Iron poisoning

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1. usually a young woman used it to suicide or a child using wrong bottle of iron drug

2. Common pills’ dosage

    1. Amp venofer 20 mg/ml

    2. Cap ferfolic 60 mg

    3. Cap ferrous sulfate 100 mg

    4. Tab ferrous sulfate 36 mg

    5. Drop ferrous sulfate 25 mg/ml

3. poisoning ⇒ ≥ 450 mg/dl serum level

4. Orders:

    1. charcoal

    2. deferoxamine 10-15 mg/kg/hr use in form of IV, IM, PO

        1. max dose 6 gr/day due to urine color change

        2. D/C deferoxamine if

            1. acidosis resolved

            2. become asymptomatic

            3. negative x-rays