Columbus NDD

1
Columbus NDD
-
CKD
Our Protocol
Fe Deficiency
Fe Deficiency
Tsat
lt20
Excess Iron
Adequate Stores
Tsat
lt10
Tsat
10
-
20
AND
Tsat
gt50
Tsat
20
-
50
/or
Ferritin
gt100
Hgb
gt12
Ferritin
gt500
Ferritin
100
-
500
Ferritin
lt100
Continue to monitor.
If excess iron, hold
Monitor
Tsat

Hct
Q
Give IV Iron
Give IV Iron
po
/IV iron (if on).
month.
weekly X 4
weekly X 2
Hold Iron until
Hgb
lt12.
doses unless
doses unless
allergic
allergic
Instruct pt on delayed S/E
OK use of Tylenol for fever,
Myalgia
, chills, nausea, etc.
No
(Flu
-
like
)
sxs
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 11000 0.3ml SC
Hydrocortisone 100mg IV over 1 min