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Iron sorbitol citrate Routes of Administration • Intravenous (IV) – most commonly used • Intramuscular (IM) – less commonly used because it may cause pain and staining of the skin Indications Parenteral iron is used when: • Severe iron deficiency anemia • Oral iron intolerance (vomiting, severe gastric irritation) • Malabsorption disorders (e.g., celiac disease) • Chronic kidney disease • Need for rapid correction of anemia • Non-compliance with oral iron • Inflammatory bowel disease Advantages • Rapid replenishment of iron stores • Useful when oral therapy fails • Better absorption than oral iron Disadvantages / Side Effects • Pain at injection site • Skin staining (with IM injection) • Nausea and headache • Fever and joint pain • Hypotension • Allergic or anaphylactic reactions (rare but serious) Nursing Considerations • Perform test dose especially with iron dextran • Monitor patient for allergic reactions • Use Z-track technique for IM injections to prevent staining • Monitor hemoglobin and hematocrit levels • Keep emergency drugs ready in case of anaphylaxis Examples of Conditions Treated • Iron deficiency anemia in pregnancy • Chronic kidney disease anemia • Post-partum anemia To view or add a comment, sign in More Relevant Posts Metformin is a widely used oral medication for type 2 diabetes mellitus (T2DM)