Iron deficiency

1. <8 y/o ⇒ Hb<11 and MCV<70

    >8 y/o ⇒ Hb<12 and MCV<80

2. Physiologic anemia

    1. in term infants start in 6-10 w/o with Hb: 9-11

    2. in preterm infants start in 4-8 w/o with Hb: 7-9

3. Treatment

    1. children

        1. as prophylaxis

            1. tab ferrous sulfate qd #30

            2. or Drop ferrous sulfate 2drop/kg/day (40mg/5 ml)

        2. as treatment

            1. Tab ferrous sulfate 3 tabs daily #100 max dose 15 mg/day

            2. Drop ferrous sulfate 4drops/kg/day for 8 weeks

    2. Pregnancy

        1. before pregnancy use tab ferrous sulfate 1 tab qd

        2. as treatment of anemia: 200 mg Elemental iron ::: Ferrous sulfate 325mg 3 tabs qd

    3. IV therapy

        1. no po tolerate

        2. GIB

        3. malabsorption

        4. .23*weight*(15-Hb) + 500 mg in N/S over 60-90 mins

| High MCV, High RDW | high MCV, NL RDW | low MCV, High RDW | Lowe MCV, NL RDW |

| — | — | — | — |

| Folate deficiency

B12 deficiency | Aplastic anemia | Iron deficiency | Minor thalassemia

Chronic disease |