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Columbus NDD PowerPoint Presentation
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Columbus NDD

Columbus NDD

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Columbus NDD

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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