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Deferoxamine
| Question | Answer |
|---|---|
| Deferoxamine T, P | T: Removes excess iron P: Antidote/ heavy metal antagonist |
| MOA Deferoxamine | Binds to unbound iron and removes it from the bloodstream, it is then excreted by the kidneys |
| uses for Deferoxamine | acute iron toxicity ingestion, or repeated blood transfusions |
| Side/adverse effects to Deferoxamine | Vision changes, hearing loss, tinnitus, hypertension, tachycardia, abdominal pain, N/V/D, red urine, leg cramps, nephrotoxic, tachycardia, myalgia |
| Interactions with Deferoxamine | Ascorbic acid increases efficacy of the drug, increasing cardiac toxicity. |
| Contraindications to Deferoxamine | Patients with severe renal disease, pregnancy |
| Deferoxamine labs | LFTs, renal panel, ferritin, level |
| Nursing considerations | Assess hearing/vision every 3 months, renal, lfts, ferritin levels, monitor vital signs |
| Education Deferoxamine | Contraception to avoid pregnancy. Maybe on vit c, caution not to take too much due to risk of cardiac toxicity. |