IV IRON (Venofer) Iron sucrose 300 mg IV in sodium chloride 0.9% 250 mL. Give every 1 to 4 days for a total of 3 doses (to be completed within 14 days). Administer over at least 90 minutes.

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INFUSION REACTIONS: If signs of hypersensitivy or anaphylaxis, STOP infusion immediately and notify physician. Follow guideline for Anaphylaxis: Clinical Practice Guideline (Registered Nurse Initiated Activity - 2009). Infusion reaction medications:
Acetaminophen 650 mg PO x 1
Epinephrine 1 mg/mL (1:1000) 0.5 mL IM for anaphylaxis
DiphenhydraAMINE 25 to 50 mg IV x 1 for urticaria / pruritus

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CGH Pre-Printed Order for Adult Parenteral IRON SUCROSE INFUSION Any required out-patient laboratory tets are to be arranged from physician’s office.

Indications for parenteral iron therapy:

Relevant Patient History:

Physician’s office to send all relevant blood work to outpatient department.
NOTE: Guildelines fo rcalculating iron requirements on back of page.

Intermittent Iron Sucrose IV dose:

Frequency and Duration:

LBW/Dose Calculator Body Weight (kg): Lean Body Weight (kg): Current Hgb (g/L): Desired Hgb (g/L): Dose required (mL): Elemental Fe required (mg):

Management of Side Effects: If Adverse Reaction see PDTM:

Hold infusion x 30 minutes

If symptoms improve resume infusion at half previous rate

If symptoms persist give 500 mL 0.9% NaCL bolus and call physician

If Anaphylactic reaction occurs:

Stop infusion immediately and call physician

Initiate O2 by mask

DiphenhydraAMINE 25 to 50 mg IV x 1 dose

EPIneprhine 1:1000) 0.5 mL IM STAT

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Subject: