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Iron (Fe+)

Updated: May 11, 2022

Iron (Fe+)

  • One of the most common and severe poisonings in children.

  • S/S: GI corrosion and hemorrhage to hepatic failure.

  • DX: Iron tablets may be visible on abdominal radiographs.

  • TX: Activated charcoal does NOT bind with iron, so treat with the chelating agent Deferoxamine intravenously along with fluid resuscitation

  • Side effect: Deferoxamine-iron is excreted in urine, producing a characteristic pink-red color urine.

  • Treatment is effective when symptoms resolve, and serum iron levels return to normal.

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