Patients Name:

Aida Paco

Age:

57 years old
Female

Diagnosis:

AUB-M, Endometrioid Carcinoma

Sex:

Physician:

Dr. Laplana, Charlene

Date of Admission:

Name of Drug

Classification

Mechanism of Action

Indication

Generic Name: Ferrous Sulfate + MV

Pharmacologic Class:

Chemical:

Trade/Brand Name:

Hematinic

Elevates the serum iron concentration which then

Feosol

Therapeutic:

helps to form High or trapped in the

General Indication:

Fer Iron

Oral Supplement

reticuloendothelial cells for storage and eventual

Fer-Gen-Sol

Pregnancy Risk Category:

conversion to a usable form of iron.

Fer-Iron

Category A

Therapeutic:

Ferrin

Source:

Necessary for effective erythropoiesis

Patients Dose: O.9 mL OD

NDH p.571-574

Pharmacokinetics:

Maximum Dose: 15 mL
Minimum Dose: 1 to 2 mL
Contents:
Iron + Multivitamins
Availability:
Rx and/or OTC
Route(s) of Administration:
PO
Source:
NDH p.571-574

November 10, 2015

Route:
PO

Onset:
4 days

Source:
NDH p.571-574

Prevention and treatment of

iron deficiency anemias.

Dietary supplement for iron.

Patients Indication:

Peak:
7-10 days

Dietary supplement for iron.

Duration:
2-4
months

Drug Half-Life: 6 hours

Source
NDH p.571-574

Height:

5 ft

Weight:

45 kg
Contraindication

Contraindication:

Hypersensitivity
Severe hypotension.
Ulcerated colon
Haemolytic anemia
PUD

Precautions:

Elderly patients
iron overload disorder
patients with liver problems
patients with stomach/intestinal problems

Drug Interactions:

antibiotics
bisphosphonates
levodopa,
methyldopa,
thyroid replacement drugs

Source:
NDH p.571-574

Side Effects

Dizziness
N&V
Nasal Congestion
Dyspnea
Hypotension
CHF
MI
Muscle cramps
Flushing
Staining of teeth
Black stools

Source:
NDH p.571-574

Nursing Responsibilities
Before:

Observe the 10Rs of drug administration

Ask for drug allergies

Administer the prescribed dosage

Check the doctors order

Teach SO to let her child take FeSO4 on an empty stomach

During:

Caution patient to make position changes slowly to minimize

orthostatic hypotension.
Instruct patient to avoid concurrent use of alcohol or OTC

medicine without consulting the physician.

Inform patient that defecating black stools is normal
Let the patient take ferrous sulphate with straw to avoid

staining of teeth
Dont take FeSO4 in large amounts of longer than
recommended

After:

Advise patient to consult physician if irregular heartbeat,

dyspnea, swelling of hands and feet and hypotension occurs.

Inform patient that angina attacks may occur 30 min. after

administration due reflex tachycardia. (happens rarely)

Encourage patient to comply with additional intervention for
hypertension like proper diet, regular exercise, and lifestyle

changes and stress management. (for patients with HPN)

Seek medical attention of adverse reactions occur
Documentation

Source:

NDH p.571-574