NURS 1556 Clinical Medications Worksheets
Generic Trade
Name Name
Ferrous Feosol
Sulfate
Peak Onset
7-10 days 4 days
(Why med ordered)
Prevention/treatment of iron
deficiency anemia
Mechanism of action and
indications
Enters the blood stream and
is transported to the organs
such as the spleen, liver and
bone marrow. Where it is
separated out and becomes
part of the iron stores.
Interactions with other
patient drugs, OTC or
herbal medicines (ask
patient specifically)
Patient does not take any
drugs that interact with this
medication.
Nursing Process- Assessment
(Pre-administration assessment)
Assess nutritional status and dietary history to
determine possible cause of anemia.
Classification Dose Route Time/frequency
Antianemic 325 mg PO Q day
Duration For IV meds, compatibility with IV drips and /or
solutions
2-4 months
N/A
Nursing Implications (what to focus on)
Contraindications/warnings/interactions
Contraindicated in hemochromatosis, hemosiderosis, or other evidence of
iron overload, anemias not due to iron deficiency, and some products that
contain alcohol, tartrazine, or sulfites and should be avoided in patients with
known tolerance or hypersensitivity.
Use cautiously in patients with peptic ulcer, ulcerative colitis or regional
enteritis, alcoholism, severe hepatic or renal impairment, pre-existing
cardiovascular disease, significant allergies or asthma, and rheumatiod
arthritis.
Common side effects
Hypotension, nausea, constipation, dark stools, diarrhea, epigastric pain and
skin staining.
Lab value alterations caused by medicine
Continue to monitor hemoglobin, hamatocrit, and reticulocyte values prior
to, and every 3 weeks during the first two months of therapy and
periodically thereafter. serum ferritin and iron levels may also be monitored
to assess effectiveness of therapy. Occult blood in stools may be obscured
by black coloration of iron in stool. Guaiac test may occasionally be false-
positive
Be sure to teach the patient the following about this medication
Explain the purpose of iron therapy to the patient. Advise patient that stools
may become dark green or black and that this change is harmless. Instruct
the patient to immediately inform the nurse in charge if symptoms of
hypersensitivity occur.
Assessment Evaluation
Why would you hold or not Check after giving
give this med?
Known hypersensitivity to Assess for signs of
this drug. Normal iron anaphylaxis.
levels.