MRCP2-0646
A 26-year-old man with a history of depression and self-harm presents to the emergency department after an impulsive overdose of ferrous sulphate. He weighs 70kg and has ingested 70 x 200mg ferrous sulphate tablets, equivalent to 5600 mg of elemental iron (80 mg/kg). He denies any abdominal pain, diarrhoea or vomiting. On examination, his vital signs are stable and blood tests show elevated serum iron levels. What is the appropriate initial medical management for this patient?