When choosing the treatment for IDA, the critical aspects to consider are the person’s gender and age, general condition, the intensity of anemia or iron deficiency and its symptomatology. A quick response to therapy is frequently observed in two weeks, and the increase in hemoglobin levels is an indication (Warner and Kamran, 2021). Iron management is required for three months minimum to restore cellular iron levels. In case with a 28-year-old female, the treatment plan involves oral iron with ferrous sulfate with the daily dosage of 325–650 mg daily as the preferred variant (Banakh et al., 2017). In case of resistance, ferrous fumarate and gluconate salts can be used. In order to boost the absorption, Vitamin C can be incorporated.
If the patient is unable to tolerate oral iron, has poor absorption due to a condition, or if the deficits are too great for oral therapy, injectable iron may be necessary. Sickness is the most typical natural consequence of injectable iron. In this situation, IV iron sucrose can be advised, with the dosage of 200 mg with the same amount of 0.9% sodium chloride (Das et al., 2020). The IV takes around half an hour and should be repeated weekly and the symptoms should improve after six weeks.
Hence, for a 28-year-old female with a history, physical exam, and diagnostics consistent with iron deficiency anemia, proper iron deficiency anemia management might include oral iron. My rationale is the young age, accessible timeline, and condition. The time frame of oral iron intake will be three months, and the patient should be monitored for the first two weeks to see the changes and whether there is a requirement to change the treatment plan. As a result, such treatment will lead to the restoration of hemoglobin levels.
References
Banakh, I., Baird-Gunning, J., & Bromley, J. (2017). Correcting iron deficiency.
Cappellini, M. D., Musallam, K. M., & Taher, A. T. (2020). Iron deficiency anaemia revisited. Journal of Internal Medicine, 287(2), 153-170.
Das, S. N., Devi, A., Mohanta, B. B., Choudhury, A., Swain, A., & Thatoi, P. K. (2020). Oral versus intravenous iron therapy in iron deficiency anemia: An observational study. Journal of Family Medicine and Primary Care, 9(7), 3619–3622.
DiPiro, J. T., Yee, G. C., Posey, L. M., Haines, S. T., Nolin, T. D., & Ellingrod, V. L. (2020). Pharmacotherapy: A pathophysiologic approach (11th ed.). McGraw Hill Medical.
Warner, M. J. & Kamran M. T. (2021). Iron Deficiency Anemia. National Library of Medicine.