Iron Overdose in the ED - CHES169

Iron Overdose in the ED

by Steven S. Bhimji, MD, PhD
(4.5 / 8 ratings )

This course is credentialed for:
Health Education (1.00 CECH)

Price: $20.00
CE-PRO Price: $10.00


One of the leading causes of poisoning deaths in young children is iron overdose. Iron is one of the most widely used health supplements in North America. Overdose from iron is frequently classified into five distinct clinical stages. To make a diagnosis of iron poisoning, serum iron levels should be measured at least four hours after ingestion. If the levels are measured more than six hours after ingestion, the iron may have redistributed or become bound to ferritin, giving falsely low levels. All symptomatic patients need to be admitted and treated, regardless of the levels of iron in blood. Any patient who exhibits hemodynamic instability needs to be admitted to the ICU.


The goal of this iron overdose continuing education program is to provide pharmacists, dietitians, paramedics and EMTs, health educators and laboratory professionals with information about iron toxicity, its presentation and management. After studying the material presented here, you will be able to:
  • Explain the epidemiology, pathophysiology and mechanism of iron toxicity
  • Describe the signs and symptoms of iron poisoning, as well as the laboratory studies needed to diagnosis and monitor this condition
  • Discuss treatment measures, including medications

Accreditation Information
This course is intended for an interprofessional audience, including pharmacists, dietitians, paramedics and EMTs, health educators and laboratory professionals.
Health educators: Take this version of the course to ensure you receive appropriate credit.
For the version accredited or approved for another profession, go to your specific profession at or If you have a CE Direct login ID and password (generally provided by your employer), please log in as you normally would at and search for this topic title.
Sponsored by OnCourse Learning, a Relias LLC company, a designated provider of continuing education contact hours (CECH) in health education by the National Commission for Health Education Credentialing, Inc. This program is designated for Certified Health Education Specialists (CHES) and/or Master Certified Health Education Specialists (MCHES) to receive up to 1.0 total Category I continuing education contact hours.
Provider ID: CA0084 (98709) for 01/01/2012 to 12/31/2015, 114941 for 01/01/2016 to 12/31/2019.

Course Originally Released on: 1/16/2013
Date of Most Recent Review: 1/16/2013
Course Termination/Update Date: 1/16/2016

Unless stated above, the planners and authors of this course have declared no relevant conflicts of interest that relate to this educational activity. OnCourse Learning guarantees this educational activity is free from bias.

Please see CE Course Instructions to learn how to earn CE credit for this module.

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VIRGINIA M - Columbia, MO  ·  Jan 31, 2019
I am an Substitute Teacher. I read the article and answer the questions during non-teaching periods.
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Jane W - Tucson, AZ  ·  Dec 27, 2017
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KIMBRLY H - Drexel Hill, PA  ·  Jul 30, 2016
Useful content when encountering patients in the ED with potential iron overdose.
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Price: $20.00
CE-PRO Price: $10.00