Iron-Deficiency Anemia Treatment

Description and Clinical Goals

Jessica, 16, complains that she has had fatigue, has been pale, and has not been able to exercise as much as before for the last two months. After the administration of necessary blood tests, the patient is diagnosed with iron-deficiency anemia. The first clinical goal is to identify the underlying cause of the condition, as it may be related to Jessica’s diet or the presence of a disease (or diseases) that led to anemia. The second goal is to design an appropriate treatment plan, an important part of which is constituted by prescribed medicines. Third, Jessica and her mother should be educated on iron-deficiency anemia and its management.

Non-Pharmacological Interventions

The main non-pharmacological intervention is related to the necessary dietary changes. If the patient is found to have no contraindications for oral intake of iron-rich foods, she should be advised to consume more such foods. Before the intervention is provided, additional tests may be needed, such as allergy tests.

Clinical Practice Guideline

A clinical practice guideline on the management of iron-deficiency anemia was developed by Jimenez, Kulnigg-Dabsch, and Gasche (2015) by summarizing conventional practices and procedures related to diagnosis and treatment. The authors referred to 130 academic sources, which constitute strong evidence, on which the guideline is based. It is applicable to general patients without specific conditions that might prevent the use of measures normally taken to treat the condition.

Class of Medication

The class of medication that the patient should be prescribed is iron products (“Feraheme,” 2015), also known as iron supplements (Jimenez et al., 2015). The presented case does not indicate any factors that could prevent Jessica from taking iron products.

Safe and Appropriate Dose of a Medication

The selected medication is Feraheme, which is a brand name for ferumoxytol (“Feraheme,” 2015). It is injected through an IV; the initial dose is 510 mg (over 15 minutes at least), and the second dose (three to eight days later) is the same. Jimenez et al. (2015) confirm that intravenous iron is a highly effective treatment measure.

Justification

Feraheme is chosen because the patient has been pale for two months, and pallor indicates severe anemia (Lopez, Cacoub, Macdougall, & Peyrin-Biroulet, 2016). Moreover, Jessica is menstruating currently, which presents a risk of deterioration of the condition. Therefore, intravenous iron, which is normally administered in severe cases, is an appropriate solution.

Cost

Feraheme intravenous solution (30 mg/mL) costs approximately 850 USD depending on the pharmacy. The generic version at a reduced rate is not currently available; however, discount programs exist, and the purchase can be covered by an insurance plan.

Assessing and Monitoring the Efficacy

The patient should be monitored during the administration of the medication and within several hours after it. Feraheme may cause allergic reactions even if it was used before and caused none (“Feraheme,” 2015). During the administration of the second dose, the patient should be assessed as per her fatigue, pallor, and physical strength; improvements will indicate the success of the medication use.

Side Effects

Negative side effects are not common but may include swelling of the face, arms, hands, or feet as well as blurred vision, chest pain, and confusion. It is not expected that the side effects will require pharmacological interventions.

Drug-Drug, Drug-Food Interactions

Only one major interaction is known for Feraheme: dimercaprol, a drug that is used to remove heavy metals from the blood, which is needed to treat metal poisoning. No drug-food interactions should be stressed. Any vitamin or mineral supplements should be avoided by the patient unless prescribed.

Client Teaching

First, Jessica and her mother should be explained that increased consumption of iron-rich foods can prevent readmission. Second, such foods should be listed; e.g., liver, meat, fish, tofu, breakfast cereals, or bread fortified with iron, and eggs. Third, the patient should be recommended to take iron supplements, especially during menstrual periods.

References

(2015). Web.

Jimenez, K., Kulnigg-Dabsch, S., & Gasche, C. (2015). Management of iron deficiency anemia. Gastroenterol Hepatol, 11(4), 241-250.

Lopez, A., Cacoub, P., Macdougall, I. C., & Peyrin-Biroulet, L. (2016). Iron deficiency anaemia. The Lancet, 387(10021), 907-916.

Calculate the price
Make an order in advance and get the best price
Pages (550 words)
$0.00
*Price with a welcome 15% discount applied.
Pro tip: If you want to save more money and pay the lowest price, you need to set a more extended deadline.
We know how difficult it is to be a student these days. That's why our prices are one of the most affordable on the market, and there are no hidden fees.

Instead, we offer bonuses, discounts, and free services to make your experience outstanding.
How it works
Receive a 100% original paper that will pass Turnitin from a top essay writing service
step 1
Upload your instructions
Fill out the order form and provide paper details. You can even attach screenshots or add additional instructions later. If something is not clear or missing, the writer will contact you for clarification.
Pro service tips
How to get the most out of your experience with My Homework Geeks
One writer throughout the entire course
If you like the writer, you can hire them again. Just copy & paste their ID on the order form ("Preferred Writer's ID" field). This way, your vocabulary will be uniform, and the writer will be aware of your needs.
The same paper from different writers
You can order essay or any other work from two different writers to choose the best one or give another version to a friend. This can be done through the add-on "Same paper from another writer."
Copy of sources used by the writer
Our college essay writers work with ScienceDirect and other databases. They can send you articles or materials used in PDF or through screenshots. Just tick the "Copy of sources" field on the order form.
Testimonials
See why 20k+ students have chosen us as their sole writing assistance provider
Check out the latest reviews and opinions submitted by real customers worldwide and make an informed decision.
11,595
Customer reviews in total
96%
Current satisfaction rate
3 pages
Average paper length
37%
Customers referred by a friend
OUR GIFT TO YOU
15% OFF your first order
Use a coupon FIRST15 and enjoy expert help with any task at the most affordable price.
Claim my 15% OFF Order in Chat
Live ChatWhatsApp