg elemental iron daily. What is appropriate?
- A. Ferrous fumarate 300 mg daily (Palafer)
- B. Ferrous gluconate 300 mg daily TID (Eurofer)
- C. Ferrous sulphate 300 mg daily (Fer-in-sol)
- D. Polysaccharide-iron 150 mg daily (Triferexx)
Ans:
D
Tips: Ionic iron supplements include Ferrous fumarate, Ferrous gluconate, and Ferrous Sulphate.
Ferrous fumarate 100 mg elemental Fe in 300 mg daily (33% Fe)
Ferrous Gluconate 35 mg elemental Fe in 300 mg daily (12% Fe)
Ferrous Sulphate 60 mg elemental Fe in 300 mg daily (20% Fe)
Polysaccharide-Fe 150 mg elemental Fe in 150 mg – non-ionic heme iron
All iron supplements are schedule II, only <30 mg is available OTC.
Save My Preference