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Iron Deficiency Treatment Protocol: Dosage and Monitoring Plan

Comprehensive protocol for managing iron deficiency, including specific guidelines for Tsat and Ferritin levels, administration of IV Iron, monitoring, and managing excess iron. Includes instructions for possible adverse reactions and outpatient treatment plan.

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Iron Deficiency Treatment Protocol: Dosage and Monitoring Plan

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  1. Columbus NDD - CKD Our Protocol Fe Deficiency Fe Deficiency Tsat <20% Adequate Stores Excess Iron Tsat <10% Tsat 10 - 20% AND Tsat 20 - 50% Tsat >50% &/or Ferritin >100 Hgb >12 Ferritin 100 - 500 Ferritin >500 Ferritin <100 Continue to monitor. If excess iron, hold Give IV Iron Give IV Iron Monitor Tsat & Hct Q po /IV iron (if on). weekly X 4 weekly X 2 month. doses unless doses unless Hold Iron until Hgb <12. allergic allergic Instruct pt on delayed S/E & OK use of Tylenol for fever, Myalgia , chills, nausea, etc. No (Flu - like ) sx’s Outpatient Setting Protocol: Venofer (Iron Sucrose 100mg/5ml) - Administer 200mg (2 vials) Allergic - IV push over 2 - 5 minutes Reaction Stop infusion immediately. - Monitor Tsat , Ferritin Q month until in ? Call physician on call immediately. target, then Q 3 months Have ready: Yes Benadryl 50mg IV over 1 min Epinephrine 1:1000 0.3ml SC Hydrocortisone 100mg IV over 1 min

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