Which of the following is not true regarding iron supplementation in iron deficiency anemia?

A. Administer a small diluted dose first prior to infusion to look for any allergy to iron preparation

B. Oral iron therapy should be stopped once the patient achieves a hemoglobin of >12 mg/dL

C. If gastric intolerance to oral iron therapy occurs, all patients should be administered parenteral forms

D. Parenteral iron supplementation is required in a patient with Hb of less then 7 mg/dL

Correct Answer: Oral iron therapy should be stopped once the patient achieves a hemoglobin of >12 mg/dL

Description: Ans: B. Oral iron therapy should be stopped once the patient achieves a hemoglobin of >12 mg/dL(Ref: Harrison 19/e p629. 18/e p849)Iron-deficiency anemia - Goal of therapy:Not only repair anemia.Provide stores of at least 0.5-1 g of iron.Sustained treatment for period of 6-12 months after anemia correction necessary to achieve stores.

Category: Medicine

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