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
(B) 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.