MRCP UK EXAMINATIONS

NEUROLOGY

SURGERY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A patient who has long-term packed RBC transfusions develops symptoms of iron toxicity that affect liver function. Which immediate treatment will the nurse prepare the patient for that may help prevent organ damage?
A
Iron chelation therapy
B
Oxygen therapy
C
Therapeutic phlebotomy
D
Anticoagulation therapy
Explanation: 

Detailed explanation-1: -Chelation therapy aims to balance the rate of iron accumulation from blood transfusion by increasing iron excretion in urine and or faces with chelators. If chelation has been delayed or has been inadequate, it will be necessary to excrete iron at a rate which exceeds this.

Detailed explanation-2: -Chelation therapy This involves taking medicine that removes iron from your blood and releases it into your urine or poo. A commonly used medicine is deferasirox. It comes as a tablet that’s usually taken once a day.

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