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Medicine General c392ae6f

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
High-Yield Explanation
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.

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