Iron Deficency Anaemia(IDA)

Clinical Features:

• 1)Extreme fatigue.
• 2)Weakness.
• 3)Pale skin.
• 4)Chest pain, fast heartbeat or shortness of breath.
• 5)Headache, dizziness or lightheadedness.
• 6)Cold hands and feet.
• 7)Inflammation or soreness of your tongue.
• 8)Brittle nails.

Investigations:

• 1)CBC: Hb% low 
• 2) PBF : Microcytic hyopochromic Anaemia, anisopoikilocytosis,tear drop cell,pencil shaped cell
• 3)Iron Profile :
• ➡Serum Feritin: Low
• ➡MCV, MCHC: Low
• ➡Transferrin saturation : Reduced
• ➡TIBC: increased
• ➡RDW: High
• 4)Upper GI endoscopy 
  
• 5)Colonoscopy
• 6)Stool for OVa for AD

Rx:

1.Cap.[post id="439" title="Carbonyl Iron+Folic-Acid+Zinc"] (Ferozi/Ferol TR)

• 1+1+1..........৩ মাস 

2.Tab.ceevit([post id="466" title="Ascorbic Acid"]) (250mg)

• 1+0+1........1 month

যদি ৩ মাসের ভিতর কৃমির ওষুধ না পেয়ে থাকে তবে 

Tab.Solas (Mebendazol)(100mg)

• 1+0+1.....3 days

♻️কখন Blood Transfusion দিবো?

• 1)Heart failure 
• 2)Angina 
• 3)Evidence of cerebral hypoxia 
• 
  

♻️কখন I/V or Parenteral Iron দিবো? 

• 1)Chronic gut disease 
• 2)Malabsorption syndrome 
• 3)oral iron inability to tolerate

♻️কিভাবে I/V iron দিবো? 

Inj.Ferric carboxymaltose(Maltofer/Ferisen)(500mg/10ml) + Inf.Normal Saline (100ml)

• I/V@ 30 drops/min stat & then after 7th  day(2 dose)

Formula:

➡️Total dose in mg = Body wt in kg ×(Target Hb - Actual Hb) × Storage iron. 

Storage iron :

• Weight > 35 kg :500mg 
• Weight less then 35 kg : 15 mg/kg 

🎴অবশ্যই লক্ষ রাখতে হবে কোন hypersensitivity reaction হয় কিনা। 

১ মাস পর CBC করবো কারন। 

Dietary Advice:

• 1)Leafy greens. Leafy greens, especially dark ones, are among the best sources of nonheme iron. 
• 2)Meat and poultry. All meat and poultry contain heme iron. 
• 3)Liver. 
• 4)Seafood. 
• 5)Fortified foods.
• 6)Beans. 
• 7)Nuts and seeds.