SAQ 756 – Toxicology – severe iron overdose assessment and chelation

A 37-year-old woman presents to the ED four hours after ingesting 100 ferro-gradumet tablets, each containing ferrous sulphate 325 mg.

List two (2) local features and two (2) systemic features of iron toxicity.

(Marked out of 4.0)

/ 4

List four (4) investigations you would perform on presentation and give one justification for each.

(Marked out of 8.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Investigation</th> <th>Justification</th> </tr> </thead> <tbody> <tr> <td>1</td> <td></td> </tr> <tr> <td>2</td> <td></td> </tr> <tr> <td>3</td> <td></td> </tr> <tr> <td>4</td> <td></td> </tr> </tbody> </table> <p>

/ 8

List two (2) contraindications to whole bowel irrigation.

(Marked out of 2.0)

/ 2

List two (2) indications for desferrioxamine.

(Marked out of 2.0)

/ 2

State the mechanism of action of desferrioxamine.

(Marked out of 1.0)

/ 1

List four (4) criteria that must be met for safe discharge home from the ED.

(Marked out of 4.0)

/ 4

Total Score: 0 / 21

Percentage: 0%