A child with hypoplastic anemia develops hemosiderosis. What should the nurse prepare to instruct the parents about the treatment for this disorder?

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Treatment of anemia is through transfusion of packed red blood cells to increase erythrocyte levels. As a result of the necessary number of transfusions, hemosiderosis or the deposition of iron in body tissue can occur. Treatment for hemosiderosis is iron chelation through the use of subcutaneous infusions of deferoxamine (Desferal). These infusions are to be given at home overnight for 5 to 6 nights per week. There is no enough information to determine if aspirin should be avoided. Ferrous sulfate (Feosol) will add more iron to the patient's body and should be avoided. Children with congenital hypoplastic anemia may receive corticosteroid therapy along with transfusions of packed RBCs to raise erythrocyte levels.

A Child with Hypoplastic Anemia Develops Hemosiderosis