Metabolic acidosis
Pathophsiology
Cellular toxicity
Absorption of excessive iron
(In overdose the corrosive effect
facilitate iron absorption)
Iron-binding proteins become
saturated, free iron ions are
allowed into the general circulation
(Systemic iron toxicity)
Iron penetrates the cells of the
liver, heart, and brain leading
to oxidative stress
Metabolic acidosis???
Pathophsiology
Cellular toxicity
Generation of free radicals &H+ ions via
Fentons reaction
Impaired oxidative
Phosphorylation &
mitochondrial dysfunction
Anaerobic metabolism
& lactic acid production
Metabolic
acidosis
Clinical presentation
Iron poisoning is often classified into 5 distinct
stages
Stage 1 [the gastrointestinal (GI)
phase ]
30m to 6 hrs
Stage 3 [metabolic/CVS]
2 to 24 hrs
Stage 4 [Hepatic]
12 to 24 hrs
Stage 5 [delayed ]
1 to 7 weeks
Stage 1 [the gastrointestinal (GI) phase ]
Contraindications
Known sensitivity to desferrioxamine, Use with
caution in patients with renal impairment
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